核心肌群稳定性训练对痉挛型脑瘫患儿行走平衡能力的影响  

Effect of Core Muscles Stability Exercises on Walking Balance Ability of Spastic Cerebral Palsy Children

作　　者：朱振兴[1] 李烽[1] 郭华云[1] 

机构地区：[1]赣州市人民医院,江西赣州341000

出　　处：《现代医院》2016年第11期1584-1585,1588,共3页Modern Hospitals

摘　　要：目的探讨核心肌群稳定性训练对痉挛性脑瘫患儿的行走平衡能力影响。方法选取赣州市人民医院康复医学科收治的60例痉挛性脑瘫患儿随机分为对照组和观察组(每组30例),两组患儿均保持常规的基础治疗,在此基础上对照组患儿每天进行2次常规训练,每次30 min;观察组每日进行1次常规训练和1次核心肌群稳定性训练(每种训练持续30 min),90 d为一疗程。治疗开始前和结束后均采用Berg平衡量表评定平衡能力以及足迹分析法进行综合评定患儿行走能力。结果两组患儿治疗后平衡能力及行走能力均优于治疗前(P<0.001)。结论常规训练及核心肌群稳定性训练都能够有效地提升痉挛性脑瘫患儿的运动能力和平衡能力,但是联合使用两种训练方法能够让疗效最大化。Objective To discuss the influence of the core muscles stability exercises on the walking balance ability of children with spastic cerebral palsy. Methods 60 children with spastic cerebral palsy in our hospital were randomly divid- ed into control group and observation group （30 cases in each group）. On the basis of the conventional treatment, the control group took 30 - minutes regular exercises twice a day and the observation group took regular exercises and core muscles stabil- ity exercises for 30rain once a day, respectively （90 days for a course）. The balance abilities of all the children were tested by the Berg Balance Scale and their walking abilities were assessed in Footprint Analysis Method before and after the treat- ment. Results The balance abilities and walking abilities of both groups were better after the treatment than before it （P 〈 0. 001 ）. Conclusion Regular exercises and core muscles stability exercises can effectively improve the exercise capacity and balance ability of children with spastic cerebral palsy, and the combination of the two methods can maximize the efficacy.

关 键 词：痉挛性脑瘫 核心肌群稳定性训练 平衡能力 运动能力 

分 类 号：R742.3[医药卫生—神经病学与精神病学] G808.12[医药卫生—临床医学]