鼓圈音乐治疗对痉挛型偏瘫脑瘫患儿上肢的影响

Effect of drum ring music therapy on upper limbs of children with spastic hemiplegia cerebral palsy

目的:观察鼓圈音乐治疗对痉挛型偏瘫脑瘫(SHCP)患儿上肢功能的影响。方法:将SHCP患儿70例随机分为2组各35例。对照组接受常规的康复治疗,观察组在对照组基础上给予鼓圈音乐治疗。分别于治疗前、治疗3个月后,采用改良的Ashworth肌张力评定量表(MAS)、腕关节背伸角度(AROM)、精细运动功能评定量表(FMFM)、Carroll双上肢功能评定量表(UEFT),从上肢、关节活动度、精细运动能力、健手与患手的功能能力4个方面评价上肢功能及日常社会参与的改变。结果:治疗后,2组MAS评级均较治疗前明显改善(P<0.01),且观察组明显优于对照组(P<0.05);2组AROM活动度、FMFM及UEFT评分均较治疗前明显提高(P<0.01),且观察组明显高于对照组(P<0.01,0.05)。结论:鼓圈音乐治疗对痉挛型偏瘫脑瘫患儿上肢功能及社会参与度都有提高作用,值得临床推广应用。

Objective:To observe the effect of drum circle music therapy on upper limb function in children with spastic hemiplegic cerebral palsy(SHCP).Methods:Totally,70 children with SHCP were randomly divided into two groups,with 35 cases in each group.The control group received routine rehabilitation treatment,while the observation group received drum circle music therapy on the basis of the control group.Before and 6 months after treatment,the modified Ashworth Muscle Tension Scale(MAS),wrist dorsiflexion angle(AROM),Fine Motor Function Assessment Scale(FMFM),and Carroll Dual Upper Limb Function Assessment Scale(UEFT)were used to evaluate changes in upper limb function and improvement in daily social participation from four aspects:upper limb muscle tensid,joint range of motion,fine motor ability,and functional ability of healthy and affected hands.Results:After treatment,both groups showed significant improvement in MAS scores compared to before treatment(P<0.01),and the observation group was significantly better than the control group(P<0.05).The AROM activity,FMFM,and UEFT scores in the two groups were significantly improved compared to before treatment(P<0.01),and those in the observation group was significantly higher than in the control group(P<0.01,0.05).Conclusion:Drum circle music therapy has improved upper limb function and social participation in children with SHCP,and is worthy of clinical promotion and application.