CAJ | 학술논문

目的：探讨在水中运动时应用引导式教育训练对各种原因引起的脑瘫患儿的疗效。方法58例可应用引导式教育方法的脑瘫患儿随机分为实验组(n=29)和对照组(n=29)。对照组采用常规康复训练，实验组在对照组的基础上加用引导式教育训练方法进行水中运动。两组治疗前后徒手肌力评定法对屈髋肌进行评定，采用改良Ashworth评定量表评定下肢髋内收肌群，采用粗大运动功能测量(GMFM)评定运动功能。结果实验组GMFM评分较对照组提高(P<0.05)；75.9%肌张力降低1级或以上，优于对照组的44.8%(P<0.05)；82.8%肌力提高1级或以上，优于对照组的58.6%(P<0.05)。结论应用引导式教育进行水中运动训练可明显提高患儿的粗大运动功能，降低肌张力，增强肌力。
목적：탐토재수중운동시응용인도식교육훈련대각충원인인기적뇌탄환인적료효。방법58례가응용인도식교육방법적뇌탄환인수궤분위실험조(n=29)화대조조(n=29)。대조조채용상규강복훈련，실험조재대조조적기출상가용인도식교육훈련방법진행수중운동。량조치료전후도수기력평정법대굴관기진행평정，채용개량Ashworth평정량표평정하지관내수기군，채용조대운동공능측량(GMFM)평정운동공능。결과실험조GMFM평분교대조조제고(P<0.05)；75.9%기장력강저1급혹이상，우우대조조적44.8%(P<0.05)；82.8%기력제고1급혹이상，우우대조조적58.6%(P<0.05)。결론응용인도식교육진행수중운동훈련가명현제고환인적조대운동공능，강저기장력，증강기력。
Objective To investigate the effect of conductive education applied in water exercise on cerebral palsy. Methods 58 children with cerebral palsy who could accept conductive education were divided into observation group (n=29) and control group (n=29) randomly. All the children accepted routine rehabilitation, and the observation group accepted water exercise in the model of conductive education. They were assessed with muscular strength, muscular tension (modified Ashworth Scale) and the Gross Motor Function Measure (GMFM) before and after training. Results The score of GMFM improved more in the observation group than in the control group (P<0.05), as well as the incidence of improvement of muscle tension (released 1 grade or more, 75.9%vs. 44.8%, P<0.05) and muscle strength (increased 1 grade or more, 82.8%vs. 58.6%, P<0.05). Conclusion Water exercise with the conductive education model can improve the gross motor function and muscle strength, release the spasticity in children with cerebral palsy.