核心肌群训练对痉挛型脑性瘫痪患儿步行周期的影响  

Effect of core muscle training on walking cycle of children with spastic cerebral palsy

作　　者：黄宏亮 伍丹[2] HUANG Hongliang;WU Dan(Department of Rehabilitation,Rehabilitation Hospital of Social Welfare Institute of Guangzhou,Guangzhou 510520,China)

机构地区：[1]广州市社会福利院康复医院康复科,广州510520 [2]中山大学附属第一医院康复科,广州510080

出　　处：《中国中西医结合儿科学》2018年第5期383-385,共3页Chinese Pediatrics of Integrated Traditional and Western Medicine

摘　　要：目的探讨核心肌群训练对痉挛型脑性瘫痪(简称脑瘫)患儿步行周期的影响。方法选择2017年1月至2018年1月广州市社会福利院康复医院收治住院的痉挛型脑瘫患儿60例为研究对象,随机分为对照组和观察组各30例。对照组进行常规康复训练包括神经发育促进技术(Bobath技术)、中枢性促进技术(Brunnstrom技术)、皮肤感觉促进技术(Rood技术)、本体感受性神经肌肉促进技术(PNF技术)。观察组在对照组常规康复训练基础上实施核心肌群训练,包括抬腿训练、下蹲训练、上下楼梯训练、仰卧起坐训练、抬臀训练、坐位平衡板训练。3个月后,观察两组患儿的步行周期和步行功能[采用《粗大运动功能评估使用手册》(GMFM-88)量表测定]。结果干预后观察组步行周期最大步行速度、步长、步频优于对照组,差异有统计学意义(P<0.05)。干预后观察组GMFM-88量表D区、E区评分较对照组高,差异有统计学意义(P<0.05)。结论核心肌群训练可改善痉挛型脑瘫患儿步行周期及步行功能。Objective To investigate the effect of core muscle training on the walking cycle of children with spastic cerebral palsy.Methods Sixty children with spastic cerebral palsy treated in our hospital from January 2017 to January 2018 were selected as the subjects and divided into control group and observation group with 30 cases in each group by random digital table method.Both groups received routine rehabilitation training,including Bobath technique,Brunnstrom technique,Rood technique and PNF technique.In addition,the observation group was trained on the core muscle group,including leg-lifting training,squatting training,stair-climbing training,sit-up training,hip-lifting training and sitting-balance-board training.Three months later,the walking cycle and walking function of two groups of children were observed(measured by GMFM-88).Results The maximum walking speed,step length and frequency of the observation group were better than those of control group(P<0.05).After intervention,the scores of the D and E areas in the GMFM scale of the observation group were higher than those in the control group(P<0.05).Conclusion Core muscle training can improve walking cycle and walking function of children with spastic cerebral palsy.

关 键 词：脑性瘫痪 康复训练 核心肌群训练 步行周期 儿童 

分 类 号：R741.05[医药卫生—神经病学与精神病学]