平衡垫训练对偏瘫儿童步行能力的影响

Effect of balance pad training on walking ability of hemiplegic children

目的:观察平衡垫训练对偏瘫儿童平衡及步行能力的影响。方法:选取北京博爱医院偏瘫儿童30例,随机分为对照组与观察组各15例。对照组每天进行常规康复训练60min,观察组每天进行常规康复训练40min及平衡垫训练20min,共4周。训练前后分别对2组儿童采用10m步行测试(10MWT)、“起立-行走”计时测定(TUGT)、患侧站立阶段百分比、患侧步长、步宽、动态及静态压力中心(COP)椭圆面积进行评定。结果:训练4周后,2组10MWT及动态COP椭圆面积均显著提高(均P<0.01),且观察组均高于对照组(均P<0.05);TUGT及静态COP椭圆面积均显著降低(均P<0.01),且观察组均低于对照组(均P<0.05)。训练后,2组步宽均显著减小(均P<0.01),但组间比较差异无统计学意义;2组患侧步长训练前后比较差异无统计学意义;训练后观察组患侧站立阶段百分比较治疗前及对照组明显提高(P<0.05),对照组治疗前后比较差异无统计学意义。结论:平衡垫训练结合常规康复训练能有效改善偏瘫儿童的平衡和步行能力。

Objective:To observe the effect of balance pad training on balance and walking ability of hemiplegic children.Methods:Totally,30 children with hemiplegia in Beijing Boai Hospital were randomly divided into control group and observation group with 15 cases each.The control group received routine rehabilitation training for 60 min every day,and the observation group received routine rehabilitation training for 40 min and balance pad training for 20 min every day for 4 weeks.Before and after training,the children of the two groups were assessed by 10-meter walk test(10MWT),“Time Up and Go”Test(TUGT),the percentage of standing stage on the affected side,the step length of the affected side,step width,envelope area of dynamic and static pressure center(COP).Results:After 4 weeks of training,the 10MWT and the envelope area of dynamic COP in both groups were increased significantly(P<0.01),and those in the observation group were higher than the control group(P<0.05);the TUGT and the envelope area of static COP in both groups were decreased significantly(P<0.01),and those in the observation group were lower than the control group(P<0.05).After training,the step width of both groups decreased significantly(P<0.01),but there was no significant difference between the two groups;there was no significant difference in step length between the two groups before and after training;after training,the percentage of standing stage of the affected side in the observation group was significantly higher than that before training and in the control group(P<0.05),and there was no significant difference between the two groups before and after training.Conclusion:Balance pad training based on routine rehabilitation training can improve the balance and walking ability of hemiplegic children.