改良式前庭康复训练对痉挛型脑性瘫痪患儿粗大运动功能及肌张力的影响

doi:10.3969/j.issn.1674-3865.2023.03.007

Abstract

Abstract: Objective To observe the effect of modified vestibular rehabilitation training on gross motor function and muscle tension of children with spastic cerebral palsy,and to provide a new method for rehabilitation of children with spastic cerebral palsy.Methods From November 2021 to May 2022,40 children with spastic cerebral palsy who met the inclusion criteria in the Rehabilitation Medical Center of Children ′s Hospital Affiliated to Zhengzhou University were randomly divided into observation group and control group,with 20 cases in each group.Both groups were given routine rehabilitation training for intervention,and the observation group was supplemented with modified vestibular rehabilitation training on the basis of routine rehabilitation training.The gross motor function measure-88(GMFM-88),modified Ashworth scale(MAS) and surface electromyography(sEMG) were used for evaluation before treatment and 8 weeks after treatment.The sEMG of the gastrocnemius and adductor muscles were observed and the average electromyogram(AEMG) was recorded.Results After 8 weeks of treatment,GMFM-88,MAS,and AEMG of the gastrocnemius and adductor surface in the passive state were significantly improved in the two groups(P<0.05).After treatment,the GMFM-88 score of the observation group was higher than that of the control group(P<0.05),and the MAS score,gastrocnemius AEMG score and adductor AEMG score were lower than those of the control group(P<0.05). Conclusion The modified vestibular rehabilitation training based on conventional rehabilitation treatment can effectively improve gross motor function and reduce muscle tension in children with spastic cerebral palsy,and improve the quality of life of children.

Key words:

Spastic cerebral palsy, Modified vestibular rehabilitation training, Motor function, Muscle tension

YU Chaonan, SHANG Qing, LYU Nan, WAN Kai. Effect of modified vestibular rehabilitation training on gross motor function and muscle tension in children with spastic cerebral palsy[J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2023, 15(3): 211-215.

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Effect of modified vestibular rehabilitation training on gross motor function and muscle tension in children with spastic cerebral palsy

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