CAJ | 학술논문

目的探讨小儿脑瘫家庭使用康复辅具配合医疗机构综合康复治疗的有效性.方法将2009年6月至2010年6月于我院明确诊断为脑瘫的患儿60例(男性31例,女性29例)分为治疗组和对照组,每组30例.两组患儿均在医疗机构进行每周3次的综合康复治疗,不同的是治疗组在康复治疗师指导下,由家长每天使用康复辅具进行家庭康复训练.治疗前、治疗6个月后,采用粗大运动功能测试量表(gross motor function measure,GMFM) 66项和88项评估两组患儿粗大运动功能.结果治疗后两组GMFM 66项总分均高于治疗前,治疗组51±13与44±15(t=-7.473,P=0.000),对照组42 ±17与38±16(t=-3.580,P =0.001),且治疗组高于对照组(P＜0.05).治疗后,除对照组卧位与翻身功能区外,两组患儿GMFM 88项各功能区得分均高于治疗前(P＜0.01),治疗组在卧位与翻身、坐位、行走与跑跳功能区得分均显著高于对照组,卧位与翻身:F =4.59,P=0.036;坐位:F =6.40,P=0.014;行走与跑跳:F =4.35,P=0.041.结论在医疗机构综合康复治疗的同时,配合康复辅具进行家庭康复,可以有效地促进小儿脑瘫粗大运动功能的改善.
목적 탐토소인뇌탄가정사용강복보구배합의료궤구종합강복치료적유효성.방법 장2009년6월지2010년6월우아원명학진단위뇌탄적환인60례(남성31례,녀성29례)분위치료조화대조조,매조30례.량조환인균재의료궤구진행매주3차적종합강복치료,불동적시치료조재강복치료사지도하,유가장매천사용강복보구진행가정강복훈련.치료전、치료6개월후,채용조대운동공능측시량표(gross motor function measure,GMFM) 66항화88항평고량조환인조대운동공능.결과 치료후량조GMFM 66항총분균고우치료전,치료조51±13여44±15(t=-7.473,P=0.000),대조조42 ±17여38±16(t=-3.580,P =0.001),차치료조고우대조조(P＜0.05).치료후,제대조조와위여번신공능구외,량조환인GMFM 88항각공능구득분균고우치료전(P＜0.01),치료조재와위여번신、좌위、행주여포도공능구득분균현저고우대조조,와위여번신:F =4.59,P=0.036;좌위:F =6.40,P=0.014;행주여포도:F =4.35,P=0.041.결론 재의료궤구종합강복치료적동시,배합강복보구진행가정강복,가이유효지촉진소인뇌탄조대운동공능적개선.
Objective To investigate the effect of the synthetic rehabilitation treatment using the assistive devices for children with cerebral palsy.Methods 60 outpatients (male 31,female 29) diagnosed as cerebral palsy in our hospital from June 2009 to June 2010 were divided into trial group (n =30) and control group (n =30).Both of the two groups received our rehabilitation treatment three times a week.Compared with the daily family rehabilitation training of the control group,trial group still received a daily rehabilitation treatment by their parents using the assistive devices under the guidance of the therapist.They were assessed with Gross Motor Function Measure 66 items version (GMFM-66)and 88 items version (GMFM-88) before and after 6 months treatment.Results The total score of GMFM-66 and each dimension score of GMFM-88 improved in both group after 6 months treatment,except the centrol group Lying & Rolling dimension.Trial group 51 ± 13 vs.44 ± 15,control group 42 ± 17 vs.38 ± 16 (t =-3.580,P =0.001).There was significant difference on the total score of GMFM-66 and the three dimensions score (Lying & Rolling,Sitting and Walking,Running & Jumping) of GMFM-88 between two group.Lying & Rolling:F =4.59,P =0.036; Sitting:F =6.40,P =0.014 ; Walking,Running & Jumping:F =4.35,P =0.041.Conclusion The synthetic rehabilitation treatment in Medical institutions associate with family rehabilitation treatment using the assistive devices can effectively improve the recovery of gross motor function in children with cerebral palsy.