核心肌群稳定性训练结合爬行训练对痉挛型脑性瘫痪患儿运动及智力发育的影响

Effect of stability training of core muscle group combined with crawling training on the motor and intellectual development of children with spastic cerebral palsy

目的观察核心肌群稳定性训练结合爬行训练对痉挛型脑性瘫痪(简称脑瘫)患儿运动及智力发育的影响。方法选取2018年2月至2019年10月于我院就诊的痉挛型脑瘫患儿95例,随机分为对照组47例和观察组48例。对照组给予常规爬行训练,观察组在对照组的基础上增加核心肌群稳定性训练。观察3个月后两组患儿爬行能力、智力发育。结果干预后观察组改良Tardieu痉挛量表评分显著低于对照组,粗大运动功能测量量表评分显著高于对照组,差异均有统计学意义(P<0.05);干预后观察组发育指数评分、心理运动发育指数评分均显著高于对照组,差异有统计学意义(P<0.05)。结论核心肌群稳定性训练结合爬行训练能够提高痉挛型脑瘫患儿的爬行能力,激活协调上下肢运动,增强神经支配能力,促进其智力发育。

Objective To observe the effect of stability training of core muscle group combined with crawling training on motor and intellectual development of children with spastic cerebral palsy.Methods Totally 95 children with spastic cerebral palsy treated in our hospital from February 2018 to October 2019 were selected and randomly divided into control group(47 cases)and observation group(48 cases).The control group was given routine crawling training,and the observation group was given stability training of core muscle group in addition to crawling training.The crawling ability and intellectual development of the two groups were observed after 3 months.Results After the intervention,the modified Tardieu spasm scale score of the observation group was significantly lower than that of the control group,and the gross motor function scale score of the observation group was significantly higher than that of the control group(P<0.05);after the intervention,the development index score and psychomotor development index score of the observation group were significantly higher than those of the control group(P<0.05).Conclusion Stability training of core muscle group combined with crawling training can improve the crawling ability of children with spastic cerebral palsy,activate and coordinate the movement of upper and lower limbs,enhance the ability of innervation,and promote their intellectual development.