Bobath疗法联合脑电生物反馈治疗脑瘫儿对语言发育障碍和姿势发育异常的影响  

Effect of Bobath Therapy Combined with Electroencephalogram Biofeedback on Language Development Disorder and Postural Dysplasia in Children with Cerebral Palsy

作　　者：周宇航 成慧焱 李欢 张冰洁 Zhou Yu-hang;Cheng Hui-yan;Li Huan;zhang Bing-jie(Department of Child Rehabilitation,Jiaozuo Maternal and Child Health Hospital of Henan Province,Jiaozuo 454000,Henan Province,China)

机构地区：[1]河南省焦作市妇幼保健院儿童康复科,河南焦作454000

出　　处：《罕少疾病杂志》2023年第7期17-19,共3页Journal of Rare and Uncommon Diseases

摘　　要：目的探究Bobath疗法联合脑电生物反馈治疗对脑瘫儿语言发育障碍和姿势发育异常的影响。方法选择2018年5月至2022年5月我院收治的120例脑瘫患儿作为本次研究的对象,依据治疗方式分为联合组(Bobath疗法+脑电生物反馈治疗)和对照组(Bobath疗法),比较并分析两组的姿势控制能力、步行时间和语言发育改善效果。结果治疗前,两组重心摆动长度、运动外周面积、偏移指数和步行时间相比,差异均无统计学意义(P>0.05);治疗后,两组重心摆动长度、运动外周面积、偏移指数和步行时间均较治疗前显著减少,差异均有统计学意义(P<0.05);并且,联合组治疗后这四项指标均显著少于对照组,差异均有统计学意义(P<0.05)。联合组语言发育改善有效率92.0%(58/63)显著优于对照组77.3%(44/57),差异有统计学意义(χ^(2)=9.381,P<0.05)。结论Bobath疗法联合脑电生物反馈治疗能够有效促进脑瘫患儿语言发育,纠正其姿势发育异常,改善其步行能力,值得在临床推广。Objective To investigate the effect of Bobath therapy combined with electroencephalogram biofeedback therapy on language development disorder and postural dysplasia in children with cerebral palsy.Methods A total of 120 children with cerebral palsy admitted to our hospital from May 2018 to May 2022 were selected as the subjects of this study.According to the treatment methods,they were divided into the combined group(Bobath therapy+EEG biofeedback therapy)and the control group(Bobath therapy).Results Before treatment,there were no significant differences in the length of center of gravity swing,movement peripheral area,migration index and walking time between the two groups(P>0.05).After treatment,the center of gravity swing length,movement peripheral area,migration index and walking time of the two groups were significantly reduced compared with those before treatment,and the differences were statistically significant(P<0.05).In addition,the four indexes in the combined group were significantly less than those in the control group after treatment,and the differences were statistically significant(P<0.05).The effective rate of language development improvement in the combined group was 92.0%(58/63),which was significantly higher than that in the control group(77.3%,44/57),and the difference was statistically significant(χ^(2)=9.381,P<0.05).Conclusion Bobath therapy combined with electroencephalogram biofeedback therapy can effectively promote the language development of children with cerebral palsy,correct their postural dysplasia and improve their walking ability,which is worthy of clinical promotion.

关 键 词：脑电生物反馈 BOBATH疗法 脑瘫 语言发育 姿势发育 

分 类 号：R742.3[医药卫生—神经病学与精神病学]