全身振动训练对痉挛型偏瘫患儿运动功能影响的临床研究

Clinical study on the effect of whole body vibration training on motor function in children with spastic hemiplegia

目的观察全身振动训练对痉挛型偏瘫儿童的运动和平衡功能的影响,为偏瘫型脑瘫的临床治疗提供科学依据。方法选取2016年9月—2018年9月在深圳市儿童医院就诊的2~4岁痉挛型偏瘫患儿44例,随机分为观察组(n=24),对照组(n=20),两组均给予3个疗程的运动、作业、等速及肌电生物反馈治疗;观察组在常规训练的基础上给予全身振动训练。采用改良Ashworth(MAS)量表、足底支持面积、足底压力、轨迹长、外周面积、矩形面积评估疗效。结果治疗后观察组MAS评分、足底压力、足底支持面积、轨迹长、外周面积、矩形面积均显著优于对照组(t=7.89、5.87、4.98、7.81、3.56、5.67,P<0.05)。结论在常规康复治疗的基础上结合全身振动训练较常规康复治疗更能降低痉挛、改善步态和平衡能力。

Objective To observe the effect of whole body vibration training on motor and balance function of children with spastic hemiplegia,so as to provide scientific basis for treatment of hemiplegic cerebral palsy.Methods A total of 44 children with spastic hemiplegia aged 2 to 4 years in Shenzhen Children's Hospital were enrolled in this study from September 2016 to September 2018,and were randomly divided into study group(n=24)and control group(n=20).Both groups were given three courses of exercise,homework,isokinetic and electromyographic biofeedback therapy.The study group was given whole body vibration training on the basis of routine training.Modified Ashworth Scale(MAS),plantar support area,plantar pressure,track length,peripheral area and rectangular area were used to evaluate the efficacy of whole body vibration training.Result After treatment,the MAS score,plantar pressure,plantar support area,track length,peripheral area and rectangular area of study group were significantly better than those of control group(t=7.89,5.87,4.98,7.81,3.56,5.67,P<0.05).Conclusion Routine rehabilitation therapy combined with whole body vibration training can reduce spasm,improve gait and balance ability more effectively than routine rehabilitation therapy.