悬吊运动训练对痉挛型脑瘫患儿肌张力和运动功能的影响  

Eff ect of sling exercise training on muscle tone and motor function in children with spastic cerebral palsy

作　　者：王晶 高晶 王冬明[2] 何璐娜 WANG Jing;GAO Jing;WANG Dongming;HE Luna(The Second Clinical Medical College,Xuzhou Medical University,Xuzhou 221004,China;Department of Children's Rehabilitation,Maternal and Child Health Hospital of Huai'an,Huai'an 223002,China)

机构地区：[1]徐州医科大学第二临床医学院,江苏徐州221004 [2]淮安市妇幼保健院儿童康复科,江苏淮安223002

出　　处：《长春中医药大学学报》2024年第9期1015-1018,共4页Journal of Changchun University of Chinese Medicine

基　　金：江苏省卫健委妇幼健康科研项目(F202062)。

摘　　要：目的 分析使用悬吊训练如何影响痉挛型脑瘫患儿肌肉张力和运动功能。方法 以徐州医科大学第二临床医学院在2021年1月-2023年1月接收的60例痉挛型脑瘫患儿为样本,根据不同的治疗方法分为观察组和对照组,各30例。其中对照组进行常规康复训练,观察组在常规康复训练的基础上增加悬吊运动训练,2组均干预3个月。分别在治疗前和治疗后,通过改良Ashworth 痉挛量表评价张力,利用粗大运动功能评估量表(GMFM-88)以及精细运动功能评估量表(FMFM)对患儿的运动功能进行比较;同时日常生活活动能力量表(ADL)评价其生活自理能力。结果 观察组治疗后痉挛程度较对照组降低,GMFM-88、FMFM评分和关节活动度增加,且日常生活活动能力比对照组明显提高,差异有统计学意义(P<0.05)。结论 痉挛型脑瘫患儿通过悬吊运动训练可以减轻痉挛,并提高运动能力。Objective To analyze eff ect of sling exercise training on muscle tone and motor function in children with spastic cerebral palsy.Methods 60 children with spastic cerebral palsy admitted to the Second Clinical Medical College of Xuzhou Medical University from January 2021 to January 2023 were selected as the research subjects and divided into the observation group and the control group according to diff erent treatment methods,with 30 cases in each group.The control group received routine rehabilitation training,and the observation group received sling exercise training on the basis of the treatment of the control group.Both groups were intervened for 3 months.Before and after treatment,muscle tone was evaluated by the modified Ashworth Spasm Scale,and the motor function of the children with this disease was compared by Gross Motor Function Measure-88(GMFM-88)and Fine Motor Function Measure(FMFM);At the same time,the Activities of Daily Living(ADL)scale was used to evaluate self-care ability of these children.Results After treatment,compared with the control group,spasticity degree of the observation group decreased,the scores of GMFM and FMFM increased,range of joint motion increased,and activities of daily living were signifi cantly improved,and there was statistically signifi cant diff erence in the above aspects(P<0.05).Conclusion Sling exercise training can alleviate spasticity and improve motor ability in children with spastic cerebral palsy.

关 键 词：悬吊运动疗法 痉挛型脑瘫 肌张力 运动功能 腓肠肌 

分 类 号：R246[医药卫生—针灸推拿学]