ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2018, Vol. 10 ›› Issue (5): 392-395.doi: 10.3969/j.issn.1674-3865.2018.05.008

• 康复研究专栏 • 上一篇    下一篇

应用悬吊训练改善运动障碍儿童粗大运动功能的效果观察

谭碧霞，范芬芬   

  1. 410000 长沙，湖南省儿童医院康复科
  • 出版日期:2018-10-25 发布日期:2018-12-03
  • 通讯作者: 谭碧霞，E-mail：wuzt_sy@163.com
  • 作者简介:谭碧霞(1986-)，女，技师。研究方向：儿童神经系统疾病的康复

Effect of suspension training on gross motor function in children with dyskinesia

TAN Bixia, FAN Fenfen   

  1. Department of Rehabilitation, Hunan Children's Hospital, Changsha 410000，China
  • Online:2018-10-25 Published:2018-12-03

PDF (PC)

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摘要：
目的
探讨在运动障碍患儿中采用悬吊训练对粗大运动功能产生的影响。
方法
选择2015年1月至2017年7月湖南省儿童医院收治住院的上运动神经元性运动障碍患儿90例为研究对象，随机分为观察组和对照组各45例。对照组患儿进行常规康复训练，包括作业疗法、运动疗法和按摩，每周治疗6 d，持续1个月。观察组患儿在对照组治疗基础上增加悬吊训练，包括关节活动和放松训练、核心肌力的训练、骨盆倾斜和(或)脊柱侧弯的纠正、感觉运动控制训练、步行控制训练，每周治疗6 d，持续1个月。治疗结束后观察患儿的粗大运动发育功能，腓肠肌、内收肌的肌电信号时域范围肌电积分值(iEMG)、家属满意度。
结果
观察组患儿训练后粗大运动发育功能的相当月龄、原始分、百分位均大于对照组患儿，差异有统计学意义(P<0.05)。观察组患儿训练后腓肠肌、内收肌iEMG均小于对照组患儿，差异有统计学意义(P<0.05)。观察组患儿家属满意度为95.56%(43/45)，高于对照组82.22%(37/45)，差异有统计学意义(P<0.05)。
结论
在运动障碍患儿的治疗中，增加悬吊训练不仅能提高家属的满意度，还能明显改善患儿粗大运动发育功能，具有积极的推广意义。

关键词: 运动障碍, 悬吊训练, 粗大运动功能, 儿童

Abstract:
Objective
To explore the effect of suspension training on gross motor function in children with motor disorders.
Methods
Totally 90 children with dyskinesia who were treated from January 2015 to July 2017 in our hospital were selected as the subjects, and all the children were randomly divided into the observation group and the control group, 45 cases in each group. The two groups of children in this study were given routine rehabilitation training, including occupational therapy, motortherapy and massage, six days a week for continueously one month, and the observation group was added with suspension training, including joint moving and relaxing training, core muscle force training, correction of inclined pelvis and/or scoliosis, sensorimotor control training and walking control training, six days a week for continueously one month. After the treatment, the gross motor function, the iEMG value of gastrocnemius muscle and adductor and the satisfaction index of family members were observed and analyzed.
Results
After training, the average age, original score and percentile of PDMS-GM in the control group were lower than those in the observation group, the difference being significant(P<0.05). The iEMG values in the control group were all greater than those in the observation group(P<0.05). Moreover, the satisfaction of the family members of the control group(82.22%,37/45) was less than that of the observation group（95.56%,43/45）(P<0.05).
ConclusionIn the treatment of children with dyskinesia, the additional suspension training can not only improve the satisfaction of the family members, but also improve the gross motor function of the children, so it is worth promoting.

Key words: Dyskinesia, Suspension training, Gross motor function, Children