MOTOmed虚拟情景训练应用于痉挛型脑瘫患儿效果

沈伶俐; 刘晓鸣; 陈娇; 李玮玮; 乔红丽

doi:10.13898/j.cnki.issn.1000-2200.2020.11.029

MOTOmed虚拟情景训练应用于痉挛型脑瘫患儿效果

Effect of MOTOmed virtual scenario training on children with spastic cerebral palsy

摘要

摘要:
目的探讨MOTOmed虚拟情景训练应用于痉挛型脑瘫患儿中的效果。
方法选取痉挛型脑瘫患儿100例，随机分为观察组和对照组，各50例。对照组给予常规训练，观察组给予MOTOmed虚拟情景训练。比较2组患儿干预前后下肢肌张力、下肢关节活动度及日常活动能力。
结果干预前2组患儿相关指标差异均无统计学意义（P>0.05）。干预3个月后，观察组患儿内收肌、腘绳肌、腓肠肌张力评分均明显低于对照组（P < 0.01），内收肌角和胭窝角均明显大于对照组（P < 0.01），足背屈角与对照组差异无统计学意义（P>0.05），日常活动能力明显优于对照组（P < 0.01）。
结论MOTOmed虚拟情景训练应用于痉挛型脑瘫患儿可有效降低患儿的下肢肌张力，改善其下肢关节活动度，并提高患儿日常活动能力，值得推广。

Abstract:
ObjectiveTo explore the effects of MOTOmed virtual scenario training on children with spastic cerebral palsy.
MethodsOne hundred children with spastic cerebral palsy were randomly divided into the observation group and control group(50 cases each group).The control group received routine training, while the observation group received MOTOmed virtual scenario training.The lower extremity muscle tension, lower extremity joint activity and daily activity ability between the two groups were compared before and after intervention.
ResultsThere was no statistical significance in the related indicators between two groups before intervention(P>0.05).After 3 months of intervention, the scores of adductor, hamstring and gastrocnemius in observation group were lower than those in control group (P < 0.01), the angles of adductor and carmine fossa in observation group were higher than those in control group(P < 0.01), the difference of the dorsal flexion angle of foot between two groups was statistically significant(P>0.05), and the activity ability in observation group was stronger than that in control group(P < 0.01).
ConclusionsThe application of MOTOmed virtual scenario training in children with spastic cerebral palsy can effectively reduce the muscle tension of lower limbs, improve the range of motion of lower limbs joints, and effectively enhance the daily activity of children, which is worthy of promotion.

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