家庭康复训练对脑瘫患儿粗大运动功能及日常生活能力的影响

Effects of family rehabilitation training on gross motor function and activity of daily living of children with cerebral palsy

目的探讨家庭康复训练对脑瘫患儿粗大运动功能及日常生活能力的影响。方法将96例脑瘫患儿根据家长治疗意愿分为两组，观察组55例，对照组41例。两组均给予常规康复训练，观察组在此基础上给予家庭康复训练。于训练前后采用粗大运动功能测试量表评定粗大运动功能，采用脑瘫日常生活活动能力评价表评定日常生活活动能力。结果治疗后观察组人运动功能测试量表、脑瘫日常生活活动能力评价表评分均较治疗前显著升高（P〈O．01），对照绀则无显著变化（P〉0．05），观察组显著高于对照组（P〈0．05或0．01）。结论家庭康复训练能有效改善脑瘫患儿粗大运动功能及日常生活能力，值得推广应用。

Objective To explore the effects of family rehabilitation training （FRT） on gross motor function （GMF） and activity of daily living of children with cerebral palsy （CP）. Methods Ninety-six CP children were assigned to observation （n ： 55） and control group （n ： 41） according to patriarch＇ s treatment will. Both groups received routine rehabilitation training and observation group was plus FRT on the basis of routine rehabilitation training. GMFs were measured with the Gross Motor Function Measure-88 （GM FM-88） and activities of daily living assessed with the Activity of Daily Living Scale （ADL） before and af ter training. Results After treatment the GMFM-88 and ADL score heightened more significantly compared with pretreatment in observation group （P〈0.01）, had no notably changes in control group （P〉 0.05）, and were significantly higher in observation than in control group （P〈0.05 or 0.01）. Conclusion Family rehabilitation training could effectively improve gross motor function and activity of daily living of children with CP and deserves generalization and application.