痉挛型脑瘫的核心稳定训练应用效果分析

Analysis of the effect of core stability training on children with spastic cerebral palsy

目的探究核心稳定训练应用于痉挛型脑瘫病儿中的效果。方法选取2016年9月至2017年9月徐州医科大学附属徐州儿童医院收治的给予常规训练干预(以理疗或体疗联合按摩等方法为主)的痉挛型脑瘫病儿58例作为对照组,另选取2017年10月至2018年10月收治的给予核心稳定训练的痉挛型脑瘫病儿58例作为观察组[具体操作有徒手训练和借助辅助器械训练(平衡板、滚筒或弹跳床及Bobath球训练)等]。对比两组精细运动功能、粗大运动功能及步行参数。结果观察组干预3个月后抓握标准分、视觉运动整合标准分及精细动作发育商评分分别为(5.60±1.65)分、(6.74±1.22)分、(77.70±6.31)分,均高于对照组的(4.67±1.43)分、(6.06±1.32)分、(73.42±5.47)分,差异有统计学意义(P<0.05);观察组干预3个月后粗大运动功能评定量表(72.43±13.04)分高于对照组的(60.35±14.36)分(P<0.05);观察组干预3个月后步速、步长及步宽分别为(0.61±0.11)m/s、(19.96±6.08)cm、(16.88±1.40)cm,均高于对照组的(0.55±0.07)m/s、(16.47±5.23)cm、(14.54±1.32)cm(均P<0.05)。结论核心稳定训练应用于痉挛型脑瘫病儿中,可显著提高病儿的精细运动功能与粗大运动功能,并有效改善其步行参数,值得推广。

Objective To explore the effect of core stability training on children with spastic cerebral palsy.Methods A total of 58 children with spastic cerebral palsy who received routine training intervention in Xuzhou Children’s Hospital Affiliated to Xu⁃zhou Medical University from September 2016 to September 2017 were selected as the control group.Another 58 cases with spastic cerebral palsy admitted from October 2017 to October 2018 and given core stable training were selected as observation group.Fine motor function,gross motor function and walking parameters were compare between the two group.Results After 3 months of inter⁃vention,the scores of GRS,Vis and FMQ in the observation group were(5.60±1.65),(6.74±1.22)and(77.70±6.31),respectively,which were higher than those of the control group(4.67±1.43),(6.06±1.32),(73.42±5.47)points,the difference was statistically significant(P<0.05);the observation group had a GMFM score of(72.43±13.04)after 3 months of intervention,and higher than that of the control group(60.35±14.36),the difference was statistically significant(P<0.05);after 3 months of intervention,the pace,step size and step width of the observation group were(0.61±0.11)m/s,(19.96±6.08)cm,(16.88±1.40)cm,which were high⁃er than those in the control group(0.55±0.07)m/s,(16.47±5.23)cm,(14.54±1.32)cm,the difference was statistically significant(P<0.05).Conclusion The application of core stability training to children with spastic cerebral palsy can significantly improve fine motor function,large motor function and walking parameters,which id worthy of promotion.