核心肌群训练联合悬吊运动疗法干预对痉挛型脑瘫患儿肌张力及粗大运动功能的影响  

Effect of Core Muscle Group Training Combined with Suspended Movement Therapy Intervention on Muscle Tone and Gross Motor Function in Children with Spastic Cerebral Palsy

作　　者：王静 WANG Jing(Department of Rehabilitation,Xuzhou Jiawang District People's Hospital,Xuzhou 221011,China)

机构地区：[1]徐州市贾汪区人民医院康复科,江苏徐州221011

出　　处：《反射疗法与康复医学》2024年第24期61-64,共4页Reflexology And Rehabilitation Medicine

摘　　要：目的探讨核心肌群训练联合悬吊运动疗法对痉挛型脑瘫(CP)患儿的影响。方法选取2022年1月—2024年1月徐州市贾汪区人民医院收治的86例痉挛型CP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,每组43例。对照组采用常规康复训练干预,观察组采用核心肌群训练联合悬吊运动疗法干预,两组患儿均持续干预3个月。对比两组的肌张力、粗大运动功能、平衡能力、日常生活能力。结果干预后,观察组比目鱼肌、腓肠肌、内收肌的改良Ashworth量表评分均低于对照组,组间差异有统计学意义(P<0.05);观察组粗大运动功能评估量表中的A区、B区、C区、D区、E区评分均高于对照组,组间差异有统计学意义(P<0.05);观察组Berg平衡量表、日常生活活动能力量表评分分别为(36.83±4.14)分、(72.62±6.94)分,均高于对照组的(31.48±3.42)分、(63.59±7.11)分,组间差异有统计学意义(P<0.05)。结论核心肌群训练联合悬吊运动疗法可降低痉挛型CP患儿肌张力,提高粗大运动功能及平衡能力,且可增强患儿日常生活能力。Objective Explore the impact of core muscle group training combined with suspension movement therapy on children with spastic cerebral palsy(CP).Methods Eighty-Six children with spastic cerebral palsy(CP)admitted to Xuzhou Jiawang District People's Hospital from January 2022 to January 2024 were selected as the research subjects,they were divided into a control group and an observation group according to the random number table method,with 43 cases in each group.The control group was intervened with conventional rehabilitation training,while the observation group was intervened with core muscle group training combined with suspended movement therapy,both groups were continuously intervened for 3 months.The muscle tone,gross motor function,balance ability,and activities of daily living of the two groups were compared.Results After the intervention,the scores of the modified Ashworth scale for the soleus muscle,gastrocnemius muscle,and adductor muscle in the observation group were all lower than those in the control group,and the differences between the groups were statistically significant(P<0.05);the scores in area A,area B,area C,area D,and area E of the Gross Motor Function Measure Scale in the observation group were all higher than those in the control group,and the differences between the groups were statistically significant(P<0.05);the scores of the Berg Balance Scale and the Activity of Daily Living Scale in the observation group were(36.83±4.14)points and(72.62±6.94)points,respectively,which were higher than(31.48±3.42)points and(63.59±7.11)points in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Core muscle group training combined with suspended movement therapy can reduce the muscle tone of children with spastic CP,improve their gross motor function and balance ability,and enhance their activities of daily living.

关 键 词：痉挛型脑瘫 悬吊运动疗法 核心肌群训练 肌张力 粗大运动功能 平衡能力 

分 类 号：R742.3[医药卫生—神经病学与精神病学]