摘要
【目的】探讨指导家长参与和强化训练量对提高脑性瘫痪(简称脑瘫)患儿粗大运动功能的影响。【方法】按家长是否自愿接受康复培训并参加强化运动治疗分组,研究期间资料完整病例98例,其中50例参加患儿为观察组,48例未参加患儿为对照组。两组均由康复医生和康复治疗师采用综合康复治疗,功能训练主要采用Bobath法、上田法等康复技术,功能训练1次/d,每次40min。观察组同时指导家长参与进行家庭康复训练,每天于医院治疗间期功能训练3次,每次40min,观察时间6个月。治疗前后根据粗大运动发育量表(Gross Motor Function Measure,GMFM)-88项进行评估。【结果】患儿入组时GMFM-88项总百分比两组间比较,差异无统计学意义(P>0.05);治疗6个月后,GM-FM-88项总百分比两组间比较,观察组比对照组提高,差异有统计学意义(P<0.01)。【结论】指导家长参与和强化运动训练有利于脑瘫患儿粗大运动功能的康复,是应该推广的康复模式。
[Objective] To function of children with cerebral study the effect of parents＇ participation and constraint-induced movement on gross motor palsy. [Methods] 98 cases of children with cerebral palsy were analyzed. Two groups were divided according to whether parents would participate in rehabilitation exercise and constraint-induced movement or not. 50 participants were observed and compared with the 48 references. All of the 98 children were treated for 6 months with comprehensive rehabilitation, functional training were Bobath and shangtian method, et al, function training once a day, and 40min each time. Beside the normal treatment, parents of observation group were instructed to have family rehabilitation, three times a day, and 40min each time. The GMFM-88 was analyzed before and after treatment. [Results] Before treatment, there was no significant difference between the two groups with GMFM-88（P〉0.05）; 6 months later, scores of the observation group were higher than the references （P〈0.01）. [Conclusion] It is favorable to add the family rehabilitation and constraint-induced movement in the rehabilitation of children with cerebral palsy, and should be popularized.
出处
《中国儿童保健杂志》
CAS
2010年第5期415-417,共3页
Chinese Journal of Child Health Care
关键词
家长参与
强化训练
小儿脑瘫
粗大运动功能
instructing parents＇ participation
constraint-induced movement
cerebral palsy
gross motor function
