躯干肌强化训练对脑性瘫痪患儿平衡功能的影响

Influence of Trunk Muscle Training on Balance Disability in Children with Cerebral Palsy

目的探索不同的躯干肌训练方法对脑性瘫痪(CP)患儿平衡功能的影响。方法CP患儿80例,分为常规组(34例)和躯干肌训练组(46例),常规组采用我科常规平衡训练方法,躯干肌训练组则在常规平衡训练方法的基础上增加对躯干肌的训练,两组其他康复治疗相同。由专人采用社会适应性行为评定ADL量表和GMFM运动疗效评定量表中平衡项目量表对患儿的平衡功能进行评定。结果常规组和躯干肌训练组治疗后ADL评分和GMFM平衡评分与治疗前相比有显著变化(P<0.05或P<0.01),评分普遍增高,且躯干肌训练组高于常规组,差异均具有非常显著性意义(P<0.01)。结论选择性强化对部分躯干肌的训练,即在加强前屈和后伸肌群训练的同时,增加躯干旋转肌群的训练,可更加有效地提高对CP患儿平衡功能障碍的训练效果。

Objective To investigate the influence of different trunk muscle training on balance disability in cerebral palsy. Methods Eighty children with cerebral palsy were divided into routine group（ n = 34） and trunk group（ n = 46）. Activities of daily living （ADL） scale and gross motor function measure（GMFM） measurement of physical performance were used to asaess balance and stavility. The data were analyzed by related statistical methods. Results The value of the training method was lower in routine group than that in trunk group. There were significant differences between routine group and trunk group. ADL scale and GMFM measurement of physical performance in trunk group were higher than that in routine group. Conclusion The training method of trunk flexors and trunk ectensors combined trunk totators is more effective in cerebral palsy.