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 ›› 2020, Vol. 12 ›› Issue (5): 426-429.doi: 10.3969/j.issn.1674-3865.2020.05.016

• 临床研究 • 上一篇    下一篇

全方位密集运动训练对痉挛型双瘫脑性瘫痪儿童运动功能的影响

江雨擎，张丽华，康贝贝，范艳萍，栾天明，聂姣姣   

  1. 154002 黑龙江 佳木斯，佳木斯大学附属第三医院脑瘫康复科（江雨擎，张丽华），作业治疗科（康贝贝），物理治疗科（范艳萍，栾天明，聂姣姣）
  • 出版日期:2020-10-25 发布日期:2020-11-28
  • 通讯作者: 张丽华，E-mail：zhanglihua59597@163.com
  • 作者简介:江雨擎（1994-），女，医学硕士。研究方向：儿童康复

Effects of Intensive Therapy Program on motor function of children with spastic diplegic cerebral palsy

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

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摘要： 目的 观察全方位密集运动训练系统(ITP)对痉挛型双瘫脑瘫儿童平衡功能及粗大运动功能的影响。方法 选取2018年12月至2019年12月佳木斯大学附属第三医院住院或门诊收治的痉挛型双瘫脑瘫患儿30例，根据年龄及粗大运动功能分级系统(GMFCS)水平分层，并且在层中随机分为对照组和观察组各15例。对照组进行常规物理治疗联合全方位动态矫正衣。观察组应用ITP，包含全方位动态矫正衣和全方位动态运动器材两部分。两组均治疗3个月。治疗前后采用Peabody姿势部分、Berg平衡量表（BBS）、粗大运动功能评定量表(GMFM88)分别对姿势控制能力、平衡功能、粗大运动功能评估。结果 治疗后两组儿童的Pebody姿势项评分、BBS评分、GMFM88评分均较治疗前有明显提升，观察组Peabody姿势部分、BBS评分和GMFM-88评分均高于对照组，差异有统计学意义（P<0.05）。结论 全方位密集运动训练的使用在一定程度上有助于改善痉挛型双瘫脑瘫儿童的粗大运动功能。

关键词: 脑性瘫痪, 全方位密集运动训练, 平衡功能, 粗大运动功能, 儿童

Abstract: Objective To observe the effect of Intensive Therapy Program(ITP) on balance function and gross motor function in children with spastic diplegic cerebral palsy. Methods A total of 30 children with spastic diplegic cerebral palsy admitted to the Third Hospital of the Jiamusi University from December 2018 to December 2019 were selected and stratified according to age and gross motor function classification system (GMFCS) level, the patients in each level were randomly divided into control group and observation group with 15 cases. The Control Group was treated with routine physical therapy combined with omnidirectional dynamic correction clothing. ITP was applied in the observation group, including: omnidirectional dynamic correction clothing and omni directional dynamic sports equipment. Both groups were treated for 3 months. Peabody Developmental Motor Scale(gesture part), Berg Balance Scale (BBS) and Gross Motor Function Measurement(GMFM-88) were used to assess posture control ability, balance function and gross motor function before and after treatment. Results Peabody Posture Score, BBS score and GMFM88 score of the two groups were significantly higher after treatment, and they were higher in the observation group than in the control group(P＜0.05). Conclusion The application of Intensive Therapy Program is helpful, to some extent, to improve the gross motor function of children with spastic diplegic cerebral palsy.

Key words: Cerebral palsy, Intensive Therapy Program, Balance function, Gross motor function, Child