任务导向性治疗对痉挛型脑性瘫痪儿童下肢协调能力及平衡的影响  

The effect of task-oriented therapy on the coordination and balance of lower limbs in children with spastic cerebral palsy

作　　者：李妍[1] 李龙[1] 岳晓妍[1] 苏昕 李静芳 Li Yan;Li Long;Yue Xiao-yan;Su Xin;Li Jing-fang(Department of Neurosurgery,The First Hospital of China Medical University,Shenyang,Liaoning 110000,China;Department of Pediatrics,The First Hospital of China Medical University,Shenyang,Liaoning 110000,China;Operating Theatre,The First Hospital of China Medical University,Shenyang,Liaoning 110000,China)

机构地区：[1]中国医科大学附属第一医院神经外科,辽宁沈阳110000 [2]中国医科大学附属第一医院儿科,辽宁沈阳110000 [3]中国医科大学附属第一医院手术室,辽宁沈阳110000

出　　处：《中国现代医学杂志》2023年第23期38-41,共4页China Journal of Modern Medicine

基　　金：辽宁省高等学校基本科研项目(No:LQNR201709)。

摘　　要：目的分析儿童痉挛型脑性瘫痪的疾病特点,评价任务导向性治疗对患儿下肢协调能力、平衡性能的影响。方法选取2019年2月—2020年1月在中国医科大学附属第一医院诊治的86例痉挛型脑性瘫痪患儿,按1∶1比例法分为对照组和研究组,每组43例。对照组患儿采取常规康复训练,研究组患儿采取常规康复训练+任务导向性治疗。比较两组患儿的临床疗效,步态指标(10 m最快步行时间、跨步步行、患侧-健侧步行差),智力、独立性、肢体运动功能、平衡性评分。结果经不同治疗后,研究组临床总有效率高于对照组(P<0.05);研究组步态指标优于对照组(P<0.05);研究组的智力、独立性、肢体运动功能、平衡性评分均优于对照组(P<0.05)。结论康复训练中实施任务导向性训练对改善痉挛型脑性瘫痪患儿的步态、智力、独立性、肢体运动功能、平衡性等方面具有显著效果,具有推广价值。Objective Too analyze the disease characteristics of spastic cerebral palsy in children and evaluate the impact of task-oriented therapy on the coordination and balance performance of the lower limbs in these children.Methods A total of 86 children with spastic cerebral palsy treated at the First Affiliated Hospital of China Medical University from February 2019 to January 2020 were selected.They were divided into a control group and a study group in a 1:1 ratio,with 43 cases in each group.The control group received routine rehabilitation training,while the study group received routine rehabilitation training plus task-oriented therapy.The clinical efficacy,gait indicators(10-meter fastest walking time,stride walking,affected side-unaffected side walking difference),intelligence,independence,limb motor function,and balance scores were compared between the two groups.Results After different treatments,the total clinical effective rate in the study group was higher than that in the control group(P<0.05).Gait indicators in the study group were better than those in the control group(P<0.05).The intelligence,independence,limb motor function,and balance scores in the study group were all superior to those in the control group(P<0.05).Conclusion Implementing task-oriented training in rehabilitation has a significant effect on improving gait,intelligence,independence,limb motor function,and balance in children with spastic cerebral palsy,showing promising potential for wider application.

关 键 词：痉挛型脑性瘫痪 任务导向性治疗 步态 智力 独立性 肢体运动功能 平衡性 

分 类 号：R742.3[医药卫生—神经病学与精神病学]