核心稳定性训练联合小脑电刺激在脑瘫患儿康复治疗中的应用价值  

Application value of core stability training combined with cerebellar electrical stimulation in the rehabilitation treatment of children with cerebral palsy

作　　者：景东东 姜媛 史小婷 朱继龙 JING Dongdong;JIANG Yuan;SHI Xiaoting;ZHU Jilong(Shaanxi Kangfu Hospital,Xi'an 710065,China)

机构地区：[1]陕西省康复医院,陕西西安710065

出　　处：《临床医学研究与实践》2022年第5期84-87,共4页Clinical Research and Practice

摘　　要：目的探讨核心稳定性训练联合小脑电刺激在脑瘫患儿康复治疗中的应用价值,以期为脑瘫儿童的康复提供新思路。方法选择我院2018年1月至2020年8月诊治的180例脑瘫患儿展开分析,按照抽签法将其分为观察组和对照组,每组90例。观察组患儿采用核心稳定性训练联合小脑电刺激进行康复治疗,对照组患儿采用常规运动功能康复治疗。比较两组患儿治疗前、后的NSE、T-SOD水平、GMFM-88、TIS评分。结果治疗前,两组的NSE、T-SOD水平比较,差异无统计学意义(P>0.05);治疗后,两组的NSE水平均明显低于治疗前,T-SOD水平均明显高于治疗前(P<0.05);治疗后,观察组的NSE水平明显低于对照组,T-SOD水平明显高于对照组,差异具有统计学意义(P<0.05)。治疗前,两组的D、E能区评分百分比比较,差异无统计学意义(P>0.05);治疗后,两组的D、E能区评分百分比均高于治疗前(P<0.05);治疗后,观察组的D、E能区评分百分比明显高于对照组,差异具有统计学意义(P<0.05)。治疗前,两组的协调、静态平衡、动态平衡评分比较,差异无统计学意义(P>0.05);治疗后,两组的协调、静态平衡、动态平衡评分均明显高于治疗前(P<0.05);治疗后,观察组的协调、静态平衡、动态平衡评分明显高于对照组,差异具有统计学意义(P<0.05)。结论脑瘫患儿的康复治疗中应用核心稳定性训练联合小脑电刺激可调节NSE、T-SOD水平,改善脑部血流量,提高整体康复效果,提高患儿的运动功能、精细运动发育情况及平衡能力,值得临床广泛推广和应用。Objective To explore the application value of core stability training combined with cerebellar electrical stimulation in the rehabilitation treatment of children with cerebral palsy,in order to provide new ideas for the rehabilitation of children with cerebral palsy.Methods A total of 180 children with cerebral palsy diagnosed and treated in our hospital from January 2018 to August 2020 were selected for analysis.According to the lottery method,the children were divided into observation group and control group,with 90 cases in each group.Children in the observation group received core stability training combined with cerebellar electrical stimulation for rehabilitation treatment,while children in the control group received conventional motor function rehabilitation treatment.The NSE,T-SOD levels,GMFM-88 and TIS scores of the two groups were compared before and after treatment.Results Before treatment,there were no significant differences in the levels of NSE and T-SOD between the two groups(P>0.05);after treatment,the level of NSE in the two groups was significantly lower than that before treatment,and the level of T-SOD was significantly higher than that before treatment(P<0.05);after treatment,the level of NSE in the observation group was significantly lower than that in the control group,and the level of T-SOD was significantly higher than that in the control group,and the differences were statistically significant(P<0.05).Before treatment,there were no significant differences in the percentage of D and E crumplezone scores between the two groups(P>0.05);after treatment,the percentage of D and E crumplezone scores of the two groups were higher than those before treatment(P<0.05);after treatment,the percentage of D and E crumplezone scores in the observation group were significantly higher than those in the control group,and the differences were statistically significant(P<0.05).Before treatment,there were no significant differences in the scores of coordination,static balance and dynamic balance between the tw

关 键 词：核心稳定性训练 小脑电刺激 脑瘫 康复治疗 运动功能 精细运动 平衡能力 

分 类 号：R742[医药卫生—神经病学与精神病学]