核心稳定性训练对痉挛型脑性瘫痪患儿上肢功能的影响  

Effect of core stability training on upper limb function in children with spastic cerebral palsy

作　　者：宋文生 林琳[1] 徐纯鑫 SONG Wensheng;LIN Lin;XU Chunxin(Yangzhi Rehabilitation Hospital,Tongji University,Shanghai 200127,China)

机构地区：[1]同济大学附属养志康复医院中医科,上海200127

出　　处：《中国中西医结合儿科学》2022年第2期127-131,共5页Chinese Pediatrics of Integrated Traditional and Western Medicine

基　　金：上海市残疾人联合会鼓励项目。

摘　　要：目的探讨核心稳定性训练对痉挛型脑性瘫痪(简称脑瘫)患儿上肢功能的影响。方法选取上海市养志康复医院2019年1~12月收治的痉挛型脑瘫患儿60例为研究对象,随机分为观察组和对照组各30例。对照组进行常规PT训练、作业疗法、推拿、感觉统合训练。观察组在对照组基础上,增加核心稳定性训练。两组均治疗3个月,对两组患儿治疗前后进行Peabody精细运动发育量表及Carroll手功能实验量表评定,比较两组患儿上肢功能疗效的差异。结果3个月治疗后Peabody精细运动发育量表中抓握、视觉运动及Carroll手功能试验量表评分较治疗前明显增加,且观察组疗效优于对照组,差异有统计学意义(P<0.05)。结论核心稳定性训练可显著改善痉挛型脑瘫患儿的上肢功能。Objective To investigate the effect of core stability training on upper limb function in children with spastic cerebral palsy.Methods Totally 60 children with spastic cerebral palsy,who were admitted to Shanghai Yangzhi Rehabilitation Hospital from January to December in 2019,were selected as research subjects.They were randomly divided into two groups,experimental group and control group,with each group having 30 cases.The children in control group received routine PT,OT,massage and sensory integrationtraining.In addition to the treatment for control group,the children in experimental group received the core stability training.The treatment lasted for 3 months for both groups.Peabody fine motor development scale(PDMS-FM)and Carroll hand function scale were used to evaluate the efficacy on upper limb function in the two groups before and after 3 months of treatment,and the difference in the effect was compared.Results The scores in grasping,visual motor in PDMS-FM and Carroll hand function scale were significantly higher after 3 months of treatment than those before treatment(P<0.05),and the efficacy of the treatment for experimental group was better than that for control group(P<0.05).Conclusion Core stability training can significantly improve the upper limb function of children with spastic cerebral palsy.

关 键 词：脑性瘫痪 核心稳定性 上肢运动功能 儿童 

分 类 号：R742.3[医药卫生—神经病学与精神病学]