基于游戏为主的康复干预对脑瘫患儿精细运动功能及依从性的影响

The effects of game-based rehabilitation intervention on the fine motor function and compliance of children with cerebral palsy

目的探讨基于游戏为主的康复干预对脑瘫患儿精细运动功能和依从性的影响。方法选取大连市妇女儿童医疗中心(集团)2018年3月至2020年5月收治的60例脑瘫患儿,按随机数字表法分为对照组(30例)和观察组(30例)。对照组患儿采取常规康复训练,观察组患儿在对照组基础上联合基于游戏为主的康复干预,两组均持续干预6个月。比较两组患儿干预前后的残疾儿童生活自理能力量表(ADL)、粗大运动功能量表(GMFM)、精细运动功能测试量表(FMFM)评分以及康复训练依从性。结果干预后两组ADL、GMFM、精细运动能力值、视觉追踪能力、上肢关节活动能力、抓握能力、操作能力、手眼协调能力、参与家庭康复训练、参加试听课、运动功能锻炼、趣味性活动、整体性训练依从性评分高于本组干预前,且观察组均高于对照组,差异有统计学意义(P<0.05)。结论脑瘫患儿应用基于游戏为主的康复干预可有效促进生活自理能力恢复,改善粗大运动及精细运动功能,并提高康复训练依从性。

Objective To explore the effects of game-based rehabilitation intervention on the fine motor function and compliance of children with cerebral palsy.Methods A total of 60 children with cerebral palsy admitted to Dalian Women and Children′s Medical Center(Group)from March 2018 to May 2020 were selected and divided into a control group with 30 cases and an observation group with 30 cases according to the random number table.The children in the control group received routine rehabilitation training,and the children in the observation group combined with game based rehabilitation intervention on the basis of the control group.Both groups continued to intervene for 6 months.The scores of activity of daily living scale(ADL),gross motor function measure(GMFM),fine motor function measure(FMFM)and rehabilitation training compliance of disabled children before and after intervention were compared between the two groups.Results Compared with the pre-intervention period,the scores of ADL,GMFM,fine motor ability values,visual tracking ability,upper limb joint movement mobility,grasping ability,operational ability,hand-eye coordination ability,participation in family rehabilitation training,participation in trial sessions,motor function exercise,fun activities,and overall training compliance scores in both groups all increased after the intervention,and the above indexes in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion The application of game based rehabilitation intervention in children with paralysis can effectively promote the recovery of self-care ability,improve gross motor and fine motor function,and improve the compliance of rehabilitation training.