生物反馈疗法治疗颅脑损伤患儿肢体功能障碍的临床随机对照研究  

A clinical randomized controlled study on the treatment of limb dysfunction in children with traumatic brain injury using biofeedback therapy

作　　者：刘娟 王栩[1] 周晓强[1] 马倩 岳雷 张晓娟[1] LIU Juan;WANG Xu;ZHOU Xiaoqiang;MA Qian;YUE Lei;ZHANG Xiaojuan(Department of Rehabilitation and Physical Therapy,Hebei Children's Hospital,Shijiazhuang 050031,China)

机构地区：[1]河北省儿童医院康复理疗科,石家庄050031

出　　处：《临床神经外科杂志》2025年第1期6-13,共8页Journal of Clinical Neurosurgery

基　　金：河北省2023年度医学科学研究课题计划项目(20231140)。

摘　　要：目的探讨生物反馈疗法治疗颅脑损伤患儿肢体功能障碍的效果。方法前瞻性选取2022年8月—2024年7月河北省儿童医院收治的62例颅脑损伤伴肢体功能障碍患儿,按1∶1比例随机分为对照组、观察组各31例。对照组采用综合康复疗法,观察组采用生物反馈疗法联合综合康复疗法。比较两组临床疗效、88项粗大运动评分量表(GFMF-88)、上肢运动功能评定量表(FMA-UE)、徒手肌力评定(MMT)、改良Ashworth肌张力评定量表(MAS)、儿童功能独立性评定量表(WeeFIM)、下肢活动度。结果观察组临床疗效有效率93.55%与对照组77.42%比较差异无统计学意义(P>0.05);治疗1、2个疗程后观察组GFMF-88量表D区、E区评分均高于对照组(P<0.05);治疗1、2个疗程后观察组FMA-UE评分高于对照组(P<0.05);治疗1、2个疗程后观察组MMT、WeeFIM评分高于对照组(P<0.05),MAS评分与对照组比较差异无统计学意义(P>0.05);治疗1、2个疗程后观察组股角、腘角高于对照组,足背屈角低于对照组(P<0.05)。结论生物反馈疗法联合综合康复疗法能有效改善颅脑损伤患儿肢体功能,降低肌张力,促进肌力恢复,提高自理能力。Objective To explore the effectiveness of biofeedback therapy in treating limb dysfunction in children with traumatic brain injury.Methods Sixty-two pediatric patients with traumatic brain injury accompanied by limb dysfunction were prospectively selected from August 2022 to July 2024 in Hebei Children's Hospital.They were divided into a control group(31 cases)and an observation group(31 cases)using a computer-generated randomization method at a 1∶1 ratio.The control group received comprehensive rehabilitation therapy,while the observation group received biofeedback therapy combined with comprehensive rehabilitation therapy.The clinical efficacy,88-item gross motor function measure(GFMF-88),Fugl-Meyer assessment of upper extremity(FMA-UE),manual muscle testing(MMT),modified Ashworth muscle tone assessment scale(MAS),Wee function independent measurement(Wee-FIM)and lower limb mobility were compared between the two groups.Results The clinical efficacy rate of the observation group was 93.55%,which was not significantly different from the control group s 77.42%(P>0.05).After 1 or 2 courses of treatment,the scores of D and E areas of GFMF-88 scale in the observation group were higher than those in the control group(P<0.05).After 1 or 2 courses of treatment,the FMA-UE score in the observation group was higher than that in the control group(P<0.05).After 1 or 2 courses of treatment,the MMT and WeeFIM scores in the observation group were higher than those in the control group(P<0.05),while there was no significant difference in MAS scores between the two groups(P>0.05).After 1 or 2 courses of treatment,the femoral angle and popliteal angle in the observation group were higher than those in the control group,while the dorsiflexion angle of the foot was lower than that in the control group(P<0.05).Conclusions Biofeedback therapy combined with comprehensive rehabilitation can effectively improve the limb function of children with traumatic brain injury,reduce muscle tension,promote muscle strength recovery,and improve se

关 键 词：生物反馈 综合康复 颅脑损伤 肢体功能 肌力 肌张力 

分 类 号：R493[医药卫生—康复医学]