运动平板训练对学龄期脑瘫患儿平衡功能与步态的影响

Effects of treadmill training on balance function and gait in school-age children with spastic cerebral palsy

目的:探讨运动平板训练对痉挛型双瘫学龄期脑瘫患儿的平衡功能与步态的影响。方法:将30例痉挛型双瘫学龄期脑瘫患儿采用电脑随机方法分为实验组和对照组。实验组和对照组各15例均接受隔天1次,每周3次的常规康复训练,实验组在常规训练基础上同时进行隔天1次,每周3次的运动平板训练,持续12周。分别于治疗前与治疗后对两组患者采用Berg平衡量表评定和步态分析。结果:干预12周后,实验组Berg评分和步态时空参数(跨步长、步宽、步速)与对照组存在显著差异(P<0.05)。结论:运动平板训练对提高痉挛型双瘫学龄期脑瘫患儿的平衡功能与改善步态的效果显著。

Objective： To observe the effects of treadmill training on balance function and gait in school-age children with spastic diplegic cerebral palsy. Method： Thirty school-age children with spastic diplegic cerebral palsy were randomly allocated into two groups by computer. Control group （n=15） accepted conventional rehabilitation therapy only. Treadmill training group （n=15） accepted conventional rehabilitation therapy and treadmill training. The course lasted 12 weeks on every other day, three times per week for both groups. All children were assessed with Berg balance scale （BBS） and gait analysis. Result： The significant difference was found in balance function and gait spatio-temporal parameters （stride length, stride width, velocity） between two groups after 12 weeks intervention（P〈 0.05）. Conclusion： The treadmill training can provide significant effectiveness on balance function and gait in school- age children with spastic diplegic cerebral palsy.