摘要
目的 探讨引导式教育对脑性瘫痪患儿粗大运动功能和Gesell发育是否有促进作用.方法 将138例脑瘫患儿按性别和粗大运动功能分级系统(GMFCS)分层随机分为引导式教育组和对照组,分别经过4个月的引导式教育加一般综合训练和单纯一般综合训练治疗,观察2种训练方法对两组患儿粗大运动功能和Gesell发育测试结果的影响.结果 粗大运动方面,粗大运动功能测试量表(GMFM)评估结果比较运用协方差分析(F =4.479,P<0.05),引导式教育组优于对照组;但两组在治疗前后比较,差异均有统计学意义,两组均可促进粗大运动功能的发育.Gesell发育测试结果比较(F=37.80,P<0.01),引导式教育组优于对照组;引导式教育组治疗前后比较(t=24.93,P<0.01),差异有统计学意义;对照组治疗前后比较(t=13.34,P>0.05),尚不能认为两组对照有统计学差异.结论 引导式教育可以促进脑瘫患儿粗大运动功能的提高及整体的发育.
Objective To observe the effects of conductive education on gross motor function and Gesell development test results in children with cerebral palsy.Methods One hundred and thirty-eight children with cerebral palsy were stratified randomly according to the gross motor function classification system (GMFCS) and sexes into two groups:the conductive education group received conductive education combined with general comprehensive rehabilitation,the control group received general comprehensive rehabilitation only.After 4 months of training,the results of both groups in terms of gross motor function and Gesell development test results were compared.Results The GMFCS evaluation results of the 2 groups were compared through covariance analysis (F =4.479,P =0.036 <0.05),the result of conductive education group was better than that of control group; in both groups the result after training was superior to that before training.For Gesell development test results comparison,the differences between conductive education group and control group were statistically significant (P < 0.05) ; the result of conductive education group was better than before the training (t =24.93,P =0.00 < 0.05) ; but in control group the difference between the results before and after training was not significant (t =13.34,P > 0.05).Conclusions Conductive education could improve gross motor function and whole body development.
出处
《中华物理医学与康复杂志》
CAS
CSCD
北大核心
2014年第10期761-764,共4页
Chinese Journal of Physical Medicine and Rehabilitation
关键词
引导式教育
粗大运动功能评估量表
Gesell量表
脑性瘫痪
Conductive education
Gross motor function classification scale
Gesell development test
Cerebral palsy