悬吊训练系统对痉挛型脑性瘫痪患儿平衡和步行能力的影响

Effect of sling exercise therapy on the balance and walking ability of children with spastic cerebral palsy

目的评价悬吊训练系统改善痉挛型脑性瘫痪(简称脑瘫)患儿平衡和步行能力的临床疗效。方法选择2017年1月至12月广州中医药大学附属南海妇儿医院儿童康复科收治住院的脑瘫患儿80例为研究对象,按就诊先后顺序分为对照组和观察组各40例。两组均给予常规康复训练,观察组联合应用儿童悬吊训练系统。两组患儿分别于治疗前后采用粗大运动功能评估(GMFM)评价站立行走能力的变化,应用足底压力测试(重心移动范围)评价躯干平衡能力变化,应用日常生活活动能力(ADL)有效值评定患儿临床疗效。结果治疗后两组GMFM评分和ADL评分均较治疗前提高,重心移动范围较治疗前降低,差异有统计学意义(P<0.01)。治疗后观察组GMFM评分和ADL评分高于对照组,重心移动范围低于对照组,差异有统计学意义(P<0.05)。观察组临床疗效优于对照组,差异有统计学意义(P<0.05)。结论悬吊训练系统对痉挛型脑瘫患儿的站位、步行能力以及静态平衡能力有促进作用。

To evaluate the effect of sling exercise therapy on the balance and walking ability of children with spastic cerebral palsy.Methods Totally 80 children with spastic cerebral palsy were included as the subjects and were divided into two groups according to the order of visits,40 cases in each group.The control group received routine rehabilitation training,while the observation group received routine rehabilitation training combined with sling exercise therapy.Before and after treatment,the children of the two groups were evaluated.GMFM was used to assess the changes in standing and walking ability.Plantar pressure test(the moving range of center of gravity)was used to assess the changes in the balance ability of body,and ADL effective value was used to evaluate the clinical effect.Results After treatment,GMFM and ADL scores were both increased compared with those before treatment,while the moving range of center of gravity was decreased,the difference being statistically significant(P<0.01).After treatment,GMFM and ADL scores were higher in the observation group than in the control group,while the moving range of center of gravity was lower(P<0.05).The clinical effect in the observation group was better than that in the control group(P<0.05).Conclusion Sling exercise therapy can promote the standing position,walking ability and static balance ability of children with cerebral palsy.