运动平板训练对学龄期脑瘫患儿粗大运动功能及步行速度的影响

Effects of treadmill training on gross motor function and the walking speed of school-age children with spastic cerebral palsy

目的探讨运动平板训练对学龄期脑瘫患儿粗大运动功能及步行速度的影响。方法采用随机数字表法将30例学龄期脑瘫患儿分为训练组和对照组，每组15例，2组患儿均给予常规康复训练，训练组在此基础上增加运动平板训练，每周3次，共12周。训练前、后，采用粗大运动功能评定量表-88（GMFM-88）、步行速度及改良Ashworth量表（MAS）对患儿的粗大运动功能、步行速度及肌张力进行评定。结果训练前，2组患儿GMFM-88评分、步行速度、MAS评分间比较，差异无统计学意义（P〉0．05）。训练12周后（训练后），2组患儿GMFM-88站立项目（D）、走跑跳项目（E）、步行速度、伸膝肌群MAS评分、屈膝肌群MAS评分、跖屈肌群MAS评分均较组内训练前有所改善，差异有统计学意义（P〈0．05）。与对照组训练后比较，训练组患儿GMFM．88站立项目（D）[（33．60±2．22）分]、走跑跳项目（E）[（47．40±5．35）分]、步行速度[（29．95±6．21）m／min]较对照组改善较为明显（P〈0．05）。结论运动平板训练可显著提高学龄期脑瘫患儿的粗大运动功能及步行谏度．对改善下肢瘁挛无明显作用。

Objective To observe any effects of treadmill training on gross motor function and the walking speed of school-age children with spastic cerebral palsy. Methods Thirty school-age children with spastic cerebral palsy were randomly allocated into 2 groups of fifteen. The control group received conventional rehabilitation therapy; the treadmill training group received treadmill training in addition. The program lasted 12 weeks with a frequency of 3 times per week for both groups. All of the patients were assessed in terms of gross motor function measure-$8 （GMFM-88） , walking speed and using the modified Ashworth scale （MAS）. Results There were no statistically significant differences between the groups before training. Significant differences in GMFM-88 results and walking speed between the 2 groups were observed after 12 weeks of treatment. There was no significant difference in average MAS scores. Conclusion Treadmill training has significant effects on gross motor function and the walking speed of school-age children with spastic cerebral palsy, without adverse effects on spasticity.