悬吊运动训练对痉挛型脑瘫患儿运动及平衡功能的影响

王军; 郎永斌; 杜江华; 陈镇; 朱登纳; 张勇; 李梦月; 童培

doi:10.7499/j.issn.1008-8830.2018.06.007

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中国当代儿科杂志 ›› 2018, Vol. 20 ›› Issue (6) : 465-469. DOI: 10.7499/j.issn.1008-8830.2018.06.007

论著·临床研究

悬吊运动训练对痉挛型脑瘫患儿运动及平衡功能的影响

王军, 郎永斌, 杜江华, 陈镇, 朱登纳, 张勇, 李梦月, 童培

作者信息 +

Effect of suspension exercise training on motor and balance functions in children with spastic cerebral palsy

WANG Jun, LANG Yong-Bin, DU Jiang-Hua, CHEN Zhen, ZHU Deng-Na, ZHANG Yong, LI Meng-Yue, TONG Pei

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摘要

目的探讨悬吊运动训练对痉挛型脑瘫患儿运动及平衡功能的影响。方法将97例痉挛型脑瘫患儿随机分为试验组（49例）和对照组（48例）。两组均采用常规康复训练，试验组在常规康复训练的基础上增加悬吊运动训练。分别于治疗前、治疗后1、3、6个月记录粗大运动功能测试量表-88（GMFM-88）D、E区及Berg平衡量表得分，同时进行表面肌电图检查，观察内收肌、腓肠肌的表面肌电信号均方根值（RMS）的变化。结果随着治疗时间延长，试验组和对照组两组的GMFM D、E区和Berg平衡量表得分较前均有不同程度提高，且试验组在改善D、E两大功能区和平衡功能方面优于对照组（P < 0.05）；两组内收肌和腓肠肌的RMS随着治疗时间延长而逐渐下降，且试验组的降低幅度大于对照组（P < 0.05）。结论悬吊运动训练能有效改善痉挛型脑瘫患儿的运动和平衡功能。

Abstract

Objective To study the effect of suspension exercise training on motor and balance functions in children with spastic cerebral palsy. Methods A total of 97 children with spastic cerebral palsy were randomly divided into an observation group with 49 children and a control group with 48 children. Both groups were given routine rehabilitation training, and the children in the observation group were given suspension exercise training in addition. The scores of the D and E domains of the 88-item version of the Gross Motor Function Measure (GMFM-88) and Berg Balance Scale (BBS) were recorded before treatment and at 1, 3, and 6 months after treatment. Surface electromyography was performed to observe the changes in the root mean square (RMS) of surface electromyogram signals of the adductor muscle and the gastrocnemius muscle. Results Over the time of treatment, both groups had varying degrees of improvement in the scores of the D and E domains of GMFM-88 and BBS. Compared with the control group, the observation group had significantly greater improvements in D and E functional areas and balance function (P < 0.05). Both groups had reductions in the RMS of the surface electromyogram signals of the adductor muscle and the gastrocnemius muscle over the time of treatment, and the observation group had significantly greater reductions than the control group (P < 0.05). Conclusions Suspension exercise training can effectively improve the motor and balance functions of children with spastic cerebral palsy.

导出引用

王军, 郎永斌, 杜江华, 陈镇, 朱登纳, 张勇, 李梦月, 童培. 悬吊运动训练对痉挛型脑瘫患儿运动及平衡功能的影响[J]. 中国当代儿科杂志. 2018, 20(6): 465-469 https://doi.org/10.7499/j.issn.1008-8830.2018.06.007

WANG Jun, LANG Yong-Bin, DU Jiang-Hua, CHEN Zhen, ZHU Deng-Na, ZHANG Yong, LI Meng-Yue, TONG Pei. Effect of suspension exercise training on motor and balance functions in children with spastic cerebral palsy[J]. Chinese Journal of Contemporary Pediatrics. 2018, 20(6): 465-469 https://doi.org/10.7499/j.issn.1008-8830.2018.06.007

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