可调重服对脑瘫儿童上肢功能及日常活动能力的影响  

Effects of adjustable weighted clothing on upper limb function and activity of daily living in children with cerebral palsy

作　　者：徐磊[1,2] 康贝贝[1,2] 谭丽萍[1,2] 朱琳[1,2] 解秋雪[2] 杨雅楠[2] 姜志梅 XU Lei;KANG Bei-bei;TAN Li-ping;ZHU Lin;XIE Qiu-xue;YANG Ya-nan;JIANG Zhi-mei(The Third Affiliated Hospital of Jiamusi University,Jiamusi,Heilongjiang 154003,China;Rehabilitation Medicine College of Jiamusi University,Jiamusi,Heilongjiang 154003,China)

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

出　　处：《中国儿童保健杂志》2018年第8期924-926,共3页Chinese Journal of Child Health Care

基　　金：国家级大学生创新创业训练计划项目(201610222017);黑龙江省教育厅科学技术应用技术类项目(2016-KYYWF-0541);佳木斯大学校级科技创新项目(Cxtd-2013-02);佳木斯大学校长创新创业基金项目(xzyf2016-18)

摘　　要：目的观察可调重服对脑瘫儿童上肢功能及日常活动能力的影响。方法选取2016年3月-10月佳木斯大学附属第三医院收治的不随意运动型脑瘫儿童30例,随机分成观察组(n=15)和对照组(n=15)。对照组采用常规康复训练治疗,观察组在常规康复治疗的基础上,同时佩戴可调重服。两组儿童分别于治疗前后,采用上肢功能评定量表(QUEST)和儿童能力评定量表(PEDI)对上肢功能及日常生活活动能力进行评估和比较分析。结果治疗后,两组儿童QUEST、PEDI评分较治疗前有所提高(P<0.05),而观察组评分明显高于对照组,差异有统计学意义(P均<0.05)。结论可调重服的佩戴能有效提高不随意运动型脑瘫患儿的上肢功能及日常生活活动能力,改善其生活质量,值得临床推广使用。Objective To analyze the effect of adjustable weighted clothing on upper limb function and activity of daily living in children with cerebral palsy. Methods A total of 30 children with involuntary exercise-induced cerebral palsy admitted in the Third Affiliated Hospital of Jiamusi University from March 2016 to October 2016 were randomly divided into observation group（n=15）and control group（n=15）.The control group was treated with routine rehabilitation training.while The observation group wore adjustable weighted clothes based on conventional rehabilitation.Upper limb function and the ability of activity of daily living of two groups before and after treatment were assessed by quality of upper extremity skills test（QUEST）and pediatric evaluation of disability inventory（PEDI）were compared. Result After treatment,the QUEST and PEDI scores of both groups were significantly improved than those before treatment,while the score of the observation group was significantly higher than that of the control group（all P〈0.05）. Conclusion Adjustable weighted clothing can effectively improve the upper limb function and daily living activities in children with involuntary exercise-induced cerebral palsy,so it is worth promoting in clinic.

关 键 词：脑瘫 不随意运动 可调重服 上肢功能 日常生活活动 

分 类 号：R179[医药卫生—妇幼卫生保健]