任务导向性训练对痉挛型脑瘫患儿移动功能疗效研究  

Effects of task-oriented training method as a rehabilitation strategy for mobile motor function of spastic cerebral palsy children

作　　者：李鑫[1] 庞伟[1] 范艳萍[1] 赵彦博[1] 

机构地区：[1]佳木斯大学附属第三医院,黑龙江佳木斯154002

出　　处：《中国儿童保健杂志》2015年第5期556-558,共3页Chinese Journal of Child Health Care

基　　金：佳木斯大学校级科技创新项目(Cxtd-2013-02)

摘　　要：目的任务导向性训练对痉挛型脑瘫患儿移动功能疗效研究,以帮助脑瘫儿童提高各项运动功能及日常生活能力。方法将60例痉挛型脑瘫患儿进行随机分组,对照组30例,实验组30例。对照组采用常规康复训练,实验组采用常规康复训练结合任务导向性训练,两组均治疗3个月。在治疗前后对患儿分别应用粗大运动功能量表评定(Gross Motor Function Scale Assessment,GMFM-88)、定时起身行走测试(Time Up and Go Test,TUG)、儿童残疾评定量表(Pediatric Evaluation of Disability Inventory,PEDI)进行评定。结果两组治疗后GMFM的D区和E区评分、TUG时间及PEDI移动能力部分评分均优于治疗前(P<0.05),实验组优于对照组(P<0.05)。结论任务导向性训练结合常规康复训练有利于改善痉挛型双瘫患儿移动运动功能及日常生活移动活动能力。Objective To explore the application of the task oriented training method in the spastic cerebral palsy chil dren＇s rehabilitation. Methods A total of 60 children with spastic cerebral palsy were randomly divided,30 cases in control group, 30 cases in treatment group. Control group received conventional rehabilitation training, the treatment group received conventional rehabilitation training combined with task-orientated training, the two groups were treated for 3 months. Re- spectively analysis method was taken with children before and after treatment. Gross Motor Function Scale Assessment （GMFM-88） ,Time Up and Go Test （TUG） ,Pediatric Evaluation of Disability Inventory （PEDI） were assessed. Results The D and E rating scores of GMFM,TUG times and PEDI mobile ability part scores of two groups after treatment were better than those before treatment （P〈0.05）, the indexes of the treatment group were better than those of control group （P〈0.05）. Conclusion Conventional rehabilitation training combined with task-orientated training can improve move- ment function and daily life activities ability of children with spastic cerebral palsy observably.

关 键 词：脑性瘫痪 任务导向性训练 移动功能 

分 类 号：R722[医药卫生—儿科]