应用Rood技术改善脑损伤综合征患儿的运动功能障碍

Effect of Rood therapy in ameliorating the movement disorder of children with cerebral dysfunction syndrome

目的:探讨应用Rood技术合并传统运动疗法训练对脑损伤综合征患儿的运动功能障碍的疗效,并与单用传统运动疗法训练相比较。方法:选择2004-06/12在湖南省儿童医院住院的0～1岁脑损伤综合征患儿70例,随机分为Rood疗法组40例和对照组30例,对照组采用传统运动疗法(Bobath,Vojta法)进行训练,Rood疗法组在对照组的基础上加用Rood技术,包括经皮易化技术、本体感受性易化技术和特殊抑制技术,严格一对一训练,每周一至周六,1次/d,40min/次,1个月为个小疗程,3个月为1个大疗程。治疗前和治疗1,3个月时采用盖塞尔智力量表中适应性和大运动行为(每项得分>85分为正常)评价患儿运动功能。结果:按意向处理分析,70例患儿均进入结果分析。①盖塞尔智力量表适应性行为得分:两组在治疗前和治疗1个月时无差异(P>0.05),治疗3个月时Rood疗法组得分高于对照组(95.18±9.03,84.73±6.56,t=3.107,P<0.05),且两组得分均较治疗前显著升高(P<0.001)。②盖塞尔智力量表大运动行为得分:两组在治疗前和治疗1个月时无差异(P>0.05),治疗3个月时Rood疗法组得分高于对照组(96.26±8.80,85.64±6.53,t=3.219,P<0.05),且两组得分均较治疗前显著升高(P<0.001)。结论:联合应用Rood技术和传统运动疗法及单用传统运动疗法训练都能显著提高脑损伤综合征患儿的运动功能,但合并应用Rood技术治疗效果更好。

AIM： To probe into the effect of Rood therapy plus training of traditional exercise therapy on the movement disorder of children with cerebral dysfunction syndrome, and compare with the application of traditional exercise therapy only. METHODS： Seventy children aged 0-1 year with cerebral dysfunction syndrome, who were hospitalized in Hunan Provincial Children＇s Hospital between June and December 2004, were randomly divided into Rood therapy group （n=40） and control group （n=30）. All the children received training of traditional exercise therapy including Bobath therapy and Vojta therapy）, besides, those in the Rood therapy group were also treated with Rood therapy including percutaneous facilitation, self-sensitive facilitation and special inhibition, they were trained one-to-one strictly from Monday to Saturday, once a day, 40 minutes for each time, one month was a small course and 3 months was a big course. Before treatment and 1 and 3 months after treatment, the motor function of the children were assessed with and adaptation and gross motor of Gesell intelligence test. RESULTS： According to intention-to-treat analysis, all the 70 children with cerebral dysfunction syndrome were involved in the analysis of results. ① The score of adaptation in Gesell intelligence test： There was no difference between the two groups before treatment and at 1 month after treatment （P 〉 0.05）; At 3 month after treatment, it was higher in the Rood therapy group than in the control group （95.18±9.03, 84.73±6.56, t=3.107, P 〈 0.05）. The score after treatment was significantly increased as compared with before treatmem in both groups （P 〈 0.001）. ② The score of gross motor in Gesell intelligence test： There was no difference between the two groups before treatment and at 1 month after treatment （P 〉 0.05）; At 3 month after treatment, it was higher in the Rood therapy group than in the control group （96.26±8.80, 85.64±6.53, t=3.219, P 〈 0.05）. The score after treatment was significantly increased as compared with before treatment in both groups （P 〈 0.001）. CONCLUSION： Both the application of Rood therapy plus traditional exercise therapy and the training of traditional exercise therapy only can significantly improve the motor function of children with cerebral dysfunction syndrome, but the effect of Rood therapy plus traditional exercise therapy is better.