任务导向性训练联合生物反馈技术对痉挛型脑性瘫痪患儿平衡能力、上肢功能及智力的影响

Effect of task-oriented training combined with biofeedback technology on balance ability and upper limb function of children with spastic cerebral palsy

目的探究生物反馈技术联合任务导向性训练对痉挛型脑性瘫痪(简称脑瘫)患儿上肢功能、平衡能力及智力的影响。方法选取我院2019年1月至2020年2月收治的痉挛型脑瘫患儿123例,随机分为对照组61例和观察组62例。两组均给予常规康复训练,对照组在此基础上应用生物反馈训练,观察组在对照组基础上增加任务导向性训练,干预4个月后对比两组患儿腓肠肌痉挛程度:改良Ashworth量表(MAS);平衡能力:Berg平衡量表(BBS);站立行走功能:粗大运动功能量表(GMFM);上肢功能:手功能评估量表(AHA);发育水平:发展商数(DQ),Gesell量表评估计算后得出DQ。结果干预后观察组MAS评分低于对照组,BBS、GMFM、AHA、DQ评分高于对照组,差异有统计学意义(P<0.05)。结论任务导向性训练联合生物反馈技术对痉挛型脑瘫患儿干预,可有效降低痉挛程度,促进上肢下肢功能和平衡能力恢复,提高智力水平。

Objective To explore the effect of biofeedback technology combined with task-oriented training on upper limb function and balance of children with spastic cerebral palsy(SCP).Methods 123 children with SCP admitted to our hospital between May 2019 and August 2020 were selected and grouped according to the random number table method.Both groups were given routine rehabilitation training.61 cases in the control group were given biofeedback training on this basis.The 62 cases in the observation group added task-oriented training on the basis of the control group,and compared the degree of gastrocnemius spasm in the two groups:modified Ashworth scale(MAS);balance ability:Berg balance scale(BBS);standing and walking function:gross motor function Scale(GMFM);Upper Limb Function:Hand Function Assessment Scale(AHA);Developmental Level:Development Quotient(DQ),DQ is calculated by Gesell Scale.Results After the intervention,the MAS score of the observation group was lower than that of the control group,and the scores of BBS,GMFM,AHA,and DQ were higher than those of the control group,with statistical significance(P<0.05).Conclusion Task-oriented training combined with biofeedback technology intervention for children with SCP can effectively reduce the degree of spasticity,promote the recovery of upper and lower limb function and balance,and improve the level of intelligence.