MOTOmed虚拟情景训练治疗痉挛型脑瘫疗效观察

Effect study of MOTOmed viva 2 virtual scene training treatment on spastic cerebral palsy

目的观察MOTOmed虚拟情景训练对痉挛型脑瘫患儿下肢肌张力及粗大运动功能的影响。方法将41例痉挛型脑瘫患儿依照随机数字表法分为MOTOmed组21例和对照组20例,2组均给予常规康复治疗,MOTOmed组同时给予MOTOmed虚拟情景训练。2组在治疗前和治疗3个月,分别采用改良Ashworth量表(MAS)评定患儿下肢内收肌、腘绳肌及腓肠肌的肌张力,利用粗大运动功能88项量表(GMFM-88)中D、E两能区进行站立、行走与跑跳功能评定。结果治疗3个月后,除腘绳肌肌张力2组均无明显改善外,其余指标均有不同程度的改善(P均<0.05),但MOTOmed组改善情况优于对照组(P均<0.05)。结论MOTOmed虚拟情景训练可进一步降低痉挛型脑瘫患儿的内收肌、腓肠肌肌张力,提高其下肢粗大运动功能。

Objective It is to observe the effects of MOTOmed Viva 2 virtual scene training treatment on lower limb muscle tension and gross motor function in children with spastic cerebral palsy. Methods 41 cases of children with spastic cerebral palsy were divided into the MOTOmed group （21 cases） and control group （20 cases） by random number table. Both the groups were treated with routine rehabilitation therapy, while additional MOTOmed virtual scene training was used in the MO- TOmed group. Before treatment and 3 months after treatment, the muscle tension in children＇s adductor, hamstring and gas- trocnemius was evaluated using Modified Ashworth Scale（MAS） , standing, walking, running and jumping function were eval- uated with D and E area of the 88 items version of Gross Motor Function Measure（ GMFM -88）. Results After 3 months＇ treatment, all the observation indexes in addition above except the hamstring muscle tension were improved in both groups（P 〈 0. 05） , but the improvements in MOTOmed group were better than that in the control group （ P 〈 0. 05）. Conclusion MO- TOmed virtual scene training can further reduce the adductor and gastrocnemius muscle tension, and improve the lower limb gross motor function in children with spastic cerebral palsy.