作业治疗配合娱乐活动对脑瘫患儿日常生活活动能力的影响

Occupational Therapy and Recreational Activities for Children with Cerebral Palsy with the Activities of Daily Living

目的:探讨作业治疗对脑瘫患儿运动及日常生活活动能力的影响。方法:将40例脑瘫患儿随机分为对照组和治疗组,两组均作系统的作业治疗,治疗组将娱乐活动贯穿于作业治疗中。治疗前及治疗后两个月均用上肢运动月龄评价表(U.M.Q)[1]及日常生活活动能力(ADL)[2]进行评价。结果:两组治疗后评分均较治疗前评分明显升高(P<0.01),治疗组与对照组治疗后比较评分有显著差异(P<0.01)。结论:系统的作业治疗能有效地改善和恢复脑瘫患儿上肢及手的精细协调动作,提高患儿日常生活活动能力,而将娱乐活动贯穿其中疗效更为显著。

Objective： Occupational therapy for children with cerebral palsy affecting the movement and activities of daily living. Methods ： 40 cases of children with cerebral palsy were randomly divided into control and treatment groups, patients were treated for system operations, entertainment group will be in operation throughout the treatment. After two months before and after treatment with upper extremity month evaluation （U. M. Q） t13 and the activities of daily living （ADL） t23 evaluated. Results ： score after treatment than before treatment were significantly increased （P 〈 0.01 ）. Treatment after treatment compared with the control group score significantly different （P 〈 0.01 ）. Conclusions ： The operating system can improve the treatment and rehabilitation of children with cerebral palsy precise coordination of hand and upper extremity movements. raising children with activities of daily living and recreational activities will be more significant effect of this process.