引导式教育结合核心肌群稳定性训练对痉挛型脑性瘫痪患儿精细运动功能及平衡能力的影响

Effect of guided education combined with core muscle stability training on fine motor function and balance ability of children with spastic cerebral palsy

目的分析引导式教育结合核心肌群稳定性训练对痉挛型脑性瘫痪(SCP)患儿精细运动功能及平衡能力的影响。方法选取2017年10月至2019年10月我科收治的SCP患儿125例作为研究对象,随机分为对照组62例和观察组63例。对照组给予核心肌群稳定性训练,观察组增加引导式教育,3个月后对比两组患儿训练前后足背屈角、精细运动功能及平衡能力。结果观察组SCP患儿治疗后足背屈角低于对照组,差异具有统计学意义(P<0.05);观察组SCP患儿治疗后精细运动功能和平衡能力评分高于对照组,差异具有统计学意义(P<0.05)。结论核心肌群稳定性训练能够纠正SCP患儿异常姿势和肌张力,提高四肢运动能力和平衡能力,结合引导式教育可提高患儿家属对康复训练的认识程度,提高SCP患儿的精细运动能力,在促进患儿早日融入社会具有较高价值。

Objective To analyze the influence of guided education combined with core muscle stability training on fine motor function and balance ability of children with spastic cerebral palsy(SCP).Methods Totally 125 children with SCP admitted to our department from October 2017 to October 2019 were selected as study subjects,and were randomly divided into control group(62 cases)and observation group(63 cases).The control group was given core muscle stability training,while the observation group was given additional guided education.After 3 months,the children in the two groups were compared in terms of foot dorsal flexion angle,fine motor function and balance ability before and after training.Results After treatment,the observation group had lower dorsal foot flexion angle than the control group,and the difference was statistically significant(P<0.05).The scores in fine motor function and balance ability of SCP children in the observation group were higher than those in the control group after treatment,and the difference was statistically significant(P<0.05).Conclusion Stability training of core muscle can correct abnormal posture and muscular tension of children with SCP,improve limb movement ability and balance ability.Combined with guided education,it can improve the awareness of families of children with SCP on rehabilitation training,and improve the fine motor ability of children with SCP,which is of high value in promoting children's early integration into the society.