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 (4): 320-323.doi: 10.3969/j.issn.1674-3865.2020.04.012

• 临床研究 • 上一篇    下一篇

悬吊运动锻炼对痉挛型脑性瘫痪患儿康复效果的影响

赵梦霞，刘款，宋桢桢，余小佳   

  1. 450000 郑州，郑州市妇幼保健院儿童康复中心
  • 出版日期:2020-08-25 发布日期:2021-05-17
  • 通讯作者: 赵梦霞，E-mail：zz16zmx82@163.com
  • 作者简介:赵梦霞（1982-），女，主管护师。研究方向：儿童康复护理

Effect of suspension exercise on rehabilitation results of children with spastic cerebral palsy

  • Online:2020-08-25 Published:2021-05-17

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摘要： 目的 探讨悬吊运动锻炼对痉挛型脑性瘫痪（简称脑瘫）患儿康复效果的影响。
方法 选择2018年9月至2019年8月我院收治痉挛型脑瘫患儿76例为研究对象，随机分为对照组和观察组各38例。对照组采用常规康复训练，观察组在对照组基础上应用悬吊运动锻炼），连续干预3个月后，采用粗大运动功能测试量表-88（GMFM-88）评价患儿D区和E区运动功能,采用改良Ashworth痉挛等级量表(MAS)评价下肢肌张力,采用躯干功能障碍量表(TIS)从动态平衡、静态平衡和协调3个维度进行评价。
结果 干预后观察组D区和E区GMFM-88评分均较对照组高，差异均有统计学意义（P<0.05）。观察组干预后不同时间点下肢MAS评分较对照组低，差异均有统计学意义（P<0.05）。观察组干预后各维度TIS评分较对照组高，差异均有统计学意义（P<0.05）。
结论 痉挛型脑瘫患儿应用悬吊运动锻炼可改善粗大运动功能，降低肌张力及提高平衡能力。

关键词: 痉挛型脑性瘫痪, 悬吊运动锻炼, 躯干功能障碍, 平衡能力, 儿童

Abstract: Objective To investigate the effect of suspension exercise on rehabilitation results of children with spastic cerebral palsy(CP).
Methods A total of 76 children with spastic cerebral palsy admitted to our hospital from September 2018 to August 2019 were selected as study subjects, and were randomly divided into control group and observation group, with 38 cases in each group. The control group received conventional rehabilitation training, and the observation group was given suspension exercise in addition to the conventional rehabilitation training. After a continuous intervention of 3 months, the gross motor function measure scale-88 (GMFM-88) was used to evaluate the motor function of children in D and E regions; the modified Ashworth scale (MAS) was used to evaluate the muscular tension of the lower extremity; trunk impairment scale (TIS) was used to evaluate the following three dimensions: dynamic balance, static balance and coordination.
 After intervention, GMFM88 scores in D and E regions of the observation group were higher than those in the control group, and the differences were statistically significant (P<0.05). The MAS scores of lower extremity of the observation group at different time points after intervention were lower than those of the control group, and the differences were statistically significant (P<0.05). After intervention, TIS scores in the above three dimensions were higher than those of the control group, and there was statistical difference (P<0.05).
Conclusion Suspension exercise can improve gross motor function of the children with spastic cerebral palsy, reduce muscular tension and increase the ability of balance.

Key words: Spastic cerebral palsy, Suspension exercise, Trunk impairment, Ability of balance, Child