仿生训练对痉挛型脑瘫患儿粗大运动功能的影响  

Effects of Bionic Training on Gross Motor Function in Children with Spastic Cerebral Palsy

作　　者：邵磊 张明 刘鹏 张亚男 贾梦怡 苏春 Shao Lei;Zhang Ming;Liu Peng(Xuzhou Clinical College of Xuzhou Medical University/Department of Rehabilitation Medicine,Xuzhou Central Hospital,Jiangsu Province,Xuzhou 221009,China)

机构地区：[1]徐州医科大学徐州临床学院/徐州市中心医院康复医学科,江苏徐州221009 [2]徐州医科大学附属徐州康复医院/徐州市康复医院康复医学科,江苏徐州221010

出　　处：《中国康复》2022年第10期588-591,共4页Chinese Journal of Rehabilitation

基　　金：徐州市国家临床重点专科培育项目(2018ZK002);徐州市卫生健康委科技项目(XWKYHT20200007)。

摘　　要：目的:探讨仿生训练对痉挛型脑性瘫痪患儿粗大运动功能的影响。方法:选取痉挛型脑性瘫痪患儿40例,随机分为观察组和对照组各20例。2组患儿均进行常规康复训练,观察组在常规康复训练的基础上增加仿生训练(兔子跳跃、蜥蜴行走、猴子攀爬)。在训练前后分别对2组患儿用粗大运动功能评估量表(GMFM)、Peabody粗大运动发育量表(PDMS-GM)进行评估,并利用关节量角器对其内收肌角、足背屈角进行测量。观察训练前后2组痉挛型脑性瘫痪患儿GMFM、PDMS-GM原始分差异及患儿内收肌角、足背屈角差异。结果:治疗12周后,2组GMFM及PDMS-GM评分均较治疗前显著提高(均P<0.05),且观察组均高于对照组(均P<0.05);2组患儿内收肌角及足背屈角均大于治疗前(均P<0.05),且观察组均大于对照组(均P<0.05)。结论:仿生训练可改善痉挛型脑瘫患儿的粗大运动功能。Objective:To investigate the effects of bionic training on gross motor function in children with spastic cerebral palsy.Methods:A total of 40 children with spastic cerebral palsy were randomly divided into experimental group and control group,20 cases in each group.Both groups received routine rehabilitation training.Bionic training(rabbit jump,lizard walk,monkey climb)was added to the routine rehabilitation training in the experimental group.Gross motor Function measure(GMFM)and Peabody developmental measure scale-gross motor performed on patients in both groups before and 12 weeks after training were evaluated.Moreover,the adductor angle and foot dorsiflexion angle were measured by a joint protractor.Results:After 12 weeks of rehabilitation therapy,GMFM scores and PDMS-GM raw scores in both groups were significantly improved(P<0.05).Moreover,the GMFM and PDMS-GM scores were significantly higher in the experimental group than those in the control group(P<0.05).After treatment,the adductor angles and foot dorsiflexion angles in both groups were significantly larger than before treatment(P<0.05),and those in the experimental group were significantly larger on average than those in the control group(P<0.05).Conclusion:Bionic training can significantly improve the gross motor function of children with spastic cerebral palsy.

关 键 词：脑性瘫痪 痉挛型 仿生训练 粗大运动 

分 类 号：R49[医药卫生—康复医学] R742[医药卫生—临床医学]