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 ›› 2017, Vol. 9 ›› Issue (3): 185-187.doi: 10.3969/j.issn.1674-3865.2017.03.001

• 临床论著 •    下一篇

核心稳定性训练配合综合康复在小儿脑性瘫痪康复治疗中的应用

刘冬芝,尚清   

  1. 450053 郑州,郑州儿童医院康复医学科
  • 出版日期:2017-06-25 发布日期:2017-12-08
  • 通讯作者: 尚清,E-mail:shangqing1965@163.com
  • 作者简介:刘冬芝(1971-),女,副主任医师。研究方向:儿童神经系统疾病的康复
  • 基金资助:
    2014年度河南省重点科技攻关项目(142102310159)

Application of core stability training combined with comprehensive rehabilitation training in rehabilitation treatment of children with cerebral palsy

LIU Dongzhi, SHANG Qing   

  1. Department of Rehabilitation Medicine, Zhengzhou Children's Hospital, Zhengzhou 450053, China
  • Online:2017-06-25 Published:2017-12-08

摘要:
目的
分析核心稳定性训练配合综合康复训练在脑性瘫痪(简称脑瘫)患儿康复治疗中的作用。
方法
2014年2月至2016年7月郑州儿童医院康复医学科收治住院的脑瘫患儿86例,随机分为观察组44例和对照组42例。对照组患儿给予常规综合康复训练,观察组在对照组基础上,加用核心稳定性训练,共治疗12周,采用粗大运动功能测量(GMFM-88)、Peabody运动发育量表评价精细运动发育商(FMQ)、儿童功能独立性评定量表(WeeFIM)评价。
结果
治疗后观察组患儿GMFM88、FMQ及WeeFIM评分依次是(74.66±14.83)分、(74.63±8.56)分、(58.36±8.56)分,均高于对照组(57.82±14.73)分、(70.54±9.84)分、(53.62±13.41)分,差异有统计学意义(P<0.05)。
结论
核心稳定性训练配合综合康复训练可有效改善脑瘫患儿神经运动功能,提高日常生活能力。

关键词: 脑性瘫痪, 核心稳定性训练, 综合康复训练, 儿童

Abstract:
Objective
To analyze the effects of core stability training combined with comprehensive rehabilitation training in rehabilitation treatment of children with cerebral palsy.
Methods
A total of 86 children with cerebral palsy treated in the Department of Rehabilitation Medicine, Zhengzhou Children's Hospital from February 2014 to July 2016 were randomly divided into the observation group (n=44) and the control group(n=42). Both groups were given traditional comprehensive rehabilitation training, and the observation group was additionally given core stability training. All patients were treated for 12 weeks. The gross motor function measurement(GMFM-88) and the Peabody developmental motor scale(PDMS-2) were used to assess their fine motor development quotient(FMQ), and the functional independence rating scale for children(WeeFIM) was used to evaluate their motor function.
Results
After treatment, the scores of GMFM88, FMQ and WeeFIM in the control group were (57.82±14.73), (70.54±9.84) and (53.62±13.41), which were all lower than those in the observation group were (74.66±14.83), (74.63±8.56) and (58.36±8.56), there was significantly statistical difference(P<0.05).
Conclusion
Core stability training combined with comprehensive rehabilitation training can effectively improve the neuromotor function and the living ability of children with cerebral palsy.

Key words: Cerebral palsy, Core stability training, Comprehensive rehabilitation training, Children