| 朱如乔,莫昊风,姜积华,陈小芳,项喜兵.数字OT训练系统对痉挛型偏瘫脑瘫儿童精细运动功能的疗效观察[J].中国康复,2020,35(9):480-483 |
| 数字OT训练系统对痉挛型偏瘫脑瘫儿童精细运动功能的疗效观察 |
| Therapeutic effect of digital OT training system on the fine motor function of children with spastic cerebral palsy |
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| DOI： |
| 中文关键词: 脑瘫 数字OT训练系统 任务导向性训练 精细运动功能 |
| 英文关键词: cerebral palsy digital OT training system task-oriented training fine motor function |
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| 中文摘要: |
| 目的：探讨数字OT训练系统对痉挛型偏瘫脑瘫儿童精细运动功能的疗效。方法：选取痉挛型偏瘫脑瘫儿童40例，将其随机分为观察组与对照组各20例。2组均进行常规康复训练以及上肢任务导向性训练，观察组在此基础上给与数字OT训练系统治疗。治疗前后采用采用精细运动功能量表（FMFM）61项版、Gesell量表中的精细运动发育年龄（DA）、改良Ashworth量表（MAS）以及数字OT训练系统中《运动控制训练报告》中的平均重合度、最快反应时间这两个指标进行评定。结果：治疗8周后，2组患儿FMFM评分、DA值及平均重合度较治疗前比较均明显提高(均P<0.05)，且观察组上述指标均更高于对照组(均P<0.05)，MAS等级程度和最快反应时间较治疗前均明显降低(均P<0.05)，且观察组最快反应时间更低于对照组(P<0.05)，但2组MAS等级程度组间比较差异无统计学意义。结论：数字OT训练系统能有效提高痉挛型偏瘫脑瘫儿童上肢精细运动功能，值得临床推广。 |
| 英文摘要: |
| Objective: To investigate the effect of digital OT training system on the fine motor function of children with spastic hemiplegic cerebral palsy. Methods: Forty children with spastic hemiplegic cerebral palsy were selected and randomly divided into treatment group and control group with 20 cases each. Both groups received routine rehabilitation training and upper limb task oriented training, and the treatment group was given digital OT training system treatment on this basis. Before and after treatment, the 61-item version of the Fine Motor Function Measure Scale (FMFM), the Fine Motor Developmental Age (DA) in the Gesell Scale, the Modified Ashworth Scale (MAS), and the average coincidence degree and fastest response time in the digital OT training system were used for assessment.Results: After 8 weeks of treatment, the FMFM score, DA value, and average coincidence degree in the two groups were significantly higher than those before treatment (all P<0.05), and the above indicators in the treatment group were higher than those in the control group (all P<0.05) , MAS grade level and fastest response time were significantly reduced as compared with those before treatment (both P<0.05), and the fastest response time in the treatment group was shorter than that in the control group (P<0.05). There was no significantly difference in the MAS grade level between the two groups. Conclusions: The digital OT training system can effectively improve the fine motor function of upper limbs in children with spastic cerebral palsy, and it is worthy of clinical promotion. |
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