减重平板步行训练对学龄脑瘫患儿行走功能的影响  

Effect of Body-Weight Supported Treadmill Training on Children with Cerebral Palsy

作　　者：张琦[1,2] 沈莉[1,2] 庞红[1,2] 宋桂云[1,3] 周玉梅 

机构地区：[1]首都医科大学康复医学院,北京市100068 [2]中国康复研究中心北京博爱医院运动疗法科,北京市100068 [3]中国康复研究中心北京博爱医院评定科,北京市100068 [4]煤炭总医院理疗科,北京市100028

出　　处：《中国康复理论与实践》2010年第2期152-155,共4页Chinese Journal of Rehabilitation Theory and Practice

基　　金：中国康复研究中心科研课题(No.2006-11)

摘　　要：目的探讨减重平板步行训练对学龄脑瘫患儿康复疗效的影响。方法将35例脑瘫患儿分为3组:①减重训练组(即减重平板步行训练结合运动疗法,11例);②非减重训练组(即平板步行训练结合运动疗法,12例);③常规训练组(即常规步行训练,12例)。所有脑瘫患儿入选后分别在训练前和训练8周、12周时进行以下评定:粗大运动功能量表(GMFM)中的站立和行走两项,步行能力(WA),步行效率(WE)和功能性步行分级(FAC)。结果3组脑瘫患儿的各项评定指标在康复训练前无显著性差异(P>0.05)。经过12周的训练后,康复疗效较训练前改善(P<0.05)。GMFM、WA、WE和FAC均显示,减重平板步行训练效果显著(P<0.001)。结论减重平板步行训练可明显改善脑瘫患儿步行能力和步行效率,提高脑瘫患儿粗大运动功能中的站立与行走功能以及功能性步行分级。Objective To explore the effect of partial body-weight supported treadmill training（BWSTT） on gross motor function measure, walking ability and efficiency, and functional ambulation categories in children with cerebral palsy（CP）. Methods 35 children with cerebral palsy were assigned into 3 groups, BWSTT group（BWSTT with PT, n= 11）, TT group（treadmill training with PT, n=12）, and PT group （n= 12）. Assessments were performed before treatment and 8 weeks and 12 weeks after treatment respectively. The evaluation items included the D ＆ E dimensions of the gross motor function measures （GMFM）, walking ability （WA）, walking efficiency（WE）and Functional ambulation categories （FAC）. Results No statistically significant differences were found in age, gender, body height, as well as clinical assessments （GMFM, WA, WE and FAC） before treatment between 3 groups （P〉0.05）. There was statistically significant difference in each group 12 weeks after treatment, and BWSTT group showed statistical significant difference in GMFM, WA, WE and FAC. Conclusion BWSTT could significantly improve the walking ability and walking efficiency, and also the standing and walking ability of children with CP.

关 键 词：减重平板步行训练 学龄 脑瘫 

分 类 号：R742.3[医药卫生—神经病学与精神病学]