物理治疗结合MOTOmed训练对脑瘫患儿站走运动功能的影响

Effect of Physiotherapy Combined with MOTOmed Viva2 on Motor Function of Children with Cerebral Palsy

目的:探讨物理治疗与MOTOmed训练相结合方法对脑瘫患儿站立和步行运动功能的影响。方法:将符合纳入标准的40例脑瘫患儿随机分为MOTOmed训练组和常规治疗组各20例,MOTOmed训练组给予常规物理治疗及MOTOmed训练,常规治疗组给予常规物理治疗。每周治疗5次,每次20 min,每完成20次为1个小疗程,疗程间休息20 d,连续完成3个小疗程为1个大疗程。于治疗前及治疗1个大疗程后,对2组患儿改良的Ashworth分值(腘绳肌)、粗大运动评估量表(GMFM)中的D、E两功能区及步态参数(健侧及患侧步长、步速)进行对比分析。结果:2组患儿治疗1个大疗程后上述各项指标均较治疗前明显改善(P<0.05),MOTOmed训练组的改善幅度更显著,与常规治疗组比较差异有统计学意义(P<0.05)。结论:物理治疗结合MOTOmed训练能显著提高脑瘫患儿肢体运动功能,其疗效优于常规物理治疗。

Objective:To observe the effect of physiotherapy combined with MOTOmed viva2 on motor function of children with cerebral palsy(CP). Methods:Forty CP children were randomly assigned to MOTOmed group(n=20) and conventional therapy group(n =20). The MOTOmed group received MOTOmed viva2 and conventional therapy,and the conventional therapy group received conventional therapy only. Two groups received therapy for twenty minutes each time,five times per week,twenty times for one small course,twenty days rest after each small course,and three small courses for a big course. Before and after one course of treatment,the Modified Ashworth Scale(MAS),D and E dimensions of gross motor function measure(GMFM-88) and gait parameter of two groups were evaluated. Results:After one course of treatment,each index in the two groups had significant improved compared with that before treatment(P<0.05),and the degree of improvement in MOTOmed group was higher than that of conventional therapy group(P<0.05). Conclusion:MOTOmed viva2 has good effects on motor function of CP children,and the effect is better than that of conventional physiotherapy therapy.