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): 376-379.doi: 10.3969/j.issn.1674-3865.2018.05.003

• 康复研究专栏 • 上一篇    下一篇

悬吊训练系统对痉挛型脑性瘫痪患儿平衡和步行能力的影响

张春涛，刘振寰，宋翠凤   

  1. 528200 广东 佛山，广州中医药大学附属南海妇产儿童医院儿童康复科（张春涛，刘振寰）；529500 广东 阳江，阳江市妇幼保健院康复科（宋翠凤）
  • 出版日期:2018-10-25 发布日期:2018-12-03
  • 通讯作者: 刘振寰，E-mail：lzh1958424@163.com
  • 作者简介:张春涛（1974-），男，主管康复治疗师。研究方向：儿童脑病康复研究
  • 基金资助:
    佛山市卫生和计生局医学科研课题（20170237）

Effect of sling exercise therapy on the balance and walking ability of children with spastic cerebral palsy

ZHANG Chuntao，LIU Zhenhuan，SONG Cuifeng   

  1. Department of Children Nerve Rehabilitation of Nanhai Maternity and Children Hospital, Guangzhou University of TCM, Foshan 528200, China
  • Online:2018-10-25 Published:2018-12-03

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摘要：
目的
评价悬吊训练系统改善痉挛型脑性瘫痪（简称脑瘫）患儿平衡和步行能力的临床疗效。
方法
选择2017年1月至12月广州中医药大学附属南海妇儿医院儿童康复科收治住院的脑瘫患儿80例为研究对象，按就诊先后顺序分为对照组和观察组各40例。两组均给予常规康复训练，观察组联合应用儿童悬吊训练系统。两组患儿分别于治疗前后采用粗大运动功能评估（GMFM）评价站立行走能力的变化，应用足底压力测试（重心移动范围）评价躯干平衡能力变化，应用日常生活活动能力（ADL）有效值评定患儿临床疗效。
结果
治疗后两组GMFM评分和ADL评分均较治疗前提高，重心移动范围较治疗前降低，差异有统计学意义（P<0.01）。治疗后观察组GMFM评分和ADL评分高于对照组，重心移动范围低于对照组，差异有统计学意义（P<0.05）。观察组临床疗效优于对照组，差异有统计学意义（P<0.05）。
结论
悬吊训练系统对痉挛型脑瘫患儿的站位、步行能力以及静态平衡能力有促进作用。

关键词: 脑性瘫痪, 痉挛型, 悬吊训练系统, 粗大运动功能, ADL, 足底压力测试, 儿童

Abstract:
Objective
To evaluate the effect of sling exercise therapy on the balance and walking ability of children with spastic cerebral palsy.
Methods
Totally 80 children with spastic cerebral palsy were included as the subjects and were divided into two groups according to the order of visits, 40 cases in each group. The control group received routine rehabilitation training, while the observation group received routine rehabilitation training combined with sling exercise therapy. Before and after treatment, the children of the two groups were evaluated. GMFM was used to assess the changes in standing and walking ability. Plantar pressure test(the moving range of center of gravity) was used to assess the changes in the balance ability of body, and ADL effective value was used to evaluate the clinical effect.
Results
After treatment, GMFM and ADL scores were both increased compared with those before treatment, while the moving range of center of gravity was decreased, the difference being statistically significant(P<0.01).After treatment, GMFM and ADL scores were higher in the observation group than in the control group, while the moving range of center of gravity was lower(P<0.05).The clinical effect in the observation group was better than that in the control group(P<0.05).
Conclusion
Sling exercise therapy can promote the standing position, walking ability and static balance ability of children with cerebral palsy.

Key words: Cerebral palsy, Spastic, Sling exercise therapy, Gross motor function, Activity of daily living, Plantar pressure test, Child