| 杜瑜,毛正欢,王慧,尹宏伟,李海峰.动态平衡训练联合目标导向性训练对痉挛型脑瘫患儿运动能力和平衡能力的影响[J].浙江中西医结合杂志,2023,33(5): |
| 动态平衡训练联合目标导向性训练对痉挛型脑瘫患儿运动能力和平衡能力的影响 |
| Effects of balance training combined with goal-oriented training on gross motor function and balance in children with spastic cerebral palsyDu Yu1, Mao Zhenghuan2 ,Wang Hui2, Yin Hongwei2, Li Haifeng2 |
| 投稿时间：2022-07-11 修订日期：2023-02-23 |
| DOI： |
| 中文关键词: 动态平衡训练 痉挛型脑瘫 粗大运动功能 平衡能力 |
| 英文关键词:balance training spastic cerebral palsy gross motor function balance ability |
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| 中文摘要: |
| 目的 观察平衡训练结合目标导向性训练对痉挛型脑瘫患儿运动能力及身体协调能力的影响。方法 将46例痉挛型脑性瘫痪患儿随机分为观察组和对照组,每组23例。两组给予常规物理治疗,观察组在此基础上进行平衡训练结合目标导向性训练(一次30min,3次/周,连续训练6个月)。于治疗前、治疗6个月后均采用脑瘫粗大运动功能评定量表(gross motor function measure,GMFM)、儿童平衡量表(Pediatric Balance Scale,PBS)、内收肌和腓肠肌的被动状态下表面肌电图(surface electromyography,sEMG)分别评估2组患儿运动功能和平衡能力。结果 对照组、观察组的治疗前后GMFM D、E区百分比,PBS分值均显著升高(P<0.05),观察组治疗后的GMFM-D区百分比、GMFM-E区百分比、PBS分值分别为85.43±11.91、66.43±15.28、45.76±3.35,均显著高于对照组治疗后,差异均有统计学意义(P<0.05)；两组治疗后表面肌电图被动状态下平均RMS均下降(P<0.05),两组间下降幅度差异无统计学意义(P>0.05)。结论 痉挛型脑瘫患儿进行平衡训练联合目标导向性训练能有效改善粗大运动功能和平衡能力。 |
| 英文摘要: |
| Objective To observe the effect of balance training combined with goal-directed training on gross motor function and balance in children with spastic cerebral palsy. Methods Forty-six children with spastic cerebral palsy were randomly divided into an observation group and a control group, 23 cases in each group. The two groups were given routine rehabilitation training, and the observation group was given dynamic balance combined with goal-oriented training on this basis (30 min each time, 3 times a week, continuous training for 6 months). Before treatment and after 6 months of treatment, gross motor function measure (GMFM), Pediatric Balance Scale (PBS), and passive surface electromyography of adductor and gastrocnemius muscles ( Surface electromyography, sEMG) evaluated the motor function and balance ability of the two groups respectively. Results The percentages of GMFM D and E areas and the PBS scores in the control group and the observation group before and after treatment were significantly increased (P<0.05). 85.43±11.91, 66.43±15.28, 45.76±3.35, which were all significantly better than those in the control group after treatment, the differences were statistically significant (P<0.05). there was no statistically significant difference between the observation group and the control group (P>0.05). Conclusion Balance training can effectively improve gross motor function and balance ability in children with spastic cerebral palsy. |
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