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 ›› 2019, Vol. 11 ›› Issue (5): 372-375.doi: 10.3969/j.issn.1674-3865.2019.05.002

• 卫生健康事业发展70年巡礼 • 上一篇    下一篇

核心稳定性训练对痉挛型脑性瘫痪患儿运动功能及步行能力的影响

尚培民,李燕萍   

  1. 471000 河南 洛阳,洛阳市妇女儿童医疗保健中心康复科
  • 出版日期:2019-11-01 发布日期:2019-11-08
  • 通讯作者: 尚培民,E-mail:wangguangchenglh@163.com
  • 作者简介:尚培民(1979-),女,主管康复治疗师。研究方向:儿童康复

Effect of core stability training on motor function and walking ability in children with spastic cerebral palsy

SHANG Peimin,LI Yanping   

  1. Department of Rehabilitation, Luoyang Women and Children Health Care Center, Luoyang 471000, China
  • Online:2019-11-01 Published:2019-11-08

摘要:
目的
分析核心稳定性训练在痉挛型脑性瘫痪(简称脑瘫)患儿中的应用效果,探讨此训练对患儿精细、粗大运动功能的影响。
方法
选择2017年4月至2019年4月洛阳市妇女儿童医疗保健中心收治的痉挛型脑瘫患儿103例为研究对象,按入院先后分为对照组51例和观察组52例。对照组采用常规康复治疗措施包括Rood疗法、Bobath疗法等神经发育学疗法及主被动运动训练;观察组增加核心稳定性训练,两组均治疗2个月。疗程结束后对比两组精细运动功能、粗大运动功能、平衡能力、步行能力及功能独立性改善情况。
结果
观察组Peabody精细运动功能发育量表评价中抓握、视觉运动整合评分水平高于对照组,差异有统计学意义(P<0.05);观察组患儿粗大运动功能量表、Berg平衡量表、功能独立性评定表评分高于对照组,差异有统计学意义(P<0.05);观察组10 m步行测试结果10 m所需时间及步数低于对照组,差异有统计学意义(P<0.05)。
结论
核心稳定性训练可提高痉挛型脑瘫患儿的精细、粗大运动功能,改善步行能力,使功能独立性增加。

关键词: 核心稳定性训练, 脑性瘫痪, 痉挛型, 精细运动功能, 儿童

Abstract:
Objective
To analyze the effect of core stability training on children with spastic cerebral palsy and to explore the effect of this training on the fine and gross motor function of the children.
Methods
A total of 103 children with spastic cerebral palsy admitted to our hospital from Apr. 2017 to Apr. 2019 were enrolled. The children were divided into study group and control group according to the time of admission. The control group(n=51) received routine rehabilitation treatment including Rood therapy and Bobath therapy (the neurodevelopmental therapy and active and passive exercise training); the study group(n=52) were given additional core stability training; both groups were treated for 2 months. After the end of the treatment, the two groups were compared in the improvement of fine motor function, gross motor function, balance ability, walking ability and functional independence.
Results
The scores of PDMS FM scale and visualmotor integration scores of the study group were higher than those of the control group (P<0.05). The GMFM, BBS and WeeFIM scores of the study group were higher than those of the control group (P<0.05). The 10MWT results of the study group showed that the time and number of steps required for 10 m were lower than those of the control group (P<0.05).
Conclusion
Core stability training can improve the fine and gross motor function of children with spastic cerebral palsy, improve walking ability and increase functional independence.

Key words: Core stability training, Cerebral palsy, Spastic type, Fine motor function, Children