情景式运动训练对运动发育迟缓儿童的干预效果观察

Observation on intervention efficacy of situational exercise training in children with motor retardation

目的探讨情景式运动训练对运动发育迟缓儿童的干预效果。方法选取2019年1月~2020年2月我院康复科收治的60例运动发育迟缓患儿作为本次研究对象。按照数字表法分为两组,各30例。两组均通过综合早期干预的方法治疗,观察组则在此基础上通过情景运动训练的方法治疗。比较两组干预前后Peabody运动发育量表评分(PDMS)、粗大运动功能评估量表(GMFM-88)评分、Berg平衡量表评分(BBS)变化情况。结果观察组干预前GMQ评分为(74.69±7.33)分,FMQ评分为(73.68±7.98)分,D区评分为(20.27±5.24)分,E区评分为(10.19±1.39)分,BBS评分为(26.44±4.11)分,干预后GMQ评分为(83.77±7.18)分,FMQ评分为(84.31±7.19)分,D区评分为(70.02±4.26)分,E区评分为(45.14±8.68)分,BBS评分为(35.02±5.02)分。对照组干预前GMQ评分为(75.12±8.09)分,FMQ评分为(74.09±7.11)分,D区评分为(20.56±6.31)分,E区评分为(10.22±1.64)分,BBS评分为(26.51±4.87)分,干预后GMQ评分为(79.44±7.66)分,FMQ评分为(79.01±6.99)分,D区评分为(60.09±5.69)分,E区评分为(38.49±7.44)分,BBS评分为(30.48±4.88)分。观察组干预后PDMS评分、GMFM-88评分、BBS评分均高于对照组,组间比较差异显著(P<0.05)。结论情景式运动训练能够改善运动发育迟缓儿童的运动发育情况,应用价值较高。

Objective To explore the efficacy of situational exercise training on children with motor retardation.Methods 60 children with motor retardation admitted to our hospital's rehabilitation department from January 2019 to February 2020 were selected as the research objects.According to the number table method,they were divided into the observation group(n=30)and the control group(n=30).Both groups were treated with comprehensive early intervention,and the observation group was additionally treated with situational exercise training.The changes of Peabody Developmental Motor Scale(PDMS),Gross Motor Function Assessment Scale(GMFM-88)and Berg Balance Scale(BBS)before and after the intervention were compared between the two groups.Results For the observation group,the GMQ score before intervention was(74.69±7.33)points,FMQ score was(73.68±7.98)points,D area score was(20.27±5.24)points,E area score was(10.19±1.39)points,and BBS score was(26.44±4.11)points;the GMQ score after intervention was(83.77±7.18)points,FMQ score was(84.31±7.19)points,D area score was(70.02±4.26)points,E area score was(45.14±8.68)points,and BBS score was(35.02±5.02)points.For the control group,the GMQ score before intervention was(75.12±8.09)points,FMQ score was(74.09±7.11)points,D area score was(20.56±6.31)points,E area score was(10.22±1.64)points,and BBS score was(26.51±4.87)points;the GMQ score after intervention was(79.44±7.66)points,FMQ score was(79.01±6.99)points,D area score was(60.09±5.69)points,E area score was(38.49±7.44)points,and BBS score was(30.48±4.88)points.After intervention,PDMS score,GMFM-88 score and BBS score of the observation group were all higher than those of the control group,with significant difference between two groups(P<0.05).Conclusion Situational exercise training improves the motor development of children with motor retardation and has high application value.