束带强化核心稳定性训练对痉挛性脑瘫患儿平衡及运动功能的影响
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摘要
目的探讨束带强化核心稳定性训练对痉挛性脑瘫患儿平衡及运动功能的影响。方法收集在本院治疗的痉挛性脑瘫患儿93例,根据治疗方法的不同分为两组,对照组46例采用核心稳定性训练,强化组47例采用束带强化核心稳定性训练,对比两组患儿经过训练后的平衡及粗大运动功能的改善情况。结果强化组治疗后Berg平衡量表(BBS)、粗大运动功能评定量表(GMFM-88)、功能独立性评定量表(WeeFIM)评分均高于对照组(P<0.05);强化组患儿腹外斜肌肌力Ⅲ～Ⅴ级百分比高于对照组(P<0.05)。结论束带强化核心稳定性训练可提高痉挛性脑瘫患儿的平衡及粗大运动功能,增强核心肌群力量及功能独立性。
Objective To investigate the effect of band-enhanced core stability training on balance and motor function in children with spastic cerebral palsy.Methods A total of 93 children with spastic cerebral palsy treated in our hospital were divided into two groups according to the treatment.Among them,46 patients in the control group were trained with core stability,and 47 in the intensive group were trained with harness strengthening core stability.The balance function and the gross motor function were compared between the two groups.Results The Berg Balance Scale(BBS),Gross Motor Function Rating Scale(GMFM-88)and Functional Independence Rating Scale(WeeFIM)scores in the intensive group were higher than those in the control group(P<0.05).The percentage of exoskeleton muscle strength III-V was higher than that of the control group(P<0.05).Conclusion Band-enhanced core stability training can improve the balance and gross motor function of children with spastic cerebral palsy,and enhance the strength and functional independence of core muscle groups.
Objective To investigate the effect of band-enhanced core stability training on balance and motor function in children with spastic cerebral palsy.Methods A total of 93 children with spastic cerebral palsy treated in our hospital were divided into two groups according to the treatment.Among them,46 patients in the control group were trained with core stability,and 47 in the intensive group were trained with harness strengthening core stability.The balance function and the gross motor function were compared between the two groups.Results The Berg Balance Scale(BBS),Gross Motor Function Rating Scale(GMFM-88)and Functional Independence Rating Scale(WeeFIM)scores in the intensive group were higher than those in the control group(P<0.05).The percentage of exoskeleton muscle strength III-V was higher than that of the control group(P<0.05).Conclusion Band-enhanced core stability training can improve the balance and gross motor function of children with spastic cerebral palsy,and enhance the strength and functional independence of core muscle groups.
引文
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[9]黄均礼,张军,郑武熙.踝足矫形器矫治脑瘫患儿异常步态的疗效观察[J].青岛医药卫生,2015,47(6):428-430.
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[2]吴丽敏,张海燕.核心稳定性训练联合足部生物力学矫形在改善脑性瘫痪患儿精细运动功能中的价值[J].中国妇幼保健,2018,33(6):1343-1347.
[3]《中华儿科杂志》编辑委员会,中华医学会儿科学分会神经学组.小儿脑性瘫痪的定义、诊断条件及分型[J].中华儿科杂志,2005,43(4):262.
[4]白艳,高永平,赵燕.核心稳定性训练对痉挛型脑性瘫痪儿童爬行能力的影响[J].中国妇幼保健,2017,32(10):2116-2118.
[5]赵娇娇,傅照华.核心稳定性训练在脑瘫患儿运动功能康复中的应用进展[J].中华物理医学与康复杂志,2017,39(3):234-236.
[6]冯茹,闫冬梅,李专.针刺联合康复治疗对痉挛型脑瘫患儿粗大运动功能恢复的临床观察[J].针灸临床杂志,2017,33(5):22-25.
[7]杨晓颜,杜青,周璇,等.助力电刺激训练对脑性瘫痪患儿核心稳定性的影响[J].中国康复医学杂志,2016,31(1):25-29.
[8]徐成娥,张蕾,李文娟,等.核心稳定性训练对不随意运动型脑瘫患儿粗大运动功能恢复的影响[J].临床和实验医学杂志,2018,17(6):660-663.
[9]黄均礼,张军,郑武熙.踝足矫形器矫治脑瘫患儿异常步态的疗效观察[J].青岛医药卫生,2015,47(6):428-430.
[10]梁文锐,吴小平,张启富,等.束带强化核心稳定性训练对痉挛型脑性瘫痪患儿运动功能及平衡的效果[J].中国康复理论与实践,2018,24(1):97-100.