CAJ | 학술논문

目的观察躯干控制训练对小儿脑瘫运动功能及日常生活活动(ADL)能力的影响.方法 40例小儿脑瘫患者按就诊顺序和家属意愿随机分成训练组和对照组,每组20例.对照组给予常规康复治疗,训练组在此基础上结合躯干控制训练.在治疗8周后2组患儿采用功能性步行能力分级(FAC)和10m步行时间评定患儿步行能力,采用Berg平衡量表(BBS)评定患儿平衡功能,采用改良Barthel指数(MBI)评定患儿ADL能力.结果治疗前2组患儿10m步行时间、BBS评分及MBI评分比较,组间差异均无统计学意义(P＞0.05)；治疗后2组患儿上述指标均较治疗前显著改善(P＜0.05),且训练组的改善幅度较显著,与对照组比较,组间差异有统计学意义(P＜0.05).训练组FAC分级评定达3～5级者共17例(85.0％),对照组共13例(65.0％),训练组提高程度高于对照组(P＜0.05).结论躯干控制训练可以明显改善小儿脑瘫运动功能及日常生活活动能力.
목적 관찰구간공제훈련대소인뇌탄운동공능급일상생활활동(ADL)능력적영향.방법 40례소인뇌탄환자안취진순서화가속의원수궤분성훈련조화대조조,매조20례.대조조급여상규강복치료,훈련조재차기출상결합구간공제훈련.재치료8주후2조환인채용공능성보행능력분급(FAC)화10m보행시간평정환인보행능력,채용Berg평형량표(BBS)평정환인평형공능,채용개량Barthel지수(MBI)평정환인ADL능력.결과 치료전2조환인10m보행시간、BBS평분급MBI평분비교,조간차이균무통계학의의(P＞0.05)；치료후2조환인상술지표균교치료전현저개선(P＜0.05),차훈련조적개선폭도교현저,여대조조비교,조간차이유통계학의의(P＜0.05).훈련조FAC분급평정체3～5급자공17례(85.0％),대조조공13례(65.0％),훈련조제고정도고우대조조(P＜0.05).결론 구간공제훈련가이명현개선소인뇌탄운동공능급일상생활활동능력.
Objective To observe the influence of trunk control training on motor function and the ability of cerebral palsy (CP) patients in the activities of daily living (ADL).Methods Forty patients with CP were randomly divided into a treatment group (n =20) and a control group (n =20).Both groups were treated with routine rehabilitation,while the treatment group also received trunk control training.All patients were assessed with function ambulation category (FAC) classification,time to walk 10 m,the Berg balance scale (BBS),and the modified Barthel index (MBI) at the beginning and eight weeks later.Results Before the intervention there was no significant difference between the two groups in terms of any of the assessments.Eight weeks later,all the assessment scores were significantly better in the treatment group than in the control group.Conclusion Trunk control training can significantly improve motor function and the ADL ability of patients with CP.