作业治疗对痉挛型偏瘫患儿上肢运动功能的影响

Effect of occupational therapy on upper extremity function and daily activities in spastic hemiplegic cerebral palsied children

目的探讨作业治疗对痉挛型偏瘫儿童上肢精细运动功能及日常生活能力的治疗作用。方法 30例痉挛型偏瘫患儿随机均分为治疗组和对照组,均进行运动疗法、推拿、神经肌肉电刺激等常规康复治疗1个月;治疗组在此基础上加用作业治疗。治疗前后采用Gesell发育量表进行评估,计算精细运动、适应性、个人社会的发育商及总发育商及日常生活活动能力。结果治疗后,治疗组患儿精细运动、适应性、个人社会等能区的发育商、总发育商及日常生活活动能力均较对照组显著改善(P<0.05)。结论作业治疗有助于提高痉挛型偏瘫患儿的精细运动功能及日常生活活动能力。

Objective To investigate the occupational therapeutic effect on the upper extremity function and daily activities in spastic hemiplegic cerebral palsied children. Methods Thirty children with spastic hemiplegic cerebral palsy were equally randomized into two groups of A （treated with occupational therapy plus conventional treatments of exercise, massage and neuromuscular electrostimulation） and B（treated with conventional treatments alone）. The fine motor, suitability and individual society were evaluated with Gesell development scale and the activities of daily living（ADL） before and after one month therapy. Results Compared with group B, the scores of Gesell and ADL after treatment in group A were significantly increased （ P〈0. 05 ）. Conclusion The occupational therapy can improve movement of the upper extremities and daily living activity.