音乐疗法联合感觉统合训练对脑性瘫痪患儿运动功能改善的研究  

Effect of music therapy combined with sensory integration training on improvement of motor function in children with cerebral palsy

作　　者：石中嫣 熊文君 施嘉英 刘群英 谭福前[3] Shi Zhongyan;Xiong Wenjun;Shi Jiaying;Liu Qunying;Tan Fuqian(Department of rehabilitation medicine,Guangzhou Rehabilitation Center for the Disabled(Guangzhou Boai Hospital),Guangzhou 510630,China;不详)

机构地区：[1]广州市残疾人康复中心(广州博爱医院)康复医学科,广州510630 [2]广东三九脑科医院康复治疗科,广州510510 [3]云南省第一人民医院放射科,昆明650032

出　　处：《新医学》2022年第11期848-851,共4页Journal of New Medicine

摘　　要：目的探究音乐疗法联合感觉统合训练对脑性瘫痪患儿运动功能改善的临床效果。方法选取50例脑性瘫痪患儿,采用随机数字表法分为对照组和观察组,每组各25例,对照组行常规康复训练,观察组在常规康复训练基础上行音乐疗法联合感觉统合训练,2组疗程均为12周,治疗前后采用粗大运动功能评估表88项(GMFM-88)及儿童功能独立性评定量表(WeeFIM)评价2组患儿的粗大运动功能及日常生活独立能力,比较组间差异。结果治疗12周后,2组患儿GMFM-88的D、E区评分及WeeFIM评分均比治疗前提高(P均<0.05),且观察组效果均优于对照组(P均<0.05)。结论相比于常规的康复训练,音乐疗法联合感觉统合训练能够提高脑性瘫痪患儿的主动性,改善患儿的运动功能和日常生活独立能力。Objective To evaluate the clinical effect of music therapy combined with sensory integration training on the improvement of motor function in children with cerebral palsy.Methods Fifty children with cerebral palsy were enrolled and randomly divided into the control(n=25)and observation groups(n=25).Conventional rehabilitation training was performed in the control group,and music therapy combined with sensory integration training were conducted on the basis of conventional rehabilitation training in the observation group.The course of treatment was 12 weeks in two groups.The 88-item version of the Gross Motor Function Measure(GMFM-88)scale and the Functional Independence Measure for Children(Wee FIM)scale were used to evaluate the gross motor function level and independence of daily life before and after the treatment in two groups.The differences were statistically compared between two groups.Results After 12 weeks of treatment,the D and E domain scores of GMFM-88 scale and Wee FIM scale of children in both groups were significantly higher than those before treatment(all P<0.05),and the effect in the observation group was better than that in the control group(P<0.05).Conclusion Compared with conventional rehabilitation training,music therapy combined with sensory integration training can improve the initiatives of children with cerebral palsy and improve their motor function and independent ability in daily life.

关 键 词：脑性瘫痪 音乐疗法 感觉统合训练 运动功能 

分 类 号：R742.3[医药卫生—神经病学与精神病学] R493[医药卫生—临床医学]