以任务导向的生物反馈刺激对脑性瘫痪儿童上肢功能障碍研究

Task-oriented bofeedback stimulation for upper limb dysfunction in children with cerebral palsy

目的研究以任务导向的生物反馈刺激对脑性瘫痪儿童上肢功能障碍的影响。方法选取2016年1月至2018年12月在本院接受治疗的脑性瘫痪儿童上肢功能障碍患儿80例作为研究对象,应用随机数字表法将其分为对照组和实验组,每组40例。对照组给予常规康复治疗,实验组在对照组基础上给予以任务导向的生物反馈刺激,对两组患儿临床效果进行对比分析。结果治疗前两组患儿腕关节主动活动度差异无统计学意义,治疗后实验组明显优于对照组,差异具有统计学意义(P<0.05)。治疗前两组患儿上肢关节活动能力差异无统计学意义,治疗后实验组优于对照组,差异具有统计学意义(P<0.05)。结论以任务导向的生物反馈刺激对脑性瘫痪儿童上肢功能障碍的影响良好,可有效改善其腕关节主动活动度和上肢关节活动能力,值得在临床上推广应用。

Objective To study the effect of task-oriented biofeedback stimulation on upper limb dysfunction in children with cerebral palsy.Methods 80 children with upper extremity dysfunction of cerebral palsy treated in our hospital from January 2016 to December 2018 were selected as the research objects. They were divided into control group and experimental group by random number table method, with 40 cases in each group. The control group was given routine rehabilitation treatment, while the experimental group was given task-oriented biofeedback stimulation on the basisof the control group. The clinical effects of the two groups were compared and analyzed. Results There was no significant difference in active wrist motion between the two groups before treatment. After treatment, the experimental group was significantly better than the control group, and the difference was statistically significant(P<0.05). There was no significant difference in the activity of upper limb joints between the two groups before treatment, and the experimental group was better than the control group after treatment(P<0.05). Conclusion Task-oriented biofeedback stimulation has a good effect on upper limb dysfunction in children with cerebral palsy. It can effectively improve wrist active activity and upper limb joint activity. It is worth popularizing and applying in clinic.