瑜伽练习对学龄期脑瘫儿童运动功能的影响  

Effects of yoga exercises on motor function in school-aged children with cerebral palsy

作　　者：范亚蓓[1] 王盛[1] 葛盼丽 伊文超[1] 王翔[1] 

机构地区：[1]江苏省人民医院康复医学中心,南京210029

出　　处：《中国康复》2017年第6期455-458,共4页Chinese Journal of Rehabilitation

摘　　要：目的:探讨瑜伽练习对学龄期脑瘫儿童运动功能的影响。方法:将痉挛型双瘫脑瘫儿童随机分为瑜伽组(15例)及对照组(15例)。2组均接受常规康复训练,瑜伽组在常规康复训练中融入瑜伽练习。分别于治疗前后采用Berg平衡功能(BBS评分),粗大运动功能量表-88项(GMFM-88)站立(D区)、走跑跳(E区)两大功能区评定,并采用步态评估。结果:治疗后,2组CP儿童BBS评分均较治疗前显著提高(P<0.01),且瑜伽组得分高于对照组(P<0.05);2组GMFM(D、E区)评分也均较治疗前显著上升(P<0.01),且瑜伽组显著优于对照组(P<0.01)。治疗后,2组儿童的步速、步幅较治疗前明显提高(P<0.01),双支撑相较治疗前明显降低(P<0.01),且瑜伽组上述指标改善更优于对照组(P<0.05)。结论:瑜伽练习可以提高学龄期脑瘫儿童平衡能力和粗大运动功能,有利于步态的改善。Objective： To explore the effects of yoga exercises on motor function in school-aged children with cerebral palsy. Methods： The enrolled included 30 young children with diplegic spastic cerebral palsy with gradeⅠ-Ⅱ of Gross Motor Function Classification System （GMFCS） and were divided into two groups： yoga group （n=15） and routine group （n=15）. Both groups were given routine rehabilitation exercise, and yoga group received the yoga exercise additionally. Both groups were subjected to the exercise twice a day, 40 min per time, 5 times per week and 12 weeks totally. The assessments include Berg Balance Scale, Gross Motor Function Measure-88 （GMFM-88） D for standing, and E for walking, running and jumping, and gait parameters. Results： After training for 12 weeks, BBS, GMFM D and E, and temporal-spatial parameters of gait （walking speed, walking stride, and double support time） were improved significantly in both groups （P〈0.01）. BBS, GMFM D and E, and temporal-spatial parameters of gait in yoga group were improved more significantly than in control group after training （P〈0.05）. Conclusions： Yoga exercises can improve the balance and gross motor function and temporal-spatial parameters of gait in school-aged children with cerebral palsy.

关 键 词：瑜伽练习 脑瘫儿童 运动功能 

分 类 号：R742.3[医药卫生—神经病学与精神病学]