目的:观察应用多功能悬吊训练系统治疗不随意运动型脑瘫儿童的临床疗效.方法:将纳入标准的28例不随意运动型脑瘫儿童随机分为对照组(n=14)和观察组(n=14),其中对照组儿童接受常规物理治疗(运动疗法),观察组儿童在接受常规物理治疗的基础上,同时进行多功能悬吊训练,治疗3个月为一疗程.选用粗大运动功能量表(GMFM-88)作为评定指标,分别对两组脑瘫儿童治疗前后进行粗大运动功能评定.结果:与治疗前比较,对照组儿童治疗后GMFM-88评分(112.46±23.75)分明显提高(P=0.033),观察组儿童治疗后GMFM-88评分(118.03±20.86)分显著提高(P=0.012),两组儿童治疗后GMFM-88评分比较,差异具有显著性(P=0.041).结论:应用多功能悬吊训练系统治疗不随意运动型脑瘫儿童,对改善其粗大运动功能具有显著疗效.
Objective To observe the effect of children's sling exercise training system on trunk control and gross motor function in children with cerebral palsy.Methods Totally 40 children with spastic cerebral palsy were randomly divided into two groups.The control group (n=20) was treated with routine rehabilitation training.The observation group (n=20) was treated with routine rehabilitation training and the children's sling exercise training system.The two groups were assessed with Berg Balance Scale (BBS) and 10 cm mass walking speed (MWS) on the trunk control and walking ability before and after treatment.The Gross Motor Function Measurement (GMFM) was used to evaluate gross motor.Results The BBS score,10 m MWS and GMFM scores of the two groups after treatment were significantly different from those before treatment (all P<0.05).And the score of the observation group was significantly higher than that of the control group (P <0.05).Conclusion The children's sling exercise training system can effectively improve the trunk control ability and gross motor function of children with spastic cerebral palsy.