运动疗法优化方案对脑瘫粗大运动功能康复疗效的前瞻性研究  

A Prospective Study of the Physical Therapy(PT)Program Assisted with the Children's Rehabilitation Management System(ICR 2.0) for the Recovery of Children's Gross Motor Function with Cerebral Palsy

作　　者：周文萍[1] 余波[1] 陈文华[1] 刘合建[1] 张雯[1] 缪芸[1] 严俊俊[1] 陈世动[1] 

机构地区：[1]上海交通大学附属第一人民医院康复医学科,上海200080

出　　处：《现代生物医学进展》2014年第34期6654-6657,共4页Progress in Modern Biomedicine

基　　金：上海市科委重点科技攻关项目(11DZ1973900)

摘　　要：目的:评估由儿童康复诊疗管理系统(ICR 2.0)软件辅助制定的运动疗法优化方案对脑瘫患儿粗大运动功能的康复疗效。方法:61例GMFCS分级为Ⅱ-Ⅲ级的痉挛型脑瘫患儿,随机分为对照组和试验组,试验组31例,对照组30例,以前瞻性自身对照研究方法,分别接受两个阶段的运动治疗。两组患儿第一阶段根据治疗师个人经验制定治疗方案并训练;第二阶段试验组用ICR2.0软件辅助治疗师综合分析患儿及家长的现实性愿望、功能情况、家庭环境等因素,制定治疗方案并优化后进行训练;对照组仍由治疗师凭个人经验制定治疗方案并训练;两个阶段的治疗时间均为3个月。治疗前后分别采用远城寺式·婴幼儿发育检查表、粗大运动功能评估量表(GMFM)对患儿功能进行测评。结果:治疗前,两组患儿发育月龄、移动运动和GMFM评分无显著性差异(P>0.05)。两个阶段治疗后,两组患儿各项指标较治疗前均有提高(p<0.05)。其中第一阶段治疗后,两组间比较差异无统计学意义(P>0.05);第二阶段治疗后,两组间比较有显著性差异(P<0.05)。结论:运用ICR 2.0软件辅助制定的运动疗法优化方案可显著提高脑瘫患儿的粗大运动功能。Objective： To investigate the physical therapy（PT）program assisted with the Children＇s Rehabilitation Management System（ICR 2.0） for the recovery of children＇s gross motor function with cerebral palsy（CP）. Methods： With prospective self-controlled study method, 61 children with spastic CP were separated into two groups as control group（n=30） and study group（n=31） randomly. All the children accepted two courses of physical therapy. In the first course they accepted PT program drawn by therapists experientially,and in the second course the study group accepted PT program assisted with ICR 2.0, while the control group still accepted PT program drawn by therapists experientially. They were assessed with Enjoji infant development scale and Gross Motor Function Measure（GMFM） before and 3 months after treatment. Results： There was no significant individuals difference in development months, mobile movement and the gross motor before treatment（P0.05）. All the indicators improved after two courses of physical therapy（P0.05）, and significant differences were found between the two groups after the second course（P0.05） but no significant differences were obtained between the two groups after the first course（P0.05）. Conclusions： ICR 2.0 assisted PT program can further improve the recovery of children＇s gross motor function with CP.

关 键 词：脑性瘫痪 运动疗法 儿童康复诊疗管理系统软件 粗大运动 康复 

分 类 号：R49[医药卫生—康复医学]