任务导向性训练对学龄期脑瘫儿童平衡和移动能力的影响

Effect of task-oriented training on balance and mobility of school-age children with cerebral palsy

目的探讨基于现实生活的任务导向性训练对学龄期脑瘫儿童平衡和移动能力的影响。方法对湘雅博爱康复医院在2017年9月至2018年9月收治的脑瘫儿童中随机抽取45例采用数字随机法分为两组(实验组22例,对照组23例),对照组行常规康复治疗,实验组行常规康复和基于现实生活的任务导向性训练,采用Berg平衡量表(BBS)、粗大运动功能评定量表(GMFM)、儿童残疾评定量表(PEDI)来比较治疗前后(120d)的疗效差异。结果治疗120d后,对照组和实验组BBS、GMFM-E区、PEDI-移动能力部分评分均较治疗前增高(对照组:t值分别为15.906、18.250、23.332,实验组:t值分别为25.592、29.693、37.932,均P<0.001),实验组各项评分指标均优于对照组(F值分别为6.552、1.927、2.227,均P<0.05)。结论基于现实生活的任务导向性训练可有效提高学龄期脑瘫儿童在现实生活中的平衡和移动能力。

Objective To explore the effect of task-oriented training based on real life on balance and mobility of school-age children with cerebral palsy. Methods In Xiangya Boai Rehabilitation Hospital from September 2017 to September 2018, 45 children with cerebral palsy were randomly chosen and divided into two groups by using digital random method(22 cases in experimental group, 23 cases in control group). The control group received routine rehabilitation therapy, and the experimental group accepted routine rehabilitation and task-oriented training based on real life. Berg balance scale(BBS), Gross motor function measure(GMFM), Pediatric evaluation of disability inventory(PEDI) were used to compare the therapeutic efficacy before and after treatment(120 d). Results After 120 d treatment, the scores of BBS, GMFM-E area and PEDI-mobility were increased in both groups(tcontrol group value was 15.906, 18.250 and 23.332, texperimental group value was 25.592, 29.693 and 37.932, all P<0.001), and the scores of the experimental group were better than those of the control group(F value was 6.552, 1.927 and 2.227, respectively, all P<0.05). Conclusion Task-oriented training based on real life can effectively improve the balance and movement ability of school-age children with cerebral palsy.