有氧水疗对痉挛型脑瘫患儿运动、平衡功能及肌张力的影响  

Effects of aerobic hydrotherapy on movement,balance function and muscle tension of spastic cerebral palsy children

作　　者：赵永红 闻春波 戚亚敏 石娜娜[1] 李恩耀[1] Zhao Yonghong;Wen Chunbo;Qi Yamin(Department of Children’s Rehabilitation,the Fifth Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第五附属医院儿童康复医学科,郑州450000

出　　处：《中国康复》2021年第2期93-97,共5页Chinese Journal of Rehabilitation

基　　金：河南省医学科技攻关计划项目(2018020241,2018020223)。

摘　　要：目的:探讨冲浪水疗配合有氧训练对较大年龄(2~6岁)轻中度痉挛型脑瘫患儿的康复效果。方法:将60例2~6岁脑瘫患儿随机分为对照组和水疗组,每组30例。对照组给予普通康复训练,水疗组在普通康复训练基础上增加有氧水疗训练,每次1h,每周2次,共进行3个月。比较2组在治疗前(T0)、治疗3个月后(T1)以及治疗结束1个月后(T2)的粗大运动功能(GMFM)、6分钟步行测试(6MWT)距离、10m折返跑次数、Brockport改良功能强度、Berg平衡能力评分和下肢肌张力变化的差异。结果:水疗组T1及T2时的GMFM评分、6MWT距离、10m折返跑次数、功能强度测试中的俯卧撑数均显著高于对照组(P<0.05);水疗组与对照组间T1及T2时平衡能力无显著性差异,但水疗组T1及T2时腘绳肌、腓肠肌肌张力改善效果优于对照组(P<0.05)。结论:在常规康复训练基础上增加有氧水疗训练可以有效改善较大年龄轻中度脑瘫患儿的运动功能、有氧耐力和肌张力。Objective:To explore the effects of surfing hydrotherapy combined with aerobic training on children with mild and moderate spastic cerebral palsy(aged 2-6 years).Methods:Totally,60 children aged from 2 to 6 years old with cerebral palsy were randomly divided into the control group and the hydrotherapy group.The control group was given conventional rehabilitation training,and the hydrotherapy group accepted the aerobic hydrotherapy training on the basis of conventional rehabilitation,1 h each time and 2 times a week for 3 months.Gross motor function measure(GMFM)score,6-min walking test(6MWT)distance,10 m shuttle run times,Brockport modified functional strength,Berg balance ability score and muscle tension of lower limb were measured and compared between the two groups before treatment(T0),3 months after treatment(T1)and one month after the end of treatment(T2).Results:The GMFM scores at T1 and T2 in hydrotherapy group were significantly higher than those in control group(P<0.05).6MWT distance,the times of 10m shuttle run and the number of push-ups in the functional strength at T1 and T2 in the hydrotherapy group were significantly increased as compared with those in the control group(P<0.05).There was no significant difference in the balance score between the two groups at T1 and T2.The improvement of hamstring muscle tension at T1 and T2 and sural muscle tension at T2 was more significant in the hydrotherapy group than in the control group(P<0.05).Conclusion:On the basis of routine rehabilitation training,addition of aerobic hydrotherapy training can effectively improve the motor function,aerobic endurance and muscle tension of older children with mild and moderate cerebral palsy.

关 键 词：有氧水疗 脑瘫 运动功能 平衡能力 肌张力 

分 类 号：R49[医药卫生—康复医学] R742[医药卫生—临床医学]