绳带疗法训练对痉挛型脑性瘫痪患儿下肢运动能力的影响

Effects of rope band therapy training on lower extremity motion function in children with spastic cerebral palsy

目的研究绳带疗法训练对痉挛型脑性瘫痪患儿下肢运动能力的影响。方法选取2017年1月至2018年3月广西医科大学第二附属医院收治的痉挛型脑性瘫痪患儿55例。其中男27例,女28例;年龄(51.2±1.7)个月。按随机数字表法分为常规治疗组(28例)和绳带训练组(27例)。常规治疗组男14例,女14例;年龄(51.3±1.8)个月(2~6岁)。绳带训练组男13例,女14例;年龄(51.1±1.9)个月(2~6岁)。常规治疗组给予常规康复治疗,绳带训练组在常规康复治疗基础上,增加绳带疗法。2组患儿分别于治疗前及治疗12周后采用Ashworth改良评定量表(MAS)、儿童平衡量表(PBS)、粗大运动功能测试量表(GMFM-88)进行评估和比较分析。结果治疗12周后,常规治疗组患儿MAS评分为(2.64±1.63)分,PBS评分为(25.44±9.71)分,GMFM中D区评分为(23.82±3.61)分,E区评分为(26.34±8.81)分;绳带训练组患儿MAS评分为(2.11±8.75)分,PBS评分为(29.32±8.21)分,GMFM中D区评分为(27.75±6.81)分,E区评分为(31.92±6.84)分,2组患儿的评价指标与治疗前比较差异均有统计学意义(均P<0.05),而绳带训练组评分明显高于常规治疗组,差异均有统计学意义(t=4.144、5.186、3.769、4.254,均P<0.05)。结论绳带疗法训练有利于改善脑性瘫痪的患儿粗大运动功能、痉挛程度、平衡能力,以改善下肢运动能力。

Objective To investigate the application of rope band therapy training on lower extremity motion function of children with spastic cerebral palsy.Methods A total of 55 children with spastic cerebral palsy were admitted to the Second Hospital Affiliated to Guangxi Medical University from January 2017 to March 2018,27 males and 28 females,and the average age was(51.2±1.7)months.They were divided into a regular group(28 cases)and a rope band therapy training group(27 cases)according to random number table.The regular group included 14 males and 14 females,aged 2 to 6 years old,the mean age was(51.3±1.8)months;the rope therapy training group included 13 males and 14 females,aged 2 to 6 years old,the mean age was(51.1±1.9)months.The regular group was only treated by routine rehabilitation training.On the basis of routine rehabilitation training,the rope therapy training group also underwent the rope therapy training.Before and after 12 weeks of treatment,the 2 groups of children were evaluated and compared by Ashworth improved rating scale(MAS),children balance scale(PBS)and gross motor function test scale(GMFM-88 D and E regions).Results After 12 weeks of treatment,the MAS score of the regular group was(2.64±1.63)scores,the PBS score was(25.44±9.71)scores,the GMFM score of D regions score was(23.82±3.61)scores and E regions score was(26.34±8.81)scores.The MAS score of the rope therapy training group was(2.11±8.75)scores,the PBS(31.92±6.84)scores,the GMFM score of D region was(27.75±6.81)scores,and E region(31.92±6.84)scores.All evaluation criteria of 2 groups of children were improved than those before treatment(all P<0.05).However,the scores of the rope therapy training group were significantly better than those of the regular group,and the difference was significant(t=4.144,5.186,3.769,4.254,all P<0.05).Conclusions Rope therapy training can effectively improve lower extremity motion function of children with spastic cerebral palsy,the gross motor function,spastic level and balance ability.