中华物理医学与康复杂志
中華物理醫學與康複雜誌
중화물리의학여강복잡지
CHINESE JOURNAL OF PHYSICAL MEDICINE AND REHABILITATION
2014年
6期
433-436
,共4页
陈天聪%叶一卫%程佩锋%林艳丽%张建%梁莉丹%范艳萍%李晓捷%唐贤豪
陳天聰%葉一衛%程珮鋒%林豔麗%張建%樑莉丹%範豔萍%李曉捷%唐賢豪
진천총%협일위%정패봉%림염려%장건%량리단%범염평%리효첩%당현호
运动平板训练%脑瘫%步行速度%粗大运动功能
運動平闆訓練%腦癱%步行速度%粗大運動功能
운동평판훈련%뇌탄%보행속도%조대운동공능
Treadmill training%Cerebral palsy%Walking speed%Gross motor function
目的 探讨运动平板训练对学龄期脑瘫患儿粗大运动功能及步行速度的影响.方法 采用随机数字表法将30例学龄期脑瘫患儿分为训练组和对照组,每组15例,2组患儿均给予常规康复训练,训练组在此基础上增加运动平板训练,每周3次,共12周.训练前、后,采用粗大运动功能评定量表-88(GMFM-88)、步行速度及改良Ashworth量表(MAS)对患儿的粗大运动功能、步行速度及肌张力进行评定.结果 训练前,2组患儿GMFM-88评分、步行速度、MAS评分间比较,差异无统计学意义(P＞0.05).训练12周后(训练后),2组患儿GMFM-88站立项目(D)、走跑跳项目(E)、步行速度、伸膝肌群MAS评分、屈膝肌群MAS评分、跖屈肌群MAS评分均较组内训练前有所改善,差异有统计学意义(P＜0.05).与对照组训练后比较,训练组患儿GMFM-88站立项目(D)[(33.60±2.22)分]、走跑跳项目(E)[(47.40±5.35)分]、步行速度[(29.95±6.21) m/min]较对照组改善较为明显(P＜0.05).结论 运动平板训练可显著提高学龄期脑瘫患儿的粗大运动功能及步行速度,对改善下肢痉挛无明显作用.
目的 探討運動平闆訓練對學齡期腦癱患兒粗大運動功能及步行速度的影響.方法 採用隨機數字錶法將30例學齡期腦癱患兒分為訓練組和對照組,每組15例,2組患兒均給予常規康複訓練,訓練組在此基礎上增加運動平闆訓練,每週3次,共12週.訓練前、後,採用粗大運動功能評定量錶-88(GMFM-88)、步行速度及改良Ashworth量錶(MAS)對患兒的粗大運動功能、步行速度及肌張力進行評定.結果 訓練前,2組患兒GMFM-88評分、步行速度、MAS評分間比較,差異無統計學意義(P＞0.05).訓練12週後(訓練後),2組患兒GMFM-88站立項目(D)、走跑跳項目(E)、步行速度、伸膝肌群MAS評分、屈膝肌群MAS評分、蹠屈肌群MAS評分均較組內訓練前有所改善,差異有統計學意義(P＜0.05).與對照組訓練後比較,訓練組患兒GMFM-88站立項目(D)[(33.60±2.22)分]、走跑跳項目(E)[(47.40±5.35)分]、步行速度[(29.95±6.21) m/min]較對照組改善較為明顯(P＜0.05).結論 運動平闆訓練可顯著提高學齡期腦癱患兒的粗大運動功能及步行速度,對改善下肢痙攣無明顯作用.
목적 탐토운동평판훈련대학령기뇌탄환인조대운동공능급보행속도적영향.방법 채용수궤수자표법장30례학령기뇌탄환인분위훈련조화대조조,매조15례,2조환인균급여상규강복훈련,훈련조재차기출상증가운동평판훈련,매주3차,공12주.훈련전、후,채용조대운동공능평정량표-88(GMFM-88)、보행속도급개량Ashworth량표(MAS)대환인적조대운동공능、보행속도급기장력진행평정.결과 훈련전,2조환인GMFM-88평분、보행속도、MAS평분간비교,차이무통계학의의(P＞0.05).훈련12주후(훈련후),2조환인GMFM-88참립항목(D)、주포도항목(E)、보행속도、신슬기군MAS평분、굴슬기군MAS평분、척굴기군MAS평분균교조내훈련전유소개선,차이유통계학의의(P＜0.05).여대조조훈련후비교,훈련조환인GMFM-88참립항목(D)[(33.60±2.22)분]、주포도항목(E)[(47.40±5.35)분]、보행속도[(29.95±6.21) m/min]교대조조개선교위명현(P＜0.05).결론 운동평판훈련가현저제고학령기뇌탄환인적조대운동공능급보행속도,대개선하지경련무명현작용.
Objective To observe any effects of treadmill training on gross motor function and the walking speed of school-age children with spastic cerebral palsy.Methods Thirty school-age children with spastic cerebral palsy were randomly allocated into 2 groups of fifteen.The control group received conventional rehabilitation therapy ; the treadmill training group received treadmill training in addition.The program lasted 12 weeks with a frequency of 3 times per week for both groups.All of the patients were assessed in terms of gross motor function measure-88 (GMFM-88),walking speed and using the modified Ashworth scale (MAS).Results There were no statistically significant differences between the groups before training.Significant differences in GMFM-88 results and walking speed between the 2 groups were observed after 12 weeks of treatment.There was no significant difference in average MAS scores.Conclusion Treadmill training has significant effects on gross motor function and the walking speed of school-age children with spastic cerebral palsy,without adverse effects on spasticity.
