水中运动时应用引导式教育对脑性瘫痪的疗效  

Effect of Conductive Education Applied in Water Exercise on Cerebral Palsy

作　　者：董继革[1] 张丽[2] 纪树荣[2,3] 

机构地区：[1]首都医科大学宣武医院康复医学科,北京市100053 [2]首都医科大学康复医学院,北京市100068 [3]中国康复研究中心北京博爱医院运动疗法科,北京市100068

出　　处：《中国康复理论与实践》2013年第11期1061-1063,共3页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的探讨在水中运动时应用引导式教育训练对各种原因引起的脑瘫患儿的疗效。方法 58例可应用引导式教育方法的脑瘫患儿随机分为实验组(n=29)和对照组(n=29)。对照组采用常规康复训练,实验组在对照组的基础上加用引导式教育训练方法进行水中运动。两组治疗前后徒手肌力评定法对屈髋肌进行评定,采用改良Ashworth评定量表评定下肢髋内收肌群,采用粗大运动功能测量(GMFM)评定运动功能。结果实验组GMFM评分较对照组提高(P<0.05);75.9%肌张力降低1级或以上,优于对照组的44.8%(P<0.05);82.8%肌力提高1级或以上,优于对照组的58.6%(P<0.05)。结论应用引导式教育进行水中运动训练可明显提高患儿的粗大运动功能,降低肌张力,增强肌力。Objective To investigate the effect of conductive education applied in water exercise on cerebral palsy. Methods 58 children with cerebral palsy who could accept conductive education were divided into observation group （n=29） and control group （n=29） randomly. All the children accepted routine rehabilitation, and the observation group accepted water exercise in the model of conductive education. They were assessed with muscular strength, muscular tension （modified Ashworth Scale） and the Gross Motor Function Measure （GMFM） before and after training. Results The score of GMFM improved more in the observation group than in the control group （P〈0.05）, as well as the incidence of improvement of muscle tension （released 1 grade or more, 75.9%vs. 44.8%, P〈0.05） and muscle strength （increased 1 grade or more, 82.8%vs. 58.6%, P〈0.05）. Conclusion Water exercise with the conductive education model can improve the gross motor function and muscle strength, release the spasticity in children with cerebral palsy.

关 键 词：脑性瘫痪 水中运动 引导式教育 粗大运动功能 痉挛 肌力 节律性意向 

分 类 号：R742.3[医药卫生—神经病学与精神病学]