运动治疗结合家庭康复训练改善脑瘫儿童运动障碍的效果观察

An observation of exercise therapy and home rehabilitation training in cerebral palsy children with dyskinesia

目的观察运动治疗结合家庭康复训练改善脑瘫儿童运动障碍的效果。方法将焦作市妇幼保健院在2021年1月至2022年12月脑瘫患儿(80例)作为研究对象,依据区间随机法将其分为对照组(40例)、研究组(40例),两组均接受常规运动治疗,研究组增加家庭综合康复训练。比较两组治疗前后精细功能评定量表(FMFM)、粗大功能评定量表(GMFM)、残疾儿童综合功能评定量表、Berg平衡量表。结果治疗前,两组运动功能评分对比,差异无统计学意义(P>0.05);治疗后,两组精细运动功能及粗大运动功能评分较治疗前均有明显升高,且研究组两项评估分值高于对照组,差异有统计学意义(P<0.05)。治疗前,各模块功能评分两组对比,差异无统计学意义(P>0.05);治疗后,两组言语功能、认知功能、运动功能、自理动作、社会适应五个模块评分较治疗前后均有明显升高,且研究组各模块功能评分值高于对照组,差异有统计学意义(P<0.05)。治疗前,两组Berg平衡量表评分对比,差异无统计学意义(P>0.05);治疗后,两组Berg评分较治疗前均有明显升高,且研究组Berg评分值高于对照组,差异有统计学意义(P<0.05)。结论脑瘫康复不仅仅局限于医疗机构内的系统康复,家庭康复训练同样重要,因此运动治疗+家庭康复训练可明确改善脑瘫儿童运动障碍,值得应用。

Objective To observe the clinical effects of exercise therapy and home rehabilitation training in cerebral palsy children with dyskinesia.Methods 80 cerebral palsy children treated from January 2021 to December 2022 in our hospital were chosen as research subjects.According to the random interval method,children were assigned to control group(n=40)and study group(n=40).Both of groups were served with the exercise therapy;besides,the study group was treated with the home rehabilitation training.Fine motor function measure(FMFM),gross motor function measure(GMFM),the disabled children’s comprehensive function rating scale and Berg balance scale scores were compared.Results Before therapy,the motor function scores between groups were not significantly different(P>0.05);after therapy,the fine and gross motor function scores for two groups were increased,but related scores in the study group were even higher than control group(P<0.05);before therapy,the comprehensive function scores between groups were not significantly different(P>0.05);after therapy,the speech,perception,exercise,self-care ability and social adaptation scores for two groups were increased,but the comprehensive function scores in the study group were even higher than control group(P<0.05);before therapy,Berg balance scale scores between groups were not significantly different(P>0.05);after therapy,Berg balance scale scores for two groups were increased,but Berg scores in the study group were even higher than control group(P<0.05).Conclusion Cerebral palsy rehabilitation is not limited to systematic rehabilitation within medical institutions,but also important for home rehabilitation training.Therefore,motor therapy combined with home rehabilitation training can clearly improve motor disorders in children with cerebral palsy and is worthy of application.