核心稳定性训练对痉挛型脑瘫患儿粗大运动功能及步行能力的影响

Effects of Core Stability Training on Gross Motor Function and Walking Ability of Children with Spastic Cerebral Palsy

目的探讨核心稳定性训练对痉挛型脑瘫患儿粗大运动功能及步行能力的影响。方法痉挛型脑瘫患儿60例分为两组,对照组（n=30）只接受常规康复训练,试验组（n=30）接受常规的康复训练,在每次运动疗法训练中抽出10~15 min接受专门提高核心稳定性的训练。两组均治疗3个月。在康复治疗前后,分别采用粗大运动功能量表（GMFM-88）的D区、E区及足印分析法进行评估。结果两组治疗后GMFM的D区和E区评分、步长、步宽、步速均优于治疗前（P〈0.05）,试验组优于对照组（P〈0.05）。结论核心稳定性训练结合常规康复训练有利于改善痉挛型脑瘫患儿的粗大运动功能及步行能力。

Objective To explore the effects of core stability training on gross motor function and walking ability of children with spastic cerebral palsy.Methods 60 children with spastic cerebral palsy were divided into 2 groups.The control group（n=30） received routine rehabilitation.The experimental group（n=30） received core stability training for 15~20 minutes during exercise therapy training in routine rehabilitation.Before and 3 months after training,they were assessed with D and E domains of Gross Motor Function Measure（GMFM） and footprints analysis.Results The scores of D and E domains of GMFM,the step length,the step width and the velocity were better after training（P0.05）,especially in experimental group（P0.05）.Conclusion Core stability training combined with routine rehabilitation is effective on improving gross motor function and walking ability of children with spastic cerebral palsy.