基于悬吊运动系统的躯干控制性训练联合有氧训练在痉挛型脑瘫患儿中的应用观察  

Observation on the Application of Trunk Control Training Based on Suspension Motion System Combined with Aerobic Training in Children with Spasticity Cerebral Palsy

作　　者：肖静 XIAO Jing(Department of Children's Neurological Rehabilitation,Maternity&Child Care Center of Xinyu,Xinyu 338000,China)

机构地区：[1]新余市妇幼保健院儿童神经康复科,江西新余338000

出　　处：《中国医学创新》2024年第13期74-78,共5页Medical Innovation of China

摘　　要：目的:探讨基于悬吊运动系统的躯干控制性训练联合有氧训练在痉挛型脑瘫患儿中的应用效果。方法:选取新余市妇幼保健院2020年6月—2022年6月收治的痉挛型脑瘫患儿92例,按照随机数字表法将患儿分为试验组与对照组,各46例。干预期间试验组和对照组各脱落2例患儿,最终两组各有44例患儿进入本次研究。给予对照组患儿有氧训练干预,试验组在对照组基础上采用基于悬吊运动系统的躯干控制性训练,两组均干预6个月。比较两组干预前后粗大运动功能[粗大运动功能测试(CMFM-88)评分]、平衡功能[儿童平衡量表(PBS)评分],通过测量表面肌电信号方均根值(RMS)评价肌张力。结果:干预后,两组CMFM-88中A区、B区、C区、D区、E区评分均升高,且试验组均高于对照组,差异均有统计学意义(P<0.05)。干预后,两组肱二头肌、大收肌与腓肠肌RMS均降低,且试验组均低于对照组,差异均有统计学意义(P<0.05)。干预后,两组PBS评分均升高,且试验组高于对照组,差异均有统计学意义(P<0.05)。结论:基于悬吊运动系统的躯干控制性训练联合有氧训练可降低痉挛型脑瘫患儿肌张力,改善运动功能和平衡功能。Objective:To explore the application effect of trunk control training based on suspension motion system combined with aerobic training in children with spasticity cerebral palsy.Method:A total of 92 children with spasticity cerebral palsy admitted to Maternity&Child Care Center of Xinyu from June 2020 to June 2022 were selected and divided into experimental group and control group according to random number table method,with 46 cases in each group.Two children were excluded from each of the experimental group and control group during the intervention period,resulting in 44 children in each of the two groups entering this study.Children in the control group were given aerobic training intervention,and the experimental group was given trunk control training based on suspension motion system on the basis of the control group.Both groups were given intervention for 6 months.Gross motor function[gross motor function measure-88(CMFM-88)score]and balance function[pediatric balance scale(PBS)score]were compared between the two groups before and after intervention,and the muscle tone was evaluated by surface electromyographic signal root-mean-square value(RMS).Result:After the intervention,the scores of area A,B,C,D and E of CMFM-88 in the two groups all increased,and those in the experimental group were higher than those in the control group,the differences were statistically significant(P<0.05).After intervention,the RMS of the biceps brachii,adductor magnus,and gastrocnemius muscles decreased in both groups,and those in the experimental group were lower than those in the control group,the differences were statistically significant(P<0.05).After intervention,PBS scores of both groups were increased,and that in the experimental group was higher than that in the control group,the differences were statistically significant(P<0.05).Conclusion:Trunk control training based on suspension motion system combined with aerobic training can reduce muscle tone and improve motor function and balance function in children with spastici

关 键 词：痉挛型脑瘫 悬吊运动 躯干控制 有氧训练 运动功能 平衡功能 

分 类 号：R742.3[医药卫生—神经病学与精神病学] R493[医药卫生—临床医学]