摘要
目的 研究太空衣治疗联合悬吊训练对痉挛型脑瘫患儿大运动、平衡功能及日常生活活动能力的影响。方法 选取2019年10月至2021年10月在该院儿童早期发展中心治疗的痉挛型脑瘫患儿70例,采取随机数字表法分为试验组和对照组,各35例。对照组使用常规治疗方案和悬吊训练,试验组进行常规治疗、悬吊训练和太空衣治疗,连续治疗3个月。比较两组治疗前、后粗大运动功能测试量表-88项(GMFM-88项)的D、E区评分,Berg平衡量表评分,日常生活能力改良Barthel指数量表评分。结果 治疗前两组患儿4项基本情况、GMFM-88项的D区和E区评分、Berg平衡量表评分、改良Barthel指数量表评分比较,差异均无统计学意义(P<0.05)。3个月治疗后,试验组和对照组GMFM-88项的D区和E区评分、Berg平衡量表评分较治疗前均明显提高(P<0.05);试验组改良Barthel指数量表评分明显提高(P<0.05),而对照组提高不明显(P>0.05);试验组各项评分均高于对照组(P<0.05)。结论 太空衣治疗联合悬吊训练能够有效提高痉挛型脑瘫患儿的大运动水平、平衡功能和日常生活活动能力。
Objective To analyze the effects of space suit therapy combined with suspension training on gross motor, balance function and activities of daily living in children with spastic cerebral palsy(SCP).Methods A total of 70 children with spastic cerebral palsy who were treated in the Early Childhood Development Center of Jiangsu University Affiliated Hospital from October 2019 to October 2021 were selected.They were divided into the experimental group and the control group by random number table method, 35 cases in each group.The control group received conventional treatment and suspension training, while the experimental group received conventional treatment, suspension training and space suit treatment for three consecutive months.Before and after treatment, the scores of areas D and E of Gross Motor Function Test Scale-88(GMFM-88),Berg Balance Scale scores, and modified Barthel index scores of daily living activities were compared between the two groups.Results Before treatment, there were no significant differences in the four basic conditions, D and E areas of GMFM,Berg balance scale, and modified Barthel index scores between the two groups(P<0.05).After three months of treatment, the scores of D area and E area of GMFM in the experimental group and the control group, and the Berg balance scale score were improved compared with those before treatment(P<0.05).The score of modified Barthel index increased in the experimental group(P<0.05),but not in the control group(P>0.05),and the scores experimental group were higher than the control group(P<0.05).Conclusion Space suit therapy combined with suspension training can effectively improve the gross motor level, balance function and activities of daily living in children with spastic cerebral palsy.
作者
许西长
周凡
孙映红
杨洁
金胜利
XU Xichang;ZHOU Fan;SUN Yinghong;YANG Jie;JIN Shengli(Department of Pediatrics,Affiliated Hospital of Jiangsu University,Zhenjiang,Jiangsu 212000,China)
出处
《重庆医学》
CAS
2023年第3期379-382,共4页
Chongqing medicine
基金
江苏省人口学会资助项目(BM2018033-1)。
