| 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. |
