多感官刺激治疗对全面性发育迟缓婴幼儿运动功能的疗效

Effect of multi-sensory stimulation therapy on the motor function of infants with global developmental delay

目的分析多感官刺激治疗对全面性发育迟缓(GDD)婴幼儿运动功能的疗效,为促进GDD婴幼儿运动功能的发育以及全面发展提供临床实践经验和循证依据。方法选取2018年2—10月在佳木斯大学附属第三医院治疗、诊断为全面性发育迟缓(存在运动发育落后)的0~2岁儿童40例,按随机数字表法分为对照组(20例)和实验组(20例)。实验组在常规康复治疗基础上增加一对一多感官刺激治疗,30 min/d,5次/周,共8周,对照组只进行常规康复治疗。在治疗前、治疗4周、治疗8周时对所有观察对象采用Peabody运动发育量表进行测评,观察粗大运动发育商(GMQ)、精细运动发育商(FMQ)、总体运动发育商(TMQ)的变化情况。结果实验组和对照组在治疗4周、8周后GMQ、FMQ、TMQ评分与治疗前比均有显著提高(P<0.001)。治疗8周后实验组和对照组GMQ、FMQ、TMQ评分均显著高于同组治疗4周后评分(t=-9.354、-7.997、-14.518、-10.162、-6.102、-14.313,P<0.001)。实验组在治疗4周、8周后GMQ、FMQ、TMQ均高于对照组,差异有统计学意义(t=-2.322、-2.306、-2.276、-3.396、-3.392、-3.664,P<0.05)。结论多感官刺激治疗有利于提高全面性发育迟缓婴幼儿的运动功能,值得临床推广。

Objective To analyze the efficacy of multi-sensory stimulation therapy on infants with global developmental delay(GDD) and young children′s motor function, so as to provide clinical practice experience and evidence-based evidence for promoting the development and comprehensive development of GDD infants′ motor function. Methods A total of 40 GDD children, aged 0—2 years and diagnosed with GDD in the Third Affiliated Hospital of Jiamusi University, were enrolled in this study.Then the participants were divided into the control group(n=20) and the experimental group(n=20) according to the random number table method.The control group received conventional rehabilitation, while the experimental group was given 8-week one-to-one sensory stimulation therapy for 30 minutes per day, 5 days per week, additionally.The gross motor development quotient(GMQ), fine motor developmental quotient(FMQ) and total developmental quotient(TMQ) of participants were evaluated using the Peabody Sports Development Scale before treatment, and 4 and 8 weeks after treatment. Results GMQ, FMQ, TMQ scores of the experimental group and the control group were significantly improved after 4 weeks and 8 weeks of treatment compared with those before treatment(P<0.001).After 8 weeks of treatment, the GMQ, FMQ and TMQ scores of the experimental group and the control group were significantly higher than those of the same group after 4 weeks of treatment(t=-9.354,-7.997,-14.518,-10.162,-6.102,-14.313, P<0.001).The GMQ, FMQ and TMQ of the experimental group after 4 weeks and 8 weeks of treatment were distinctly higher than those of the control group(t=-2.322,-2.306,-2.276,-3.396,-3.392,-3.664, P<0.05). Conclusion Multi-sensory stimulation therapy is beneficial to improving the motor function of infants with GDD.