摘要
目的探讨不随意运动型脑瘫患儿应用核心稳定性训练的临床效果以及粗大运动功能的康复作用。方法前瞻性选取2016年收治的不随意运动型脑瘫患儿40例,随机平均分为两组,观察组20例患儿选择核心稳定性训练,对照组20例患儿仅给予常规康复训练。治疗3个月后,对比两组患儿的临床疗效和治疗前后的粗大神经运动功能量表(GMFM)评分与生活运动能力量表(ADL)评分。结果治疗3个月后,观察组患儿临床治疗总有效率(80.0%)明显高于对照组(65.0%),差异有显著性(P<0.05)。两组治疗后GMFM评分与ADL评分均较治疗前明显提高(P<0.05),且观察组明显高于对照组(P<0.05)。结论不随意运动型脑瘫患儿治疗中,在常规康复中引入核心稳定性训练能够有效提高临床治疗效果,改善患儿的粗大运动功能和生活运动能力,对于改善脑瘫患儿的临床预后有良好的作用。
Objective To explore the clinical effect and recovery of gross motor function in pediatric patients with cerebral palsy by application of core stability training.with involuntary exercise.Methods A total of 40 pediatric patients with cerebral palsy in 2016 were randomly divided into two groups,observation group and control group,20 cases in each group.Patients in observation group were chosen for core stability training,and patients in control group only underwent routine rehabilitation training.3 months after treatment,gross motor function scale(GMFM)scores and living movement ability scale(ADL)scores were applied for evaluation of clinical efficacy between these 2 groups.Results Three months after the treatment,the total clinical effective rate in pediatric patients of observation group was obviously higher than that of patients in control group(P<0.05),GMFM scoring for gross motor function and ADL life movement ability scores were significantly better than those of control group(P<0.05).Conclusion The introducing core stabiity for recovery of involuntary motility in pediatric patients with cerebral palsy for conventional rehabilitation training can effectively raise the clinical efficacy,improve the ability of gross motor function and living movement,hence it can improve the clinical prognosis of pediatric patients with cerebral palsy.
作者
徐成娥
张蕾
李文娟
武光丽
XU Cheng-e;ZHANG Lei;LI Wen-juan(Department of Children's Rehabilitation,Zibo Maternal and Child Health Care Hospital,Zibo Shandong 255000,China;Department of Rehabilitation,West China Hospital,Sichuan University,Chengdu Sichuan 611135,China)
出处
《临床和实验医学杂志》
2018年第6期660-663,共4页
Journal of Clinical and Experimental Medicine
关键词
不随意运动型脑瘫
核心稳定性训练
粗大运动功能
Involuntary movement type cerebral palsy
Core stability training
Gross motor function
