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 ›› 2011, Vol. 3 ›› Issue (3): 206-209.

• 论著 • 上一篇    下一篇

感觉统合训练对痉挛型脑瘫患儿步态影响的临床研究

金彩君，张丽华，单丽艳，王立苹，庞伟，许洪伟，郭岚敏   

  1. 154002 黑龙江 佳木斯，黑龙江省小儿脑性瘫痪防治疗育中心（金彩君，张丽华，单丽艳，王立苹，庞伟，许洪伟）；佳木斯大学儿童神经康复实验室（张丽华，王立苹，庞伟，郭岚敏）
  • 出版日期:2011-06-25 发布日期:2019-05-27
  • 通讯作者: 张丽华，154002 黑龙江 佳木斯，黑龙江省小儿脑性瘫痪防治疗育中心。
  • 作者简介:金彩君（1983-），女，医学硕士，医师。研究方向：脑性瘫痪的综合康复治疗。
  • 基金资助:
    黑龙江省卫生厅课题资助（2009338）

The effects of sensory integration therapy on gait of children with spastic cerebral palsy

JIN Caijun,ZHANG Lihua,SHAN Liyan,et al.   

  1. Rehabilitation Center for Child Cerebral Palsy of Heilongjiang Province，Jiamusi 154002，China
  • Online:2011-06-25 Published:2019-05-27

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摘要： 目的观察感觉统合训练对痉挛型脑性瘫痪（简称脑瘫）患儿步态的影响，为脑瘫患儿提供更合理、有效的康复治疗方法。
方法痉挛型脑瘫患儿64例，按性别、年龄、身高、体质量、临床分型及其移动能力进行配对分组。观察组和对照组各32例（双瘫22例，偏瘫10例）。观察组接受运动疗法、按摩、理疗等常规康复训练的同时配合每日1次共30 min的专业感觉统合训练，对照组只接受常规的康复训练，3个月为1个疗程。康复治疗前后采用足印法对所有受试对象进行步态分析。
结果（1）两组双瘫患儿两侧步行足长、步速较治疗前增大，步宽较治疗前减小，差异均有统计学意义（P<0.05,0.01）；观察组两侧步行足长、步速较对照组增大，步宽较对照组减小，差异均有统计学意义（P<0.01）；两侧站立足长在治疗前后比较和组间比较差异均无统计学意义（P>0.05）。（2）两组偏瘫患儿治疗后患侧步行足长较治疗前增大，观察组偏瘫患儿步宽较治疗前减少，差异均有统计学意义（P<0.05，0.01）；观察组治疗后患侧步行足长、步速较对照组增大、步宽较对照组减少，差异有统计学意义（P<0.01）；两组步速、对照组步宽较治疗前差异均无统计学意义（P>0.05），两侧站立足长、健侧步行足长治疗前后比较及组间比较差异均无统计学意义（P>0.05）。
结论常规康复训练与感觉统合训练结合常规康复训练均能改善痉挛型脑瘫患儿的步态（步行足长、步宽和步速），感觉统合训练结合常规康复训练更有利于改善痉挛型脑瘫患儿步态。

关键词: 脑性瘫痪, 感觉统合训练, 步态, 康复

Abstract: Objective〖WT5”BZ〗To explore the effects of sensory integration therapy on gait of children with spastic cerebral palsy and to provide a more effective new way rehabilitation of cerebral palsy.
〖WT5”HZ〗Methods〖WT5”BZ〗A total of 64 children with spastic cerebral palsy were devided into 2 groups in pairs by their gender，age，body height，body weight,clinical classification and the ability of movement.For the 32(22 diplegia，10 hemiplegia)in experimental group:every day they received routine rehabilitation,including physical therapy，massage and exercise therapy，and in addition,they took 30 min of professional sensory integration therapy;for the 32(22 diplegia，10 hemiplegia)in control group:they only took routine rehabilitation,without sensory integration therapy.The course of treatment lasted for 3 months.Before and after rehabilitation treatments，we analysed their gait with their footprints we gathered.All the data were analysed with SPSS17.0 software.
〖WT5”HZ〗Results〖WT5”BZ〗1.After the course of treatment， the walking foot length and velocity of both sides of children with diplegia in the two groups were improved，and the walking base was decreased(P<0.05,0.01).The walking foot length and velocity of both sides in experimental group were improved and the walking base was decreased,compared with those in control group(P<0.01).After the treatment,the heelstrike of both sides didn't show much change (P>0.05).2.After the course of treatment， walking foot length of the affected side of hemiplegia in the two groups was improved，and the walking base in experimental group was decreased(P<0.05,0.01).The walking foot length and velocity of the affected side were improved and the walking base was decreased in experimental group,compared with those in control group(P<0.01).The velocity in two groups and the walking base in control group didn't show much change(P>0.05).The heelstrike of both sides and the walking foot length in fine side didn't show much change after the treatment(P>0.05).
〖WT5”HZ〗Conclusions〖WT5”BZ〗Both routine rehabilitation and routine rehabilitation together with sensory integration therapy can improve the gait (walking foot length，walking base，velocity) of children with spastic cerebral palsy,while routine rehabilitation together with sensory integration therapy is more effective.

Key words: cerebral palsy；sensory integration therapy, gait