运动疗法联合早期认知语言康复对发育迟缓患儿运动和语言功能发育的影响

Effects of exercise therapy combined with early cognitive language rehabilitation on motor and language function development in children patients with developmental delay

目的探讨运动疗法联合早期认知语言康复对促进发育迟缓患儿运动和语言功能发育的影响。方法选取2018年10月至2021年1月柳铁中心医院和柳州市妇幼保健院收治的发育迟缓患儿74例作为研究对象,将2018年10月至2019年10月收治的37例患儿设为对照组,2019年11月至2021年1月收治的37例患儿设为联合组,两组均给予药物对症治疗,对照组在药物对症治疗基础上接受运动疗法训练,联合组在药物对症治疗、运动疗法训练基础上联合早期认知语言康复训练。比较两组患儿干预后智力水平、上下肢肌张力、精细运动功能、语言功能发育水平及社会生活能力。结果两组患儿干预后言语智商、操作智商、总智商评分,各项精细运动功能评分,符号形式——指示内容关系、促进学习相关的基础性过程、交流态度评分均较干预前明显升高,上下肢肌张力评分均较干预前明显降低,且联合组患儿均明显优于对照组,差异均有统计学意义(P<0.05);联合组患儿干预后各领域社会生活能力评分均较干预前明显升高,对照组患儿仅运动、独立生活、参加集体活动领域评分较干预前明显升高,差异均有统计学意义(P<0.05);两组患儿除独立生活、参加集体活动领域评分外,其他领域社会生活能力评分比较,差异均有统计学意义(P<0.05)。结论运动疗法联合早期认知语言康复能促进发育迟缓儿运动、语言功能的发育。

Objective To explore the effect of the exercise therapy combined with early cognitive language rehabilitation on the motor function and language function development in children patients with developmental delay.Methods Seventy-four children patients with developmental delay treated in the Liutie Cnetral Hospital and Liuzhou Municipal Maternal and Child Health Care Hospital from October 2018 to January 2021 were selected as the observation subjects,37 children cases treated from October 2018 to October 2019 were set as the control group and 37 children cases from November 2019 to January 2021 were set as the combined group.Both groups were given the medication symptomatic treatment.The control group received the exercise therapy training on this basis,and the combined group was combined with the early cognitive language rehabilitation training on the basis of the symptomatic therapy and exercise therapy training.The intelligence level,muscle tension of upper and lower limbs,fine motor function,language function development level and social life ability after intervention were compared between the two groups.Results After intervention,the scores of VIQ,PIQ,FIQ,fine motor function scores and the scores of symbolic form-indicates content relations,foundational processes related to promotional learning and communication attitude score in the two groups were significantly increased compared with those before intervention(P<0.05),and there were significant differences between the two groups after intervention(P<0.05).The scores of muscle tension of upper and lower limbs in the two groups were significantly decreased compared with those before intervention(P<0.05),moreover the combined group was significantly better than the control group,and the differences were statistically significant(P<0.05);the scores of various social life abilities after intervention in the combined group were significantly increased compared with those before intervention;only the scores in the fields of motion,independent living,participating in the collective activities in the control group were significantly increased compared with those before intervention,and the differences were statistically singificant(P<0.05);except for the scores in the fields of independent living and participating in the collective activities in the two groups,the scores in the other fields of social living abilities had statistically significant(P<0.05).Conclusion The exercise therapy combined with early cognitive language rehabilitation can promote the development of motion and language in children with developmental retardation.