太空衣对不随意运动型脑性瘫痪患儿的疗效研究

Therapeutic effect of spacesuit on children with involuntary movement cerebral palsy

目的:观察太空衣对不随意运动型脑性瘫痪患儿的临床疗效。方法:将符合纳入标准的不随意运动型脑性瘫痪患儿随机分为2组,每组14例,对照组采用运动学分析评估及康复训练方法,观察组在对照组基础上增加太空衣治疗。在康复治疗3个月前后分别采用日常生活能力的Barthel指数、手功能分级系统评定(MACS)、日常生活能力和手功能。结果:治疗前2组的Barthel指数、MACS评定均无统计学意义。治疗后,2组Barthel指数评分与治疗前同组组内比较均明显提高,差异均有统计学意义(P<0.05);治疗后,2组Barthel指数评分进行组间比较,观察组明显高于对照组,差异有统计学意义(P<0.05)。治疗后,2组MACS评级均较治疗前差异有统计学意义(P<0.05),2组间比较差异有统计学意义(P<0.05)。观察组总变化率明显高于对照组(28.57%、14.29%,P<0.05)。结论:运动学分析评估及康复训练方法配合太空衣能加强不随意运动型脑性瘫痪患儿手功能能力,提高脑瘫患儿的日常生活能力。

Objective:To observe the clinical effectiveness of spacesuit on children with involuntary movement cerebral palsy.Methods:Children with involuntary exercise cerebral palsy who met the inclusion criteria were randomly divided into two groups,14 in each group.The control group and treatment group underwent kinematic analysis and rehabilitation training methods.The treatment group was given spacesuits additionally.Before and 3 months after the rehabilitation,the Barthel index and the hand function grading system of daily living ability were used to assess the daily living ability and hand function.Results:There was no significant difference in Barthel index and hand function grading system between the two groups before treatment ( P > 0.05 ).After treatment,the Barthel index scores in the two groups were significantly different from those before treatment ( P < 0.05 ).After treatment,the Barthel index scores in the treatment group were,which were significantly higher than in the control group ( P < 0.05 ).Before and after treatment,there was significant difference in evaluation of the hand function grading system ( P < 0.05 ) in two group,and there was significantly difference between two groups after treatment ( P < 0.05 ).The total change rate of the hand function grading system in the treatment group was 28.57%,which was significantly higher than in the control group ( 14.29%,P < 0.05 ).Conclusion:Kinematic analysis and evaluation and rehabilitation training methods combined with spacesuits can enhance the hand function ability of children with involuntary sports cerebral palsy and improve the daily living ability of children with cerebral palsy.