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 ›› 2020, Vol. 12 ›› Issue (5): 447-450.doi: 10.3969/j.issn.1674-3865.2020.05.022

• 临床研究 • 上一篇    下一篇

引导式教育结合核心肌群稳定性训练对痉挛型脑性瘫痪患儿精细运动功能及平衡能力的影响

马金金   

  1. 473000 河南 南阳,南阳市第一人民医院儿二科
  • 出版日期:2020-10-25 发布日期:2020-11-28
  • 作者简介:马金金(1986-),女,主管护师。研究方向:儿科护理,E-mail:majinjinhn@163.com

Effect of guided education combined with core muscle stability training on fine motor function and balance ability of children with spastic cerebral palsy

  • Online:2020-10-25 Published:2020-11-28

摘要: 目的 分析引导式教育结合核心肌群稳定性训练对痉挛型脑性瘫痪(SCP)患儿精细运动功能及平衡能力的影响。 方法 选取2017年10月至2019年10月我科收治的SCP患儿125例作为研究对象,随机分为对照组62例和观察组63例。对照组给予核心肌群稳定性训练,观察组增加引导式教育,3个月后对比两组患儿训练前后足背屈角、精细运动功能及平衡能力。 结果 观察组SCP患儿治疗后足背屈角低于对照组,差异具有统计学意义(P<0.05);观察组SCP患儿治疗后精细运动功能和平衡能力评分高于对照组,差异具有统计学意义(P<0.05)。 结论 核心肌群稳定性训练能够纠正SCP患儿异常姿势和肌张力,提高四肢运动能力和平衡能力,结合引导式教育可提高患儿家属对康复训练的认识程度,提高SCP患儿的精细运动能力,在促进患儿早日融入社会具有较高价值。

关键词: 痉挛型脑性瘫痪, 引导式教育, 核心肌群稳定性训练, 运动功能, 平衡能力

Abstract: Objective To analyze the influence of guided education combined with core muscle stability training on fine motor function and balance ability of children with spastic cerebral palsy(SCP). Methods Totally 125 children with SCP admitted to our department from October 2017 to October 2019 were selected as study subjects, and were randomly divided into control group (62 cases) and observation group (63 cases). The control group was given core muscle stability training, while the observation group was given additional guided education. After 3 months, the children in the two groups were compared in terms of foot dorsal flexion angle, fine motor function and balance ability before and after training. Results After treatment, the observation group had lower dorsal foot flexion angle than the control group, and the difference was statistically significant(P<0.05). The scores in fine motor function and balance ability of SCP children in the observation group were higher than those in the control group after treatment, and the difference was statistically significant(P<0.05). Conclusion Stability training of core muscle can correct abnormal posture and muscular tension of children with SCP, improve limb movement ability and balance ability. Combined with guided education, it can improve the awareness of families of children with SCP on rehabilitation training, and improve the fine motor ability of children with SCP, which is of high value in promoting children's early integration into the society.

Key words: Spastic cerebral palsy, Guided education, Core muscle stability training, Motor function, Balance ability