远程康复平台对拇指内收脑瘫患儿的家庭姿势管理  

Family posture management of cerebral palsy children with thumb adduction based on remote rehabilitation platform

作　　者：陆玲珠 陈丽[1] 戴燕琼 LU Ling-zhu;CHEN Li;DAI Yan-qiong(Department of Rehabilitation,Children's Hospital of Shanghai Jiaotong University,Shanghai 200062,China)

机构地区：[1]上海市儿童医院,上海交通大学附属儿童医院康复科,上海200062

出　　处：《中国临床研究》2020年第12期1628-1630,1634,共4页Chinese Journal of Clinical Research

基　　金：国家卫生计生委小儿脑瘫科学康复体系建设研究项目;上海市卫生计生系统重要薄弱学科建设(2015ZB0402);上海交通大学医工(理)交叉基金(ZH2018QNA32)。

摘　　要：目的 探讨网络化终端指导下的家庭姿势管理对拇指内收脑瘫患儿精细运动功能和日常生活活动能力的影响。方法 将2019年7月至10月上海市儿童医院康复门诊48例有精细运动功能障碍的偏瘫型脑瘫患儿按照家庭意愿分为对照组和治疗组各24例,对照组采用常规作业治疗,治疗组在此基础上增加远程康复平台指导下的肌内效贴贴扎治疗,分别于治疗前和治疗2个月后检查两组患儿的拇指外展的被动关节活动度(PROM)、脑瘫儿童精细运动功能(FMFM)和日常生活活动能力(ADL)以评定疗效。结果 经过2个月的治疗,两组患儿的PROM均较治疗前增大(P<0.01),且治疗组大于对照组(P<0.05);两组患儿的FMFM评分、ADL评分均较治疗前显著升高(P<0.01),且治疗组高于对照组(P<0.05)。结论 远程康复平台指导下的拇指内收脑瘫患儿的家庭姿势管理有利于促进偏瘫型脑瘫患儿的精细运动功能和神经发育。Objective To explore the effect of family posture management under the guidance of network terminal on fine motor function and activities of daily living(ADL)in cerebral palsy children with adduction of thumb.Methods Fortyeight hemiplegic cerebral palsy children with fine motor dysfunction were divided into control group and treatment group according to families,wishes(n=24,each).The occupational therapy was performed in control group,while Kinesiology Taping under the guidance of remote rehabilitation platform was conducted on the basis of occupation therapy in treatment group.The passive range of motion(PROM)of thumb abduction,fine motor function measure scale(FMFM)and ADL were measured before and after treatment for 2 months to evaluate the efficacy in two groups.Results After 2 months of treatment,PROM,FMFM and ADL increased compared with those before treatment in two groups(all P<0.01)and were significantly higher in treatment group than those in control group(all P<0.01).Conclusion For the hemiplegic cerebral palsy children with adduction of thumb,family posture management under the guidance of remote rehabilitation platform is conducive to promoting fine motor function and neural development.

关 键 词：偏瘫型脑性瘫痪 肌内效贴 作业治疗 远程康复平台 家庭姿势管理 

分 类 号：R742.3[医药卫生—神经病学与精神病学] R49[医药卫生—临床医学]