CAJ | 학술논문

目的：探讨情景式训练在脑瘫患儿康复治疗中的作用。方法将46例脑瘫患儿随机分为对照组和观察组，每组各23例。对照组进行常规康复治疗，观察组在对照组的基础上接受情景式训练。在治疗开始时和1个疗程（3个月为1个疗程）结束时，分别对两组患儿行粗大运动功能88项量表（ GMFM-88量表）评分、日常生活活动能力量表（ ADL量表）评分，比较治疗前后的变化情况。结果治疗1个疗程后，两组患儿的GMFM-88评分及ADL评分均较治疗前提高（观察组t值分别为－12．13、－6．70，对照组t值分别为－8．84、－6．96，均P＜0．05），但观察组GMFM-88评分及ADL评分改变均明显优于对照组（ t值分别为－2．30、－2．31，均P＜0．05）。结论情景式训练结合常规康复疗法可明显提高脑瘫患儿的粗大运动功能及日常生活能力。
목적：탐토정경식훈련재뇌탄환인강복치료중적작용。방법장46례뇌탄환인수궤분위대조조화관찰조，매조각23례。대조조진행상규강복치료，관찰조재대조조적기출상접수정경식훈련。재치료개시시화1개료정（3개월위1개료정）결속시，분별대량조환인행조대운동공능88항량표（ GMFM-88량표）평분、일상생활활동능역량표（ ADL량표）평분，비교치료전후적변화정황。결과치료1개료정후，량조환인적GMFM-88평분급ADL평분균교치료전제고（관찰조t치분별위－12．13、－6．70，대조조t치분별위－8．84、－6．96，균P＜0．05），단관찰조GMFM-88평분급ADL평분개변균명현우우대조조（ t치분별위－2．30、－2．31，균P＜0．05）。결론정경식훈련결합상규강복요법가명현제고뇌탄환인적조대운동공능급일상생활능력。
Objective To investigate the role of scene training in cerebral palsy rehabilitation.Methods Forty-six cases of children with cerebral palsy were randomly divided into control group and observation group with 23 cases in each group.The control group was treated with routine rehabilitation therapy, while additional scene training was used by the observation group.Before treatment and after one course treatment (3 months), scores in Gross Motor Function Measure 88 (GMFM-88) scale and Activities of Daily Living (ADL) scale were evaluated and compared the changes before and after treatment in two groups.Results After one course of treatment, scores of two groups increased compared with those before treatment (t value was -12.13 and -6.70, respectively, in observation group;t value was -8.84 and -6.96, respectively, in control group, all P<0.05) in GMFM-88 and ADL, but the changes of the observation group were obviously greater than those of the control group (t value was -2.30 and -2.31, respectively, both P<0.05).Conclusion Scene training combined with routine rehabilitation therapy can obviously improve the gross motor function and daily activities in children with cerebral palsy.