摘要
目的研究脑性瘫痪儿童在踝足强化治疗下的运动功能变化情况。方法选择80例脑性瘫痪患儿,随机分为观察组和对照组,每组各40例。予对照组患儿在神经发育疗法及运动控制理论为基础的常规运动治疗方法上增加常规躯干训练,观察组在对照组基础上予踝足强化治疗。记录2组患儿治疗前后粗大运动功能量表(GMFM-88)D区、E区评分、6 min步行实验(6-MWT)、“起立-行走”计时测定(TUGT)、儿童平衡功能量表(PBS)评分,比较2组临床疗效。结果治疗后,2组脑性瘫痪患儿的各项观察指标均较治疗前提高(P均<0.05)。治疗后观察组GMFM量表E区、6-WMT、TUGT、PBS评分均优于对照组(P均<0.05)。结论踝足强化治疗能够有效促进脑性瘫痪儿童运动功能恢复。
Objective To investigate the changes of motor function in children with cerebral palsy undergoing ankle-foot strengthening therapy.Methods A total of 80 children with cerebral palsy were enrolled in this study,and divided into the control group(n=40)and observation group(n=40).In the control group,children received regular trunk training based on motor control theory combined with neurodevelopmental therapy,and those in the observation group received ankle-foot strengthening therapy in addition to those interventions in the control group.Pre-and post-treatment assessments including the Gross Motor Function Measure(GMFM-88)scores for Sections D and E,the 6-minute walk test(6-MWT),the Timed Up and Go Test(TUGT),and the Pediatric Balance Scale(PBS)were recorded to compare clinical efficacy between two groups.Results Following corresponding interventions,significant improvement was observed in all observed indexes in two groups(all P<0.05).Notably,children in the observation group exhibited better post-treatment scores in GMFM Section E,6-MWT,TUGT,and PBS compared to their counterparts in the control group,with statistically significant differences(all P<0.05).Conclusion Ankle-foot strengthening therapy effectively promotes the recovery of motor function in children with cerebral palsy.
作者
施嘉英
彭子杰
石中嫣
吴珂慧
黄少霞
阮景颜
Shi Jiaying;Peng Zijie;Shi Zhongyan;Wu Kehui;Huang Shaoxia;Ruan Jingyan(Guangzhou Rehabilitation Center for the Disabled(Guangzhou Boai Hospital),Guangzhou 510630,China)
出处
《新医学》
2024年第1期53-57,共5页
Journal of New Medicine
关键词
脑性瘫痪
儿童
踝足强化治疗
躯干训练
运动功能
Cerebral palsy
Child
Ankle-foot strengthening therapy
Trunk training
Motor function