感觉统合训练对脑瘫患儿运动功能的影响

Effect of sensory integration training on motor function of cerebral palsy children

目的探讨感觉统合训练对脑性瘫痪患儿运动功能的影响。方法将42例脑性瘫痪患儿按就诊时间随机分为观察组22例，对照组20例。观察组采用感觉统合训练，Bobath法为主的运动训练治疗；对照组采用Bobath法为主的运动训练；所有病例在训练前及训练3个月后采用粗大运动功能测试量表（GMFM）对运动功能进行评估，并对两组患儿治疗前后GMFM评分进行对比。结果治疗后观察组患儿GMFM评分明显高于对照组（t=2．481、P=0．018），观察组运动功能优于对照组。结论对脑瘫患儿在传统神经运动疗法基础上运用感觉统合训练，能有效提高粗大运动功能，可明显提高康复疗效。

Objective To observe the effect of sensory integration training on motor function of cerebral pal- sy children. Methods 42 children with cerebral palsy were divided into two groups, with 22 cases in observation group ,20 cases in control group. All children were treated with mainly Bobath technique based rehabilitation therapy, while those of observation group were added sensory integration training for 3 months. We used GMFM-88 to estimate the gross motor function of the two groups. Results After treatment, the scores of GMFM-88 significantly improved in both groups, GMFM scores of the observation group were more effective than thoes of the control group （t = 2.481, P = 0. 018）. Conclusion Sensory integration training based on tradition neural movement therapy can improve gross mo- tor function in children with cerebral palsy, can significantly improve the curative effect of rehabilitation.