Bobath球上被动训练联合运动康复干预对脑瘫患儿肢体功能恢复的影响

Effect of Passive Training Combined with Exercise Rehabilitation on Bobath Ball on Limb Function Recovery in Children with Cerebral Palsy

目的探究Bobath球上被动训练联合运动康复干预对脑瘫患儿肢体功能恢复的影响。方法方便选取2016年10月—2018年10月于该院接受治疗的88例脑瘫患儿为研究对象,采用随机数字法分为研究组与对照组各44例。对照组予以运动康复干预,研究组在对照组基础上给予Bobath球上被动训练。比较两组患儿干预前及干预后肢体功能[粗大运动功能量表(GMFM)、精细运动功能量表(FMFM)、Breg平衡量表(BBS)]、痉挛程度[肌张力分级量表(Ashworth)]、智力恢复程度[智力发育量表(CDCC)、盖世尔量表(Gesell)]、10 m步行时间。结果干预后,研究患儿GMFM评分为(183.15±20.17)分(t=12.898、2.254),FMFM评分为(152.51±17.63)分(t=13.024、3.884),BBS评分为(50.57±7.89)分(t=21.603、4.521),CDCC中的MDI评分为(101.17±7.51)分(t=14.635、5.224),PDI评分为(103.08±5.28)分(t=25.565、8.185)、DQ中的社会适应能力评分为(53.57±8.29)分(t=7.507、2.802)、个人社交能力评分为(51.58±6.23)分(t=7.992、2.538)、语言发育能力评分为(58.61±7.11)分(t=7.876、2.878),以上水平均较干预前显著提高,且研究组明显高于同期对照组,差异有统计学意义(P<0.05)。干预后,研究组患儿Ashworth水平为(2.43±0.43)分(t=35.630、5.543),10 m步行时间为(50.24±8.07)s(t=22.652、6.756),均较干预前显著下降,且研究组明显低于同期对照组,差异有统计学意义(P<0.05)。结论Bobath球上被动训练联合运动康复干预能够有效改善脑瘫患儿肢体功能,提高智力水平,有助于患儿整体康复。

Objective To investigate the effects of passive training combined with exercise rehabilitation on Bobath ball on limb function recovery in children with cerebral palsy.Methods Eighty-eight children with cerebral palsy who were treated in the hospital from October 2016 to October 2018 were convenient selected and enrolled in the study.They were randomly divided into study group and control group.The control group was given exercise rehabilitation intervention,and the study group was given passive training on the Bobath ball on the basis of the control group.Comparison of limb function before and after intervention in the two groups[Gold Motor Function Scale(GMFM),Fine Motor Function Scale(FMFM),Breg Balance Scale(BBS)],spasm degree[muscle tension grading scale(Ashworth)],degree of intellectual recovery[Intelligence Development Scale(CDCC),Gesell Scale(Gesell)],10m walking time.Results After intervention,the GMFM scores of the studly groups were(183.15±20.17)points(t=12.898,2.254),and the FMFM score was(152.51±17.63)points(t=13.024,3.884),BBS score was(50.57±7.89)points(t=21.603,4.521),and the MDI score in CDCC was(101.17±7.51)points(t=14.635,5.224),and the PDI score was(103.08±5.28)points(t=25.565,8.185),social adaptability score in DQ was(53.57±8.29)points(t=7.507,2.802),and social social ability score was(51.58±6.23)points(t=7.992,2.538),language development ability score was(58.61±7.11)points(t=7.876,2.878),the above water level was significantly higher than before intervention,and the study group was significantly higher than the same period of control group,the difference was statistically significant(P<0.05).After the intervention,the Ashworth level was (2.43±0.43)points (t=35.630,5.543), and the walking time was (50.24±8.07)s in the group (t=22.652,6.756). Both were significantly lower than before the intervention, and the study group was significantly lower than the control group,the difference was statistically significant(P<0.05). Conclusion The passive training combined with exercise rehabilitation intervention on Bobath ball can effectively improve the limb function of children with cerebral palsy, improve the intelligence level and contribute to the overall rehabilitation of the child.