全方位密集型运动训练系统对痉挛型脑瘫儿童粗大运动功能的影响  

Effects of intensive therapy program on gross motor function of children with spastic cerebral palsy

作　　者：张蓓华 宋伟栋 严善钟 肖震 冯莉 范佳堃 高钟鸣 牛文鑫[2] 

机构地区：[1]上海市养志康复医院(上海市阳光康复中心)儿童康复科,上海201619 [2]同济大学医学院康复治疗学系,上海201619

出　　处：《医用生物力学》2017年第6期529-534,共6页Journal of Medical Biomechanics

基　　金：上海市残疾人康复科研项目(K2014039)

摘　　要：目的研究应用全方位密集型运动训练系统对痉挛型脑瘫儿童粗大运动功能的影响。方法将30例3~15岁粗大运动功能分级(GMFCS)处于Ⅰ~Ⅲ级的痉挛型脑瘫儿童随机分为两组。试验组采用全方位密集型运动训练系统进行治疗,包括治疗矫正衣及全方位动态运动器材结合运动功能训练,对照组采用核心稳定性训练进行治疗。两组患儿均治疗1个月,每周参与训练5 d,每天训练3 h。治疗前后分别采用粗大运动功能测量(GMFM-66)和Peabody粗大运动评定量表(PDMS-2)进行评估。结果治疗后,两组患儿GMFM评分、Peabody姿势项、Peabody移动项评分较治疗前均显著提高(P<0.01),试验组与对照组之间GMFM和PDMS-2评分无明显差异性。结论应用全方位密集型运动训练系统有利于痉挛型脑瘫儿童粗大运动功能的提升,短期内能达到核心稳定的疗效,为脑瘫儿童提供一种新颖有效的干预方法。Objective To explore the effects of intensive therapy program on gross motor function of children with spastic cerebral palsy. Methods Thirty 3-15 year old children with spastic cerebral palsy and level I-III in gross motor function classification system（ GMFCS） were randomly divide into 2 groups. The trial group adopted intensive therapy program for treatment,including functional dynamic suit and universal exercise unit combined with functional movement training. The control group adopted core stability training for treatment. Children in two groups took a 1-month training program for 3 hours per day and 5 days per week. The pediatric evaluation of gross motor function measure（ GMFM-66） and peabody developmental motor scale（ PDMS-2） were administered before and after treatment. Results The scores of GMFM-66 as well as the stationary and locomotion scores of PDMS-2 in both groups showed significant differences within group（ P 0. 01） after treatment. For the scores of GMFM and PDMS-2 between two groups,no significant differences were found. Conclusions The intensive therapy program can improve the gross motor function of children with spastic cerebral palsy and gain the same effects as core stability training,which can provide a novel and effective intervention for children with cerebral palsy.

关 键 词：痉挛型脑性瘫痪 全方位密集型运动训练系统 治疗矫正衣 全方位动态运动器材 核心稳定性 

分 类 号：R318.01[医药卫生—生物医学工程]