Bobath疗法联合悬吊技术对脑瘫患儿康复的影响  

Effect of Bobath Therapy Combined with Suspension Technique on the Rehabilitation of Children with Cerebral Palsy

作　　者：赵静[1] 刘盾 廖茂琳 罗红艳[1] ZHAO Jing;LIU Dun;LIAO Maolin;LUO Hongyan(Dept.of Child Health Care,Zigong Maternal and Child Health Hospital,Zigong Sichuan 643000;Dept.of Rehabilitation Medicine,The 4th People’s Hospital of Zigong,Zigong Sichuan 643000,China)

机构地区：[1]自贡市妇幼保健院儿童保健科,四川自贡643000 [2]自贡市第四人民医院康复医学科,四川自贡643000

出　　处：《昆明医科大学学报》2024年第7期132-139,共8页Journal of Kunming Medical University

基　　金：四川省医学(青年创新)科研项目(Q21302)。

摘　　要：目的从小腿骨骼肌发育、粗大运动功能、肢体平衡能力方面探究Bobath疗法联合悬吊技术在脑瘫患儿康复治疗中应用价值。方法选取2021年3月至2023年3月自贡市妇幼保健院98例脑瘫患儿,按照1∶1对照原则,采用随机数字表法分为对照组(n=49例)、研究组(n=49例)。对照组采用Bobath疗法治疗,研究组采用Bobath疗法联合悬吊技术治疗,治疗3个月。比较2组治疗效果及治疗前、治疗第1个月、3个月粗大运动功能测试量表(GMFM-88)、小腿骨骼肌发育[胫前肌、内侧腓肠肌、比目鱼肌肌肉厚度(MT)、肌束长度(FL)]、Berg平衡量表(BBS)、脑动脉血流量[大脑前动脉(ACA)、中动脉(MCA)及后动脉(PCA)平均血流速度(Vm)]、脑瘫患儿日常生活能力评价表(ADL)、改良Ashworth痉挛量表(MAS)。结果研究组治疗总有效率89.80%高于对照组73.47%(P<0.05);治疗第1个月、3个月,2组胫前肌、内侧腓肠肌、比目鱼肌MT、FL大于治疗前,且研究组大于对照组(P<0.05);治疗第1个月、3个月,2组GMFM-88、BBS、ADL评分高于治疗前,且研究组高于对照组(P<0.05);治疗第1个月、3个月,2组ACA、MCA、PCA的Vm高于治疗前,且研究组高于对照组(P<0.05);治疗第1个月、3个月,研究组F波波幅低于对照组,F波刺激阈值高于对照组(P<0.05);治疗第1个月、3个月,2组MAS评分低于治疗前,且研究组低于对照组(P<0.05)。结论Bobath疗法联合悬吊技术治疗脑瘫患儿的效果确切,可促进小腿骨骼肌发育、粗大运动功能恢复,提高平衡能力,改善脑动脉血流量。Objective To explore the application value of Bobath therapy combined with the suspension technique in the rehabilitation treatment of children with cerebral palsy from the aspects of skeletal muscle development,gross motor function and limb balance.Methods A total of 98 children with cerebral palsy in Zigong Maternal and Child Health Hospital were selected from March 2021 to March 2023.According to the 1∶1 control principle,they were randomly divided into a control group and a study group using a computer random number table method,with 49 cases in each group.The control group was treated with Bobath therapy,and the study group was treated with Bobath therapy combined with suspension technology for 3 months.The therapeutic effects of the two groups were compared,as well as the gross motor function measurement scale(GMFM-88),leg skeletal muscle development[thickness of the anterior tibial muscle,medial gastrocnemius muscle,and soleus muscle(MT),muscle bundle length(FL)],Berg balance scale(BBS),cerebral artery blood flow[Mean blood flow velocity(Vm)in the anterior cerebral artery(ACA),middle cerebral artery(MCA)and posterior cerebral artery(PCA)],Fwave amplitude and stimulation threshold,daily living ability evaluation scale for children with cerebral palsy(ADL),and modified Ashworth spasticity scale(MAS)before treatment,at 1 month and 3 months after treatment.Results The total effective rate of the study group was 89.80%higher than that of the control group 73.47%(P<0.05).At the 1st and 3rd month of treatment,MT and FL of the anterior tibial muscle,medial gastrocnemius muscle and soleus muscle in 2 groups were higher than before treatment,and the study group was higher than the control group(P<0.05).At the 1st and 3rd month of treatment,GMFM-88,BBS and ADL scores in 2 groups were higher than before treatment,and those in study group were higher than those in control group(P<0.05).At the first and third month of treatment,Vm of ACA,MCA and PCA in 2 groups was higher than before treatment,and that in study group

关 键 词：脑瘫 悬吊技术 BOBATH疗法 小腿骨骼肌发育 粗大运动功能 肢体平衡能力 

分 类 号：R246.6[医药卫生—针灸推拿学] R742.3[医药卫生—中医临床基础]