悬吊运动训练对痉挛型脑性瘫痪患儿粗大运动功能、平衡功能及肌电图的影响

Effects of suspension exercise training on gross motor function, balance function and electromyogram in children with spastic cerebral palsy

目的探究痉挛型脑性瘫痪(简称脑瘫)患儿进行悬吊运动训练对粗大运动功能、平衡功能以及肌电图的影响。方法选取我科2017年10月至2020年6月收治的痉挛型脑瘫患儿89例作为研究对象,随机分为对照组44例和观察组45例。对照组接受常规康复训练,观察组在对照组的基础上增加悬吊运动训练,均连续治疗6个月。观察两组粗大运动功能、肌电图、平衡功能以及日常生活能力。结果观察组粗大运动功能D区、E区评分、平衡功能评分、改良Barthel指数评分明显高于对照组,对照组内收肌、腓肠肌表面肌电均方根值(RMS)水平明显高于观察组,差异有统计学意义(P<0.05)。结论悬吊运动可以明显改善痉挛性脑瘫患儿的粗大运动功能,提高患儿的平衡能力,同时有效降低患儿体表的肌电分布,抑制肌张力的异常升高,提高日常生活能力。

Objective To explore the effect of suspension exercise training on gross motor function,balance function and electromyography in children with spastic cerebral palsy(cerebral palsy for short).Methods A total of 89 children with spastic cerebral palsy who were treated in our department from October 2017 to June 2020 were selected as the research objects,and they were randomly divided into a control group of 44 cases and an observation group of 45 cases.The control group received routine rehabilitation training,and the observation group received suspension exercise training on the basis of the control group,and both received continuous treatment for 6 months.The gross motor function,electromyogram,balance function and daily living ability of the two groups were observed.Results The gross motor function D zone,E zone score,balance function score and modified Barthel index score in the observation group were significantly higher than those in the control group,the difference was statistically significant(P<0.05).Conclusion Suspension exercise can significantly improve the gross motor function of children with spastic cerebral palsy,improve the balance ability of children,and at the same time effectively reduce the distribution of EMG on the body surface of children,inhibit the abnormal increase of muscle tension,and improve the ability of daily life.