前馈控制联合躯干训练对小儿脑瘫综合能力及活动的影响  

Influence of treatment combining feedforward control and trunk exercise on the integrated ability and activity in children with cerebral palsy

作　　者：何凤翔[1] 谢文龙[1] 徐艳[1] HE Fengxicazg;XIE Wenlong;XU Yon(Department of Rehabilitation Medicine,Huzhou Central Hospital in Zhejiang Province,Huzhou 313000,China)

机构地区：[1]浙江省湖州市中心医院康复医学科,浙江湖州313000

出　　处：《中国现代医生》2018年第14期108-111,共4页China Modern Doctor

基　　金：浙江省医药卫生科技计划项目(2016KYA170)

摘　　要：目的探讨前馈控制联合躯干训练对小儿脑瘫综合能力及活动的影响。方法收集小儿脑瘫患者100例,分为对照组和观察组两组,每组50例,对照组给予常规躯干训练,观察组在对照组基础上联合给予前馈控制。随访6个月,观察两组患儿的干预前和干预后6个月的Wee FIM和GMFM-88评分、日常生活能力ADL评分、生活质量评分等。结果两组干预后6个月的Wee FIM和GMFM-88评分均高于干预前(P<0.05),干预后6个月,观察组Wee FIM和GMFM-88评分评分显著高于对照组(P<0.05)。两组干预后6个月的日常生活能力ADL评分均明显高于干预前(P<0.05),干预后6个月,观察组的日常生活能力ADL评分高于对照组(P<0.05)。两组干预后6个月的生活质量评估结果与干预前均存在明显差异,社交功能、生理功能、情感功能评分及Peds QL总分均高于干预前(P<0.05),干预后6个月观察组的上述指标评分均显著高于对照组(P<0.05)。结论在常规躯干训练的基础上对小儿脑瘫患者联合实施前馈控制效果显著,可更好地改善患儿的运动功能,提高其日常生活能力,并改善其生活质量。Objective To investigate the influence of treatment combining feedforward control and trunk exercise on the integrated ability and activity in children with cerebral palsy（CP）. Methods 100 children with CP were divided into control group and observation group, with 50 patients in each group. Patients in control group were treated with routine trunk exercise while patients in observation group were treated with additional feedforward control. The follow-up lasted 6 months. The scores of Wee FIM, GMFM-88, activity of daily living（ADL） and quality of life in two groups before and 6 months after intervention were observed. Results Scores of Wee FIM and GMFM-88 of 6 months after interven tion were higher than those before intervention in two groups respectively（P〈0.05）. Scores of Wee FIM and GMFM-88 in observation group 6 months after intervention were higher than those in control group（P〈0.05）. Scores of ADL 6 months after intervention in two groups were significantly higher than before intervention respectively（P〈0.05）. Score of ADL 6 months after intervention in intervention group was significantly higher than that in control group（P〈0.05）. Results of two groups 6 months after intervention were significantly different from their results before intervention. Scores of social function, physiological function, emotional function and total score of Peds QL were higher than those before intervention respectively（P〈0.05）. These scores in observation group 6 months after intervention were significantly higher than those in control group（P〈0.05）. Conclusion The effectiveness of treatment combining trunk exercise and feedforward control in children with CP was significant. This treatment could improve the motor function, ADL and life quality of patients.

关 键 词：躯干训练 小儿脑瘫 前馈控制 运动功能 日常生活能力 生活质量 

分 类 号：R493[医药卫生—康复医学] R742.3[医药卫生—临床医学]