摘要
目的:观察呼吸训练联合核心稳定性训练对痉挛型脑性瘫痪(SCP)儿童运动功能、平衡功能及日常生活活动能力的影响。方法:选择2019年3月—12月在湘雅博爱康复医院儿童康复科治疗的SCP儿童74例,采用随机数字表法分为对照组和观察组,每组37例。治疗过程中,每组脱落2例,最后每组纳入35例。对照组在常规康复训练基础上,给予核心稳定性训练。常规康复训练主要包括牵伸训练、关节活动度训练、作业治疗,10 min/次。核心稳定性训练包括:搭桥训练、仰卧起坐训练、悬吊系统训练、Bobath球训练,40 min/次。观察组在对照组常规康复训练基础上,将核心稳定性训练时间由40 min/次缩减为20 min/次,然后增加呼吸训练,20 min/次。呼吸训练包括:腹式呼吸训练(7 min/次)、扩胸运动训练(3 min/次)、呼吸借助法训练(4 min/次)、抗阻呼气训练(6 min/次)。以上项目均训练2次/d,5次/周,持续训练3个月。在治疗前及治疗3个月后,分别采用粗大运动功能测试量表(GMFM-88)中D、E功能区评估儿童站立、行走、跑和跳的粗大运动功能;采用Berg平衡量表(BBS)评估平衡功能;采用Barthel指数(BI)评估日常生活活动能力。结果:治疗前,2组GMFM-88的D和E功能区评分、BBS评分和BI评分比较无明显区别,差异均无统计学意义(P>0.05)。与治疗前比较,2组治疗3个月后GMFM-88的D和E功能区评分、BBS评分、BI评分均明显提高,差异有统计学意义(P<0.05);与对照组比较,观察组治疗3个月后GMFM-88 D和E功能区评分、BBS评分、BI评分均明显更高,差异有统计学意义(P<0.05)。结论:呼吸训练联合核心稳定性训练可有效提高SCP儿童粗大运动功能、平衡能力和日常生活活动能力,值得临床推广。
Objective:To observe the effect of respiratory training combined with core stability training on motor function,balance function and daily life ability of children with spastic cerebral palsy.Methods:A total of 74 children with spastic cerebral palsy who were treated in the deparment of child rehabilitation of Xiangya fraternity rehabilitation hospital from March to December 2019,which were divided into the control group and the observation group according to the random number table,with 37 cases in each group.In the course of treatment,two cases dropped in each group,and finally 35 cases were included in each group.The control group was given core stability training on the basis of routine rehabilitation training.The routine rehabilitation training mainly included stretching training,joint range of motion training and occupational therapy,10 minutes each time.Core stability training mainly included bypass training,sitting up training,suspension system training and Bobath ball training,40 minutes per time.On the basis of routine rehabilitation training in the control group,the core stability training time of the observation group reduced from 40 minutes to 20 minutes each time,and then received respiratory training,20 minutes each time.Respiratory training mainly includes abdominal respiratory training(7 min per time),chest expanding exercise training(3 min per time),respiratory aid method training(4 min per time),and anti blocking respiratory training(6 min per time).All the above items were trained twice a day,five times a week,continuous treatment for three months.Before and after treatment for three months,D and E functional domains of gross motor function measure scale-88(GMFM-88)was used to assess the gross motor function such as standing,walking,running and jumping;the Berg balance scale(BBS)was used to assess the balance function;and the Barthel index(BI)was used to assess the daily life activity ability.Results:Before treatment,there were no significant difference in the D and E functional domains scores
作者
胡碧浓
张凯
祁芳
王春华
周文颖
艾坤
张泓
HU Binong;ZHANG Kai;QI Fang;WANG Chunhua;ZHOU Wenyin;AI Kun;ZHANG Hong(College of Acupuncture-moxibustion and Massage,Hunan University of Traditional Chinese Medicine,Changsha,Hunan 410208,China;Xiangya Fraternity Rehabilitation Hospital,Changsha,Hunan 410000,China)
出处
《康复学报》
CSCD
2020年第6期447-451,共5页
Rehabilitation Medicine
基金
湖南省大学生研究性学习和创新性实验计划项目(2018-434)
湖南省残疾人康复科研项目(2019XK014)。
