神经肌肉激活技术联合任务导向训练对学龄前痉挛型脑性瘫痪患儿肌张力恢复的影响  

Effects of neuromuscular activation technique combined with task-oriented training on muscle tension recovery in preschoolers with spastic cerebral palsy

作　　者：王静[1] 岳玲[1] 陈智红[1] 孙素真[1] 马贵林[1] 白冰 陈翠英 Wang Jing;Yue Ling;Chen Zhihong(Department of Rehabilitation,Hebei Children’s Hospital,Shijiazhuang 050000,China)

机构地区：[1]河北省儿童医院神经康复科,石家庄050000

出　　处：《中国康复》2022年第1期21-24,共4页Chinese Journal of Rehabilitation

基　　金：河北省医学科学研究重点课题计划(20180619)。

摘　　要：目的:探讨神经肌肉激活技术联合任务导向训练对学龄前痉挛型脑性瘫痪(SCP)患儿肌张力恢复的影响。方法:将204例学龄前SCP患儿随机分为2组,对照组(102例)采用任务导向训练联合常规运动训练3个月,观察组(102例)在对照组基础上另外采用神经肌肉激活技术训练3个月。观察训练前后肢体运动功能、肌张力、智力恢复、社会功能差异。结果:2组训练后88项粗大运动功能测试量表(GMFM-88)、精细运动功能量表(FMFM)、Berg平衡量表评分、智力发育量表(CDCC)、盖世尔量表(Gesell)、儿童能力评估量表(PEDI)评分均较训练前增加(P<0.05),改良Ashworth量表(MAS)评分均较训练前降低(P<0.05)。观察组训练后GMFM-88、FMFM、Berg平衡量表、CDCC、Gesell、PEDI评分高于对照组(P<0.05),MAS评分低于对照组(P<0.05)。结论:神经肌肉激活技术联合任务导向训练可更有效地降低学龄前SCP患儿肌张力,改善肢体运动功能,促使智力恢复,提高社会功能。Objective:To investigate the effect of neuromuscular activation technique combined with task-oriented training on muscle tension recovery in preschoolers with spastic cerebral palsy(SCP).Methods:A total of 204 preschooler children with SCP admitted to the inpatient department and outpatient department of our hospital from January 2017 to March 2018 were selected and divided into two groups by random number table method.The control group(102 cases)received task-oriented training and regular exercise training for 3 months,and the observation group(102 cases)received task-oriented training combined with neuromuscular activation technique and regular exercise training for 3 months.The differences in motor function,muscle tone,intellectual recovery and social function before and after training were observed.Results:After training,the scores of gross motor function measure-88(GMFM-88),fine motor function measure scale(FMFM),Berg balance scale,mental development scale(CDCC),Gesell scale and pediatric evaluation of disability inventory(PEDI)in both groups increased(P<0.05),and the MAS scores decreased as compared with those before training(P<0.05).After training,the scores of GMFM-88,FMFM,Berg balance scale,CDCC,Gesell and PEDI in the observation group were higher than those in the control group(P<0.05),and the scores of MAS in the observation group were lower than those in the control group(P<0.05).Conclusion:Neuromuscular activation technique combined with task-oriented training can more effectively reduce muscle tone,improve limb motor function,promote mental recovery and enhance social function in preschoolers with SCP.

关 键 词：痉挛型脑性瘫痪 神经肌肉激活 任务导向训练 肌张力 

分 类 号：R49[医药卫生—康复医学] R742.3[医药卫生—临床医学]