个体化康复辅助器具在脑瘫患儿康复治疗中的临床应用效果

Clinical effect of rehabilitation assistive appliance fit in rehabilitation therapy of children with cerebral palsy

目的探讨个体化康复辅助器具(以下简称康复辅具)在脑瘫患儿康复治疗中的临床应用效果。方法回顾性分析2014年7月至2015年7月就诊于本院的60例脑瘫患儿的临床资料,按照患儿家属自愿选择的治疗方式将60例脑瘫患儿分为观察组和对照组,每组各30例。观察组患儿采用个性化康复辅具进行康复治疗,对照组患儿行常规康复治疗,比较康复治疗6个月后两组患儿的运动功能、独立性、发育商及家属对康复治疗的满意度。结果治疗后,观察组患儿的粗大运动功能评定量表(gross motor function measure,GMFM)评分为(195.5±69.4)分、儿童功能独立性评定量表(weefunctional independence measure,Wee-FIM)评分为(88.7±32.4)分,均明显高于对照组[(171.5±61.3)分、(72.7±26.3)分](P<0.05);治疗后两组患儿粗大动作、精细动作、社会适应能力、社会交往能力、语言能力的盖什尔发育商(development quotient,DQ)较治疗前均明显提高(P<0.05),且观察组患儿上述指标改善情况均明显优于对照组(P<0.05);观察组患儿家属对康复治疗的内容、质量及效果的满意度分别为93.3%、96.7%、96.7%,明显高于对照组患儿家属(80.0%、76.7%、66.7%)(P<0.05)。结论个体化康复辅具能明显改善脑瘫患儿的运动功能和生活能力,可在临床推广应用。

Objective To explore the clinical effect of rehabilitation assistive appliance fit in rehabilitation therapy of children with cerebral palsy. Method Retrospectively analyzed the clinical data of 60 children with cerebral palsy from July 2014 to July 2015 in our hospital, accordance with the principle of voluntary, 60 children with cerebral palsy were divided into observation group and control group, 30 cases in each group, observation group children were taken individuation rehabilitation assistive appliance fit, control group children were taken routine rehabilitation training. Rehabilitation for 6 months, the exercise function, independence, development quotient and family members of the two groups were compared after 6 months of rehabilitation treatment. Result Aider rehabilitation therapy, gross motor function measure （GMFM） score [（195.5 ±69.4） points] and wee-functional independence measure （Wee-FIM） score [（88.7 ~±32.4） points] of observation group were significantly higher than control group [（171.5 ± 61.3） points, （72.7±26.3） points] （P 〈 0.05）. After rehabilitation therapy, development quotient （DQ） of gross motor, fine movement, social adaptation ability, ability of social communication and linguistic capacity of the two groups were significantly higher than those before rehabilitation therapy （P 〈 0.05）, and the improvement of the indexes in observation group were significantly better than those in control group （P 〈 0.05）. The satisfaction of content, quality and effect of rehabilitation therapy observation group family members were 93.3%, 96.7%, 96.7%, significantly higher than control group （80.0%, 76.7%, 66.7%） （P 〈 0.05）. Conclusion Individuation rehabilitation assistive appliance fit can significantly improve the motor function and life ability of children with cerebral palsy, which is worthy of clinical application.