文章摘要
吴德萍,刘智程,赵凯,吴德.辅助坐站转移训练对重度脑瘫儿童运动功能的影响[J].中国康复,2024,39(5):280-285
辅助坐站转移训练对重度脑瘫儿童运动功能的影响
The effects of assisted sit-stand transfer training on motor function in children with severe cerebral palsy
  
DOI:
中文关键词: 脑性瘫痪  辅助坐站转移训练  目标导向性训练  运动功能
英文关键词: cerebral palsy  assisted sitting and standing transfer training  goal directed training  motor function
基金项目:国家自然科学基金资助项目(81472167)
作者单位
吴德萍 安徽医科大学第一附属医院儿科小儿神经康复中心合肥 230022 
刘智程 安徽医科大学第一附属医院儿科小儿神经康复中心合肥 230022 
赵凯 安徽医科大学第一附属医院康复医学科合肥 230022 
吴德 安徽医科大学第一附属医院儿科小儿神经康复中心合肥 230022 
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中文摘要:
  目的:探讨辅助坐站转移训练对重度脑性瘫痪儿童运动功能的影响,为改善重度脑瘫儿童的运动功能提供临床依据。方法:纳入重度脑瘫儿童30例,按照随机数字表法分为研究组和对照组,每组15例。对照组采用目标导向性训练 (GDT),研究组在GDT的基础上加用辅助坐站转移训练。治疗前及治疗1个月、3个月时对2组儿童进行粗大运动功能量表88项评估(GMFM-88)中的仰卧位与俯卧位(A区)和坐位(B区)、精细功能评估(FMFM)中视觉追踪(A区)和上肢关节活动(B区)和坐位能力(LSS)进行评估;比较2组儿童治疗前及治疗1个月、3个月后GMFM-88(A区与B区)、FMFM(A区与B区)及LSS评分的差异性。结果:2组患儿GMFM-A区、GMFM-B区、FMFM-A区、FMFM-B区及LSS评分结果显示组别与时间存在交互作用(F=158.406、326.724、462.387、698.547、177.029,均P<0.01)。治疗1个月及3个月后,2组的GMFM-A区、GMFM- B区、FMFM-A区、FMFM-B区及LSS评分均高于治疗前评分(P<0.05)。治疗1个月后,研究组LSS评分高于对照组(P<0.05);2照组在GMFM-88中A区与B区评分和FMFM中A区与B区评分的差异均无统计学意义。治疗3个月后,研究组的各项评分均高于对照组(P<0.05)。结论:辅助坐站转移训练可以提高重度脑性瘫痪儿童的粗大运动功能、坐位能力及精细运动功能。
英文摘要:
  Objective: To explore the effect of assisted sitting and standing transfer training on motor function in children with severe cerebral palsy, and to provide clinical basis for improving motor function in children with severe cerebral palsy. Methods: In a randomized controlled clinical trial, 30 children with severe cerebral palsy were randomly divided into study group and control group, with 15 cases in each group. The control group was treated with goal directed training (GDT) and the study group was treated with assisted site-station transfer training on the basis of goal directed training. Before treatment, 1 month and 3 months after treatment, the children of the two groups were evaluated by supine and prone position (area A) and sitting position (area B) of 88 items of the gross motor function measure (GMFM-88), visual tracking (area A) and upper limb joint activity (area B) of fine motor function measure (FMFM) and level of sitting scale (LSS). Results: There was a significant interaction between groups and time on GMFM-A, GMFM-B, FMFM-A, FMFM-B and LSS scores (F=158.406,326.724,462.387,698.547,177.029,P<0.01). After 1 month and 3 months of treatment, the scores of GMFM-A, GMFM-B, FMFM-A, FMFM-B and LSS in 2 groups were respectively higher than those before treatment (P<0.05). After 1 month of treatment, LSS score in the study group was higher than that in the control group, and the difference was significant (P<0.05). There was no significant difference in GMFM-88 area A and B score and FMFM area A and B score between the study group and the control group, whereas after 3 months of treatment, the scores of the study group were significantly higher than those of the control group (P<0.05). Conclusion: Assisted sitting and standing transfer training can improve gross motor function, sitting ability and fine motor function in children with severe cerebral palsy.
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