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.