情景式运动训练联合感觉运动统合训练在痉挛性脑瘫患儿康复中的应用效果  

Application of situational exercise training combined with sensory-motor integration training in rehabilitation of spastic cerebral palsy in children

作　　者：李小歌 袁俊英 张利红 王倩 Li Xiaoge;Yuan Junying;Zhang Lihong;Wang Qian(Department of Child Rehabilitation,the Third Affiliated Hospital of Zhengzhou University,Maternal and Child Health Hospital of Henan Province,Zhengzhou 450000,China)

机构地区：[1]郑州大学第三附属医院河南省妇幼保健院儿童康复科,郑州450000

出　　处：《中国实用医刊》2023年第13期76-79,共4页Chinese Journal of Practical Medicine

摘　　要：目的探讨情景式运动训练联合感觉运动统合训练在痉挛性脑瘫(SCP)患儿康复中的应用效果。方法抽取2019年10月至2022年8月郑州大学第三附属医院收治的82例SCP患儿作为研究对象,根据随机数字表法分为对照组与观察组,每组41例。两组均给予常规康复治疗干预,对照组同时给予感觉运动统合训练,观察组给予情景式运动训练联合感觉运动统合训练,两组均干预12周。比较两组干预前、干预12周后的粗大肢体运动功能[粗大运动功能测试量表(GMFM)评分]、平衡能力[Berg平衡量表(BBS)评分]、步行能力、日常生活能力[Barthel指数评定量表(BI)评分]及社会适应能力[婴儿-初中学生社会生活能力量表(S-M)评分]。结果干预前,两组粗大肢体运动功能、平衡能力、步行能力、日常生活能力、社会适应能力比较差异均未见统计学意义(P均>0.05)。干预12周后,两组粗大运动功能量表中A、B、C、D、E区评分均较干预前升高,且观察组大于对照组(P<0.05);两组BBS评分、BI评分、S-M评分均较干预前升高,且观察组大于对照组(P<0.05);观察组步行足长、步行步速大于对照组,步行步宽小于对照组(P<0.05)。结论情景式运动训练联合感觉运动统合训练应用于SCP患儿康复治疗中,能进一步改善患儿的运动功能,提高患儿的平衡能力及步行能力,增强患儿日常生活能力及社会适应能力。ObjectiveTo investigate the application effect of situational exercise training combined with sensory-motor integration training in the rehabilitation of children with spastic cerebral palsy(SCP).MethodsA total of 82 children with SCP admitted to the Third Affiliated Hospital of Zhengzhou University from October 2019 to August 2022 were selected as the study subjects,and they were divided into control group and observation group by random number table method,with 41 cases in each group.Both groups were given conventional rehabilitation intervention,while the control group received situational exercise training,and the observation group received situational exercise training combined with sensory-motor integration training;both groups were treated for 12 weeks.The gross motor function assessed by gross motor function measure(GMFM)score,balance ability assessed by Berg balance scale(BBS)score,walking ability,daily living ability assessed by Barthel index(BI)score and social adaptation ability assessed by social life skills scale for infants and middle school students(S-M)score before and after 12 weeks of intervention were compared between the two groups.ResultsBefore intervention,there was no significant difference in gross motor function,balance ability,walking ability,daily living ability and social adaptation ability between the two groups(all P>0.05).After 12 weeks of intervention,the scores of zone A,B,C,D,and E of GMFM in the two groups increased,compared with these scores before intervention,and these scores in the observation group were higher than those in the control group(P<0.05);the BBS score,BI score and S-M score of the two groups increased,compared with these scores before intervention,and the observation group had higher scores than the control group(P<0.05);the walking foot length and walking speed of the observation group were greater than those of the control group,while the walking step width was smaller than that of the control group(P<0.05).ConclusionsThe application of situational exercise t

关 键 词：大脑性瘫痪 感觉运动统合训练 情景式运动训练 

分 类 号：R742.3[医药卫生—神经病学与精神病学]