体感振动音乐干预对痉挛型脑瘫患儿的影响

Effects of somatosensory vibration music intervention on children with spastic cerebral palsy

目的:探讨体感振动音乐干预对痉挛型脑瘫患儿关节活动度、肌张力及生长发育的影响。方法:选取2020年1月至2021年10月收治的103例痉挛型脑瘫患儿作为研究对象,按随机法将其分为对照组和观察组,对照组51例给予聆听音乐干预,观察组52例给予体感振动音乐疗法干预(VAT),分析两组患儿下肢肌张力、关节活动度及生长发育水平。结果:实施干预后,观察组患者左、右足背屈角与肌张力等级均小于对照组,差异有统计学意义(P<0.05);观察组患者左、右腘窝角与内收肌角活动度均大于对照组(P<0.05);观察组患者发展商、GMFM评分均高于对照组(P<0.05)。结论:体感音乐干预可提高痉挛型脑瘫患儿的下肢肌张力水平和关节活动度,促进患儿生长发育。

Objective: To investigate the effect of somatosensory vibration music intervention on the joint range of motion, muscle tension level and growth and development in children with spastic cerebral palsy. Methods: From January 2020 to October 2021, 103 children with spastic cerebral palsy were selected as the research objects, who were randomized into the control group and observation group. Among them, 51 cases in the control group were given music listening intervention, while 52 cases in the observation group were given somatosensory vibration music therapy intervention(VAT). The lower extremity muscle tension, range of motion of joints, and growth and development of children were compared between both groups. Results: After intervention, the left and right foot dorsiflexion angle and muscle tension grade of the observation group was statistically less than that of the control group(P< 0.05);the activities of left and right popliteal angle and adductor angle were greater than those of the control group(P<0.05);and the IQ development and GMFM score of the observation group were higher than those of the control group(P< 0.05). Conclusion: For children with spastic cerebral palsy, somatosensory music intervention can improve their lower extremity muscle tension and joint range of motion, and promote their growth and development.