气动式手康复设备对痉挛型偏瘫脑性瘫痪儿童手功能的效果  

Application of pneumatic hand rehabilitation equipment in rehabilitation of hand function in children with spastic hemiplegia cerebral palsy

作　　者：顾秋燕 倪钰飞[1] 葛晓云[1] 王飞英[1] 陆梅娟 徐小晶 GU Qiuyan;NI Yufei;GE Xiaoyun;WANG Feiying;LU Meijuan;XU Xiaojing(Maternity and Child Health Care Hospital of Nantong University,Nantong,Jiangsu 226018,China;Hong Kong Polytechnic University,Kowloon,Hongkong 999077,China)

机构地区：[1]南通大学附属妇幼保健院,江苏南通市226018 [2]香港理工大学,中国香港九龙999077

出　　处：《中国康复理论与实践》2023年第1期93-97,共5页Chinese Journal of Rehabilitation Theory and Practice

基　　金：南通市卫生健康委员会面上项目(No.MB2020041);南通市科技局指导性项目(No.MSZ19072)。

摘　　要：目的将气动式手康复设备应用于痉挛型偏瘫脑瘫患儿手功能综合康复训练并观察疗效。方法2020年1月至2021年9月,南通大学附属妇幼保健院儿童康复医学中心就诊的痉挛型偏瘫脑瘫患儿58例随机分为对照组和试验组各29例。两组均行常规综合康复训练,试验组增加气动式手康复设备训练,共6个月。训练前后,采用Peabody精细运动发育量表(PDMS-FM)、精细运动评定量表(FMFM)和儿童功能独立性评定量表(Wee-FIM)进行评定。结果训练后,两组PDMS-FM、FMFM和Wee-FIM评分均显著改善(|t|>16.310,P<0.001);试验组各项评分均明显高于对照组(t>2.795,P<0.01)。结论气动式手康复设备能有效提高综合康复训练对痉挛型偏瘫脑瘫患儿手功能的训练效果。Objective To apply pneumatic hand rehabilitation equipment in comprehensive rehabilitation training to improve hand function in children with spastic hemiplegic cerebral palsy.Methods From Januray,2020 to September,2021,58 children with spastic hemiplegia cerebral palsy in Maternity and Child Health Care Hospital of Nantong University were randomly divided into control group(n=29)and experimental group(n=29).Both groups accepted comprehensive rehabilitation training,while the experimental group accepted pneumatic hand rehabilitation equipment training in addition,for six months.They were assessed with Peabody Developmental Motor Scales-Fine Motor(PDMS-FM),Fine Motor Function Measurement(FMFM)and Wee-Function Independence Measure(Wee-FIM)before and after training.Results The scores of PDMS-FM,FMFM and Wee-FIM improved in both groups after training(|t|>16.310,P<0.001),and improved more in the experimental group than in the control group(t>2.795,P<0.01).Conclusion Application of pneumatic hand rehabilitation equipment in comprehensive rehabilitation training can effectively promote the recovery of hand function for children with spastic hemiplegic cerebral palsy.

关 键 词：脑性瘫痪 气动式手康复设备 精细运动 手 

分 类 号：R742.3[医药卫生—神经病学与精神病学]