基于ICF-CY架构的多层面康复技术治疗痉挛型双瘫儿童的实践研究  

Practical Study on the Treatment of Spastic Diplegia Children with Multiplayer Rehabilitation Technology Based on ICF-CY Framework

作　　者：兰金 魏冬锋 LAN Jin;WEI Dongfeng(Child Health Department,Zhumadian Central Hospital Women’s and Children’s Hospital,Zhumadian 463000,China)

机构地区：[1]驻马店市中心医院妇女儿童医院儿童保健科,河南驻马店463000

出　　处：《河南医学研究》2024年第3期503-508,共6页Henan Medical Research

摘　　要：目的 探讨基于《国际功能、残疾和健康分类(儿童及青少年版)》(ICF-CY)架构的多层面康复技术治疗痉挛型双瘫儿童的实践作用。方法 回顾性分析2019年5月至2022年7月在驻马店市中心医院妇女儿童医院进行康复治疗的88例痉挛型双瘫儿童的临床资料,根据治疗方式将其分为常规组与ICF组,其中常规组42例儿童接受常规康复治疗,ICF组46例儿童接受基于ICF-CY架构的多层面康复技术治疗,均治疗3个月。对比两组治疗前后粗大运动功能评定量表88项(GMFM-88)中D区与E区评分、Berg平衡量表(BBS)评分、改良Ashworth量表评分,并比较治疗前后踝关节背屈活动度及步态功能(步速、步长、节奏)及脑瘫儿童生活活动能力(ADL)评估量表评分,另比较辅助器具适配、家庭康复指导情况。结果 两组治疗后GMFM-88中D、E区各评分及D+E评分均高于治疗前(P<0.05),ICF组治疗后D、E区各评分及D+E评分均高于常规组(P<0.05);两组治疗后BBS评分均高于治疗前(P<0.05),改良Ashworth量表评分均低于治疗前(P<0.05);ICF组治疗后BBS评分高于常规组(P<0.05),改良Ashworth量表评分低于常规组(P<0.05);两组治疗后主动、被动踝关节背屈活动度及步速、步长、节奏均大于治疗前(P<0.05),ICF组治疗后主动、被动踝关节背屈活动度及步速、步长、节奏均大于常规组(P<0.05);两组治疗后的ADL量表评分均高于治疗前(P<0.05),ICF组治疗后高于常规组(P<0.05);ICF组中辅助器具适配、家庭康复指导占比均高于常规组(P<0.05)。结论 基于ICF-CY架构的多层面康复技术治疗痉挛型双瘫儿童可提升康复效果,促进儿童下肢运动功能、平衡能力、肌张力、步态功能及关节活动度改善,提升其日常生活能力,具有临床应用价值。Objective To explore the practical role of multiplayer rehabilitation technology based on the International Classification of Functioning,Disability and Health for Children and Youth(ICF-CY)in the treatment of children with spastic diplegia.Methods The clinical data of 88 children with spastic diplegia who received rehabilitation treatment in Zhumadian Central Hospital Women’s and Children’s Hospital from May 2019 to July 2022 were analyzed retrospectively,and they were divided into routine group and ICF group according to the treatment mode.Forty-two children in routine group received routine rehabilitation treatment,and 46 children in ICF group were treated with multiplayer rehabilitation technology based on ICF-CY architecture,and all of them were treated for 3 months.The scores of D and E areas in 88 items of gross motor function measure scale(GMFM-88),Berg balance scale(BBS)and modified Ashworth scale were compared between the two groups before and after treatment,and the ankle dorsiflexion activity and gait function(step speed,step length,rhythm)before and after treatment,and the scores of activity of daily living scale(ADL)evaluation scale for children with cerebral palsy were compared.In addition,the matching of assistive devices and family rehabilitation guidance were compared.Results After treatment,the scores of D and E areas and D+E in GMFM-88 in the two groups were higher than those before treatment(P<0.05),and the scores of D and E areas and D+E in the ICF group after treatment were higher than those in the routine group(P<0.05).The BBS scores of the two groups after treatment were higher than those before treatment(P<0.05),but the modified Ashworth scale scores were lower than those before treatment(P<0.05).After treatment,the BBS score of the ICF group was higher than that of the routine group(P<0.05),while the modified Ashworth scale score was lower than that of the routine group(P<0.05).After treatment,the active and passive ankle dorsiflexion range of motion and step speed,step length and r

关 键 词：国际功能、残疾和健康分类 痉挛型双瘫 儿童 粗大运动功能 平衡能力 

分 类 号：R742.3[医药卫生—神经病学与精神病学]