感觉统合训练对高危儿粗大运动功能发育的影响
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摘要
目的:探讨感觉统合训练在高危儿早期干预中对于粗大运动功能的影响。方法:收集进行早期干预的高危儿55例,随机分为观察组28例和对照组27例。观察组接受早期感觉统合训练和常规康复,对照组接受常规康复。治疗前和治疗3个月后,分别采用Alberta婴儿运动量表(AIMS)进行评估。结果:治疗3个月后,2组俯卧位、仰卧位、坐位、立位AIMS评分及总分均较治疗前显著提高(P<0.01),且观察组俯卧位、仰卧位评分及总分均高于对照组(P<0.05)。治疗后2组的坐位、立位AIMS评分比较差异无统计学意义。治疗后,2组AIMS百分位数水平较治疗前均明显提高(P<0.05),观察组明显高于对照组(P<0.05)。结论:经过早期感觉统合治疗,观察组的粗大运动发育水平在俯卧位、仰卧位及总体水平上较对照组有显著性意义上的进步;早期感觉统合训练对高危儿粗大运动功能的提高有明显效果。
Objective:To observe the effect of the sensory integration training on gross motor development of high risk infants.Methods:Fifty-five inpatient or outpatient high risk infants from July 2015 to July 2016 were randomly divided into observation group(n=28)and control group(n=27).The observation group received sensory integration training and routine rehabilitation training,and the control group received routine rehabilitation only.The Alberta infant motor scale(AIMS)was performed before and 3 months after treatment.Results:The AIMS in the prone,supine,sitting and standing positions was improved in both two groups after treatment(P<0.01).The observation group scored higher in prone,supine positions and in total(P<0.05),but in sitting and standing positions,no significant difference was found between the two groups after treatment.The percentile level of AIMS had significant difference between the two groups.Conclusion:After the early sensory integration training,there was significant progress on gross motor development level of observation group in the prone position,supine position and overall level as compared with the control group.Early sensory integration training has a significant effect on the gross motor function of high risk infants.
Objective:To observe the effect of the sensory integration training on gross motor development of high risk infants.Methods:Fifty-five inpatient or outpatient high risk infants from July 2015 to July 2016 were randomly divided into observation group(n=28)and control group(n=27).The observation group received sensory integration training and routine rehabilitation training,and the control group received routine rehabilitation only.The Alberta infant motor scale(AIMS)was performed before and 3 months after treatment.Results:The AIMS in the prone,supine,sitting and standing positions was improved in both two groups after treatment(P<0.01).The observation group scored higher in prone,supine positions and in total(P<0.05),but in sitting and standing positions,no significant difference was found between the two groups after treatment.The percentile level of AIMS had significant difference between the two groups.Conclusion:After the early sensory integration training,there was significant progress on gross motor development level of observation group in the prone position,supine position and overall level as compared with the control group.Early sensory integration training has a significant effect on the gross motor function of high risk infants.
引文
[1]黄真,杨红,陈翔,等.中国脑性瘫痪康复指南(2015):第二部分第二章高危儿评定与干预[J].中国康复医学杂志,2015,30(8):858.
[2]王晨,王丹华,小早产儿的远期预后[J].中国新生儿科杂志,2009,24(5):318-319.
[3]O'shea TM,Allred EN,Kuban KC,et al.Intraventricular hemor-rhage and developmental outcomes at 24months of age in extremely preterm infants[J].J Child Neurol,2012,27(1):22-23.
[4]Pitcher JB,Schneider LA,Drysdale JL,et al.Motor system development of the preterm and low birthweight infant[J].Clin Perinatol,2011,38(4):605-625.
[5]王玮,王翠,席宇诚,等.Alberta婴儿运动量表在高危儿中信度研究[J].中国康复医学杂志,2012,27(10):913-916.
[6]Campos D,Santos DC,Goncalves VM,et al.Agreement between scates for screening and diagnosis of motor development at6months[J].J Pediatr(Rio J),2006,82(6):470-474.
[7]Ottenbacher K,Short MA.Sensory integrative dysfunction in children:A review of theory and treatment[J].Advance in Development and Behavior pediatrics,1985,6:287-329.
[8]Rosenbaum P,Paneth N,Leviton A,et al.A report:the definition and classification of cerebral palsy April 2006[J].Dev Med Child Neurol Suppl,2007,109:8-11.
[9]Piper MC,Darrah J.Motor assessment of the developing infant[M].Alberta:Saundes,1994:170-174.
[10]胡恕香,黄蓉,彭桂兰,等.Alberta婴儿运动量表在高危儿早期干预中的应用分析[J].中国康复医学杂志,2012,30(2):157-159.
[11]刘晓莉,贾飞勇,姜慧轶,等.感觉统合训练对痉挛型脑瘫患儿粗大运动功能的影响[J].中华临床医师杂志(电子版),2013,7(13):6161-6162.
[12]任桂英,王玉凤,顾伯美,感觉统合治疗对儿童认知功能改善的临床探讨[J].中国临床心理学杂志,2000,8(2):122-123.
[13]张雁,吴卫红,脑损伤患儿感觉统合训练研究[J].中国康复理论与实践,2009,15(2):164-166.
[2]王晨,王丹华,小早产儿的远期预后[J].中国新生儿科杂志,2009,24(5):318-319.
[3]O'shea TM,Allred EN,Kuban KC,et al.Intraventricular hemor-rhage and developmental outcomes at 24months of age in extremely preterm infants[J].J Child Neurol,2012,27(1):22-23.
[4]Pitcher JB,Schneider LA,Drysdale JL,et al.Motor system development of the preterm and low birthweight infant[J].Clin Perinatol,2011,38(4):605-625.
[5]王玮,王翠,席宇诚,等.Alberta婴儿运动量表在高危儿中信度研究[J].中国康复医学杂志,2012,27(10):913-916.
[6]Campos D,Santos DC,Goncalves VM,et al.Agreement between scates for screening and diagnosis of motor development at6months[J].J Pediatr(Rio J),2006,82(6):470-474.
[7]Ottenbacher K,Short MA.Sensory integrative dysfunction in children:A review of theory and treatment[J].Advance in Development and Behavior pediatrics,1985,6:287-329.
[8]Rosenbaum P,Paneth N,Leviton A,et al.A report:the definition and classification of cerebral palsy April 2006[J].Dev Med Child Neurol Suppl,2007,109:8-11.
[9]Piper MC,Darrah J.Motor assessment of the developing infant[M].Alberta:Saundes,1994:170-174.
[10]胡恕香,黄蓉,彭桂兰,等.Alberta婴儿运动量表在高危儿早期干预中的应用分析[J].中国康复医学杂志,2012,30(2):157-159.
[11]刘晓莉,贾飞勇,姜慧轶,等.感觉统合训练对痉挛型脑瘫患儿粗大运动功能的影响[J].中华临床医师杂志(电子版),2013,7(13):6161-6162.
[12]任桂英,王玉凤,顾伯美,感觉统合治疗对儿童认知功能改善的临床探讨[J].中国临床心理学杂志,2000,8(2):122-123.
[13]张雁,吴卫红,脑损伤患儿感觉统合训练研究[J].中国康复理论与实践,2009,15(2):164-166.