躯干控制训练对小儿脑瘫运动功能及日常生活活动能力的影响  

The influence of trunk control training on motor function and the ability in the activities of daily living of patients with cerebral palsy

作　　者：徐艳[1] 谢文龙[1] 何凤翔[1] 张善星[1] 蒋莹[1] 潘淑淑[1] 周洁[1] 

机构地区：[1]湖州市中心医院康复医学科,湖州313000

出　　处：《中华物理医学与康复杂志》2012年第11期825-828,共4页Chinese Journal of Physical Medicine and Rehabilitation

摘　　要：目的观察躯干控制训练对小儿脑瘫运动功能及日常生活活动（ADL）能力的影响。方法40例sJ,JL脑瘫患者按就诊顺序和家属意愿随机分成训练组和对照组，每组20例。对照组给予常规康复治疗，训练组在此基础上结合躯干控制训练。在治疗8周后2组患儿采用功能性步行能力分级（FAC）和10m步行时间评定患儿步行能力，采用Berg平衡量表（BBS）评定患儿平衡功能，采用改良Barthel指数（MBI）评定患儿ADL能力。结果治疗前2组患儿10m步行时间、BBS评分及MBI评分比较，组间差异均无统计学意义（P〉0．05）；治疗后2组患儿上述指标均较治疗前显著改善（P〈0．05），且训练组的改善幅度较显著，与对照组比较，组间差异有统计学意义（P〈0．05）。训练组FAC分级评定达3～5级者共17例（85．0％），对照组共13例（65．0％），训练组提高程度高于对照组（P〈0．05）。结论躯干控制训练可以明显改善小儿脑瘫运动功能及Et常生活活动能力。Objective To observe the influence of trunk control training on motor function and the ability of cerebral palsy （CP） patients in the activities of daily living （ADL） . Methods Forty patients with CP were randomly divided into a treatment group （ n = 20） and a control group （ n = 20）. Both groups were treated with routine rehabilitation, while the treatment group also received trunk control training. All patients were as- sessed with function ambulation category （FAC） classification, time to walk 10 m, the Berg balance scale （BBS） , and the modified Barthel index （MBI） at the beginning and eight weeks later. Results Before the intervention there was no significant difference between the two groups in terms of any of the assessments. Eight weeks later, all the assessment scores were significantly better in the treatment group than in the control group. Conclusion Trunk control training can significantly improve motor function and the ADL ability of patients with CP.

关 键 词：脑性瘫痪 运动功能 日常生活活动 躯干控制 

分 类 号：R742[医药卫生—神经病学与精神病学]