虚拟情景循环踏车锻炼对不随意运动型脑瘫儿童粗大运动功能康复效果的影响

Influence of virtual scene cycle of treadmill training on dyskinetic cerebral palsy children's gross motor function rehabilitation

目的探究虚拟情景循环踏车锻炼对不随意运动型脑瘫儿童粗大运动功能康复效果的影响,为脑瘫的治疗提供理论依据。方法选取2014年11月-2016年6月期间本院收治的96例不随意运动型脑瘫儿童为研究对象,将患儿分为对照组和观察组,各48例。两组患儿均经包括神经发育促进术、物理因子、推拿的常规康复治疗,观察组患儿在此基础上加用虚拟情景循环踏车锻炼。对比两组患儿治疗前与治疗后下肢关节活动度、改良Ashworth(MAS)分级、粗大运动功能测试量表(GMFM)评分。结果治疗后观察组患儿的内收肌角与腘窝角小于对照组患儿,足背屈角大于对照组患儿;观察组患儿的改良Ashworth分级情况显著优于对照组患儿;观察组患儿的GMFM评分显著高于对照组患儿,差异均具有统计学意义(P均<0.05)。结论给予不随意运动型脑瘫儿童虚拟情景循环踏车锻炼能够有效改善下肢关节活动度,降低肌张力,改善运动功能。

Objective To explore the impact of virtual scene cycle of treadmill training on dyskinetic cerebral palsy children＇s gross motor function rehabilitation effect. Methods Totally 96 cases of children with cerebral palsy were select- ed and divided into control group （n=48） and observation group （n=48） during the period of June 2016. Two groups of children were treated with conventional rehabilitation therapy including surgery,nerve growth factor, promote physical ma- nipulation,observation group based on the use of virtual scene treadmill exercise cycle. The two groups were compared be- fore and after the treatment of lower limb joint activity, Modified Ashworth Scale （MAS） classification, gross motor function measutre（GMFM） score. Results After treatment,the adductor angle and the poptiteal angle of the observation group were less than those of control group, the foot dorsiflexion angle was greater than that of control group^the modified Ash- worth grade in the observation group after treatment was significantly better than that in control group;GMFM score of the observation group significantly higher than that of control group, the differences were statistically significant （all P^0.05）. Conclusion The degree of lower limb joint activity,reduce muscle tension and motor function can be improved by the in- voluntary movement of children with cerebral palsy virtual scene cycle of treadmill training.