脑瘫患儿智力改善对粗大运动功能影响研究  

Study on the effect of intelligence on the gross motor function of children with cerebral palsy

作　　者：王立草 王丹 孙奇峰[1] 李雪梅[1] 杨本利[1] 李晓捷[1] 

机构地区：[1]佳木斯大学附属第三医院,黑龙江佳木斯154003 [2]黑龙江省康复医院

出　　处：《中国伤残医学》2015年第15期12-14,共3页Chinese Journal of Trauma and Disability Medicine

基　　金：佳木斯大学科学技术项目L2012-031

摘　　要：目的：判断脑瘫患儿智力改善对粗大运动功能的影响. 方法：4 ~6 岁轻度智力落后、GMFCS II级痉挛型双瘫脑瘫患儿50例,按随机数表法随机分为治疗组（n=25）和对照组（n=25）. 2组均采用常规康复方法进行康复治疗,治疗组加脑功能生物反馈治疗,治疗前和治疗3个月后分别评定中国比内智力量表、粗大运动功能,观测2组患儿智力水平、粗大运动功能量表（ GMFM-88）之 D 区 、E 区分值及粗大运动功能评定分值改善程度以比较观察疗效. 结果： 治疗组智力水平较治疗前有改善（ P〈0 .05 ）. 治疗后2组GMFM-88之D区和E区评分较治疗前有改善（ P〈0 .05 ） ,治疗组上述指标均比对照组显著提高（P〈0.05）. 治疗组粗大运动功能评定分值改善程度明显优于对照组. 结论：脑瘫患儿智力改善会促进粗大运动功能发育.Objective：To describe the effect of intelligence on the gross motor function of children with cerebral palsy.Methods：50 ca-ses of 4-6 years old, GMFCS II level, mild mental retardation children with spastic diplegia cerebral palsy , according to the random number table method were randomly divided into treatment group （n=25） and control group （n=25）.The two groups were treated with conventional rehabilitation method of rehabilitation treatment, the treatment group with brain function biofeedback treatment.After 3 months, the intelligence quotient and GMFM88 were assessed again.The motor and intelligence ability were contrasted of treatment and control group.The differences were observed between treatment and control group.Results：The score of China Binet Intelligence Scales increased in treatment group.The score of dimension D and E increased after treatment in both treatment and control group.The improve-ment in treatment group was larger than control group.Conclusion：The improvement of intelligence can promote the ability of the gross motor.

关 键 词：智力 脑瘫 粗大运动 脑功能生物反馈 

分 类 号：R742.3[医药卫生—神经病学与精神病学]