核心稳定性训练联合抗阻运动在促进痉挛型脑瘫患儿运动功能康复中的价值分析  

Value Analysis of Core Stability Training Combined with Resistance Movement in Promoting Motor Function Rehabilitation of Children with Spastic Cerebral Palsy

作　　者：王展[1] WANG Zhan(Department of Rehabilitation,Children's Hospital Affiliated to Shandong University(Jinan Children's Hospital),Jinan 250022,China)

机构地区：[1]山东大学附属儿童医院(济南市儿童医院)康复科,山东济南250022

出　　处：《反射疗法与康复医学》2024年第19期57-60,共4页Reflexology And Rehabilitation Medicine

摘　　要：目的 探讨核心稳定性训练联合抗阻运动在痉挛型脑瘫患儿中的应用价值。方法 选取2022年5月—2024年1月山东大学附属儿童医院收治的92例痉挛型脑瘫患儿为研究对象,按随机数字表法将其分为对照组和观察组,各46例。对照组采用常规康复训练,观察组在对照组基础上采用核心稳定性训练联合抗阻运动,两组均持续训练6个月。对比两组的痉挛程度、粗大运动功能、精细运动功能、平衡能力及日常生活能力。结果 训练后,观察组改良Ashworth痉挛量表等级优于对照组,差异有统计学意义(P<0.05);观察组粗大运动功能评定量表、精细运动功能评定量表评分分别为(72.16±5.39)分、(130.37±16.36)分,均高于对照组的(64.49±5.18)分、(122.54±15.88)分,组间差异有统计学意义(P<0.05);观察组Breg平衡量表、Barthel指数量表评分分别为(35.12±3.24)分、(74.75±5.58)分,均高于对照组的(30.44±3.05)分、(64.62±5.02)分,组间差异有统计学意义(P<0.05)。结论 核心稳定性训练联合抗阻运动应用于痉挛型脑瘫患儿中,有利于降低患儿的肢体痉挛程度,促进其粗大运动功能和精细运动功能恢复,提升其平衡能力及日常生活能力。Objective To explore the application value of core stability training combined with resistance movement in children with spastic cerebral palsy.Methods Ninety-Two children with spastic cerebral palsy treated in Children's Hospital Affiliated to Shandong University from May 2022 to January 2024 were selected as the research objects,and were divided into a control group and an observation group according to random number table method,with 46 cases in each group.The control group received routine rehabilitation training,and the observation group received core stability training combined with resistance movement on the basis of the control group,both groups received continuous training for 6 months.The spasticity degree,gross motor function,fine motor function,balance ability and daily living ability were compared between the two groups.Results After training,the Modified Ashworth Scale in observation group was better than control group,the difference was statistically significant(P<0.05);the scores of Gross Motor Function Measure scale and Fine Motor Function Measure scale in the observation group were(72.16±5.39) points and(130.37±16.36) points,respectively,which were higher than(64.49±5.18) points and(122.54±15.88) points in the control group,the differences between the groups were statistically significant(P<0.05);the Breg Balance Scale and Barthel Index Scores of the observation group were(35.12±3.24) points and(74.75±5.58) points,respectively,which were higher than(30.44±3.05) points and(64.62±5.02) points of the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion The application of core stability training combined with resistance movement in children with spastic cerebral palsy is beneficial to reduce the degree of limb spasm,promote the recovery of gross motor function and fine motor function,and improve their balance ability and daily living ability.

关 键 词：痉挛型脑瘫 抗阻运动 核心稳定性训练 运动功能 日常生活能力 

分 类 号：R742.3[医药卫生—神经病学与精神病学]