悬吊密集治疗单元在脑瘫患儿骨盆前倾中的应用效果

Application effect of suspension intensive treatment unit on pelvic anteversion in children with cerebral palsy

目的探讨悬吊密集治疗单元在脑瘫患儿骨盆前倾中的应用效果。方法选取2020年2月至11月西安中医脑病医院儿童康复治疗科收治的60例痉挛型脑瘫骨盆前倾患儿作为研究对象,根据康复方案将其分为悬吊密集治疗组(30例,悬吊密集治疗单元)和常规康复治疗组(30例,常规康复疗法)。比较两组治疗前、后的骨盆前倾角度(ASIS-PSIS)、髂腰肌肌张力、臀大肌肌力及运动功能。结果治疗前,两组的ASIS-PSIS比较,差异无统计学意义(P>0.05);治疗后,两组的ASIS-PSIS均小于治疗前,且悬吊密集治疗组明显小于常规康复治疗组,差异具有统计学意义(P<0.05)。治疗前,两组的改良Ashworth量表(MAS)、徒手肌力检查(MMT)评分比较,差异无统计学意义(P>0.05);治疗后,两组的MAS评分均降低,MMT评分均升高,且悬吊密集治疗组明显优于常规康复治疗组,差异具有统计学意义(P<0.05)。治疗前,两组的粗大运动功能测试量表(GMFM)评分比较,差异无统计学意义(P>0.05);治疗后,两组的GMFM评分均升高,且悬吊密集治疗组明显高于常规康复治疗组,差异具有统计学意义(P<0.05)。结论悬吊密集治疗单元在脑瘫患儿骨盆前倾中的应用效果显著,可缩小ASIS-PSIS,增强患儿的运动功能,值得临床进一步推广和应用。

Objective To explore the application effect of suspension intensive treatment unit on pelvic anteversion in children with cerebral palsy.Methods A total of 60 children with spastic cerebral palsy with pelvic anteversion admitted in the children's rehabilitation treatment department of Xi'an TCM Hospital of Encephalopathy from February to November 2020 were selected as the research objects.According to the rehabilitation project,the children were divided into suspension intensive treatment group(30 cases,suspension intensive treatment unit)and conventional rehabilitation treatment group(30 cases,conventional rehabilitation therapy).The anterior superior iliac spine-posterior superior iliac spine(ASIS-PSIS),iliopsoas muscle tension,gluteus maximus muscle strength and motor function were compared between the two groups before and after treatment.Results Before treatment,there was no significant difference in ASIS-PSIS between the two groups(P>0.05);after treatment,the ASIS-PSIS in the two groups was smaller than that before treatment,and that in the suspension intensive treatment group was significantly smaller than the conventional rehabilitation treatment group,the difference was statistically significant(P<0.05).Before treatment,there were no significant differences in the scores of Modified Ashworth Scale(MAS)and Manual Muscle Test(MMT)between the two groups(P>0.05);after treatment,the MAS score in the two groups decreased and the MMT score increased,and those in the suspension intensive treatment group were significantly better than the conventional rehabilitation treatment group,the differences were statistically significant(P<0.05).Before treatment,there was no significant difference in the Gross Motor Function Measure(GMFM)score between the two groups(P>0.05),after treatment,the GMFM score in the two groups increased,and that in the suspension intensive treatment group was significantly higher than the conventional rehabilitation treatment group,the difference was statistically significant(P<0.05).Conclusion Suspension intensive treatment unit on pelvic anteversion in children with cerebral palsy has a significant application effect,it can reduce ASIS-PSIS and enhance children's motor function,which is worthy of further clinical promotion and application.