儿童悬吊训练联合Biodex平衡训练对小儿痉挛型脑瘫躯干控制能力及平衡功能的作用分析

    Analysis of the effect of suspension exercise training in children combined with Biodex balance training on the trunk control ability and balance function of children with spastic cerebral palsy

    • 摘要:
      目的: 探讨儿童悬吊训练(S-E-T)联合Biodex平衡训练对痉挛型脑瘫患儿躯干控制能力、平衡功能的影响。
      方法: 选取痉挛型脑瘫患儿78例,随机分为观察组核对照组,各39例。对照组采取Biodex平衡训练,观察组采取儿童S-E-T联合Biodex平衡训练。比较2组干预前后患侧肌张力、躯干控制能力、表面肌电、功能康复指标,及干预后患儿家属对康复效果的满意度。
      结果: 干预3个月、6个月后,2组患侧腕屈肌、肘屈肌改良Ashworth痉挛量表评分均较干预前降低(P < 0.05),且观察组明显低于对照组(P < 0.01);2组躯干前后标准差、躯干总标准差、躯干左右标准差均低于干预前(P < 0.05),且观察组明显低于对照组(P < 0.01);2组腓肠肌、内收肌的表面肌电均方根值、积分肌电值均低于干预前(P < 0.05),且观察组明显低于对照组(P < 0.01);2组粗大运动功能测试量表-88、功能性Berg平衡量表、日常生活活动能力评分均高于干预前(P < 0.05),且观察组明显高于对照组(P < 0.01)。观察组家属对康复效果的满意度高于对照组(P < 0.05)。
      结论: 儿童S-E-T联合Biodex平衡训练可提高痉挛型脑瘫患儿躯干控制能力、粗大运动功能、平衡功能及日常生活活动能力等,增强家属对康复效果的满意度。

       

      Abstract:
      Objective To investigate the effect of suspension exercise training (S-E-T) in children combined with Biodex balance training on the trunk control ability and balance function of children with spastic cerebral palsy.
      Methods A total of 78 children with spastic cerebral palsy were selected and randomly divided into observation group and control group, with 39 cases in each group. The control group received Biodex balance training, while the observation group received S-E-T in children combined with Biodex balance training. The muscle tone of the affected side, trunk control ability, surface electromyography, functional rehabilitation indicators before and after intervention, and satisfaction of patients' family with the rehabilitation effect after intervention in two groups were compared.
      Results After 3 and 6 months of intervention, the scores of modified Ashworth scale of the wrist flexor and elbow flexor muscles in the affected sides in the two groups decreased compared to before intervention (P < 0.05), and which in the observation group were significantly lower than those in the control group (P < 0.01); the standard deviation of the front and back trunk, total standard deviation of the trunk, and left and right standard deviation of the trunk in the two groups were lower than before the intervention (P < 0.05), and which in the observation group were significantly lower than those in the control group (P < 0.01); the root mean square value of surface electromyography and integral electromyography values of the gastrocnemius and adductor muscles in the two groups were lower than before intervention (P < 0.05), and which in the observation group were significantly lower than those in the control group (P < 0.01); the scores of gross motor function measure-88 scale (GMFM-88), functional Berg balance scale, and activity of daily living in the two groups were higher than before the intervention (P < 0.05), and which in the observation group were significantly higher than those in the control group (P < 0.01). The satisfaction of patients' family with the rehabilitation effect in the observation was higher than that in the control group (P < 0.05).
      Conclusions S-E-T in children combined with Biodex balance training can improve the trunk control ability, gross motor function, balance function, and activity of daily living in children with spastic cerebral palsy, and enhance the satisfaction of patients' family with the rehabilitation effect.

       

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