| 王疆娜,杨敬暖,毛敏,宋祺鹏,张翠,田雪文,孙威.平衡训练干预对痉挛型脑瘫儿童立位平衡控制能力的影响[J].中国康复,2020,35(2):87-90 |
| 平衡训练干预对痉挛型脑瘫儿童立位平衡控制能力的影响 |
| Effects of 16-week balance training on standing balance ability in children with cerebral palsy |
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| DOI： |
| 中文关键词: 平衡训练 脑瘫儿童 姿势控制 |
| 英文关键词: balance training children with cerebral palsy postural control |
| 基金项目:教育部人文社会科学研究青年基金项目（特殊教育学校中脑瘫儿童运动功能训练与精准体育教学的整合研究，19YJC880083），山东省重点研发计划（脑瘫儿童步态运动功能障碍的精准量化评估关键技术研究，2019GSF108211；优秀运动员常见运动损伤的生物力学技术诊断及康复研究，2017G006043） |
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| 中文摘要: |
| 目的：探讨16周平衡训练干预对提高痉挛型脑瘫儿童身体站立位平衡控制能力的作用。方法：选取50名7～12岁粗大功能Ⅰ级的痉挛型脑瘫儿童，并随机分为观察组和对照组各25例。2组均给予常规康复训练，观察组在此基础上接受16周的平衡训练。受试者在干预前和干预后分别接受Berg平衡量表（BBS）、静态平衡及动态平衡测试。结果：治疗16周后，2组BBS评分均明显高于干预前（P<0.05）；静态平衡测试在睁眼（DLO）与闭眼状态（DLC）下足底压力中心在左右方向最大动摇径（Dx）、前后方向最大动摇径（Dy）、移动总路程（Lng）和包络面积（Area）干预后值显著低于干预前（P<0.05）；动态平衡测试干预后得分显著高于干预前（P<0.05）、最大旋转角速度（MRS）、平均旋转角速度（ARS）显著小于干预前（P<0.05）。组间平衡能力比较，干预后观察组和对照组Berg平衡量表得分无显著性差异；干预后观察组Dx DLO、Dx DLC、Dy DLO、Dy DLC、Lng DLO、Area DLO显著小于对照组（P<0.05）；干预后观察组动态平衡得分显著高于对照组（P<0.05），ARS及MRS显著低于对照组（P<0.05）。结论：16周的平衡仪和常规康复训练干预均可以有效地提高脑瘫儿童身体平衡控制能力，降低跌倒的风险；相比于常规康复训练，平衡仪训练改善静态及动态站立平衡能力效果更好。 |
| 英文摘要: |
| Objective: To investigate the effects of 16 week balance intervention training on standing balance control ability in cerebral palsy children. Methods: Fifty participants with gross motor functional dysfunction level Ⅰ aged 7-12 years old were recruited and randomly divided into observation group (n=25) and control group (n=25). Both groups were given the regular training, and observation group was subjected to 16-week balance training additionally. The Berg balance scale, and static and dynamic balance ability tests were performed before and after intervention, respectively. Results: After 16 week treatment, compared with pre-intervention, there were significant differences in the functional Berg balance scores, and static balance and dynamic balance ability variables in both groups before and 16 weeks after interventions (P<0.05). After interventions, there was significant difference between observation group and control group in the maximal sway displacement of center of pressure (CoP) in anterior-posterior direction/medial-lateral direction with eyes open and closed condition, length and envelope area of CoP with eyes open (P<0.05), dynamic balance score, max rotation speed and average rotation speed (P<0.05). Conclusion: Both 16-week balance training and regular rehabilitations could improve the balance control ability and reduce the falling risk in cerebral palsy children. Compared with the regular rehabilitation, the balance training can improve the static and dynamic standing balance ability more effectively. |
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