悬吊运动训练联合肌内效贴对不随意运动型脑瘫患儿下肢运动功能的疗效研究

Study on efficacy of lower limb motor function of sling exercise therapy combined with kinesio taping on dyskinetic cerebral palsy

目的研究悬吊运动训练(SET)联合肌内效贴治疗不随意运动型脑瘫(DCP)患儿下肢运动功能的疗效,以期为该类型患儿治疗提供临床依据。方法选取2018年3月—2019年12月在湘雅博爱康复医院儿童康复治疗部收治的59例DCP患儿为研究对象,基于数字表法随机分为3组(常规组20例,悬吊组20例,研究组19例),常规组行常规康复,悬吊组行常规康复和SET,研究组行常规康复+SET+肌内效贴,3组患儿均治疗4个月。比较三组患儿治疗前、治疗4个月的步行能力[10 m步行速度(10 mMWS)]、粗大运动功能[粗大运动功能评定量表88项(GMFM)]与平衡功能[Berg平衡量表(BBS)]评分变化。结果治疗4个月后,常规组、悬吊组和研究组患儿在10 mMWS(t=3.249、4.042、7.761)、GMFM目标分(t=5.297、13.128、20.982)和BBS评分(t=4.025、7.289、6.394)上较治疗前均显著增高(P<0.01);治疗后,研究组在10 mMWS、GMFM目标分和BBS评分指标改善幅度最佳,并显著优于常规组和悬吊组(F=7.071、4.787、4.093,P<0.05)。结论 SET联合肌内效贴治疗DCP患儿可提高临床治疗疗效,有效改善患儿的平衡功能,粗大运动功能和步行能力。

Objective To investigate efficacy of lower limb motor function of sling exercise therapy(SET) combined with kinesio taping on lower limb motor function of children with dyskinetic cerebral palsy, in order to provide clinical evidence for the treatment of these children. Methods A total of 59 children with dyskinetic cerebral palsy in Children′s Rehabilitation Department of Xiangya Boai Rehabilitation Hospital were enrolled in this study from March 2018 to December 2019,and were randomly divided into 3 groups, including control group(n=20),SET group(n=20) and study group(n=19). The control group was given routine rehabilitation, SET group received sling exercise therapy additionally, and the study group was treated with kinesio taping based on SET group. The three groups were treated for 4 months. 10 m maximum walking speed(10 mMWS),Berg Balance Scale(BBS) and Gross Motor Function Measure(GMFM) were used to evaluate the walking ability, balance and gross motor function of children before treatment and in 4 months after treatment. Results After 4 months of treatment, the scores of 10 mMWS(t=3.249,4.042,7.761),GMFM(t=5.297,13.128,20.982) and BBS(t=4.025,7.289,6.394) of three groups were all better than those before treatment(P<0.01). Additionally, the improvements of 10 mMWS,GMFM and BBS scores in study group were significantly higher than those in control group and SET group(F=7.071,4.787,4.093,P<0.05). Conclusions Sling exercise therapy combined with kinesio taping can strengthen the clinical treatment efficacy of children with dyskinetic cerebral palsy, effectively improve the children′s balance function, gross motor function and walking ability.