全身垂直律动疗法联合肌电生物反馈对痉挛型脑性瘫痪患儿精细运动功能及步行功能的影响

Effects of Veritical Whole-Body Vibration Therapy Combined with Myoelectric Biofeedback on Fine Motor Function and Walking Function in Children with Spastic Cerebral Palsy

目的:分析全身垂直律动疗法联合肌电生物反馈对痉挛型脑性瘫痪患儿精细运动功能及步行功能的影响。方法:选取2022年3月至2023年7月我院收治的106例痉挛型脑性瘫痪患儿作为研究对象,随机为对照组、观察组,每组各53例。对照组采用肌电生物反馈治疗,观察组采用全身垂直律动疗法+肌电生物反馈治疗。比较两组患者治疗前后下肢关节活动度、平衡能力[Berg平衡量表(BBS)]、痉挛程度[改良Ashworth痉挛量表(MAS)]、精细运动功能[精细运动功能量表(FMFM)]、步行功能[功能性步行分级(FAC)、6 min步行距离(6MWD)]。结果:治疗1、3个月后,两组患儿足背屈角较治疗前均减小,且观察组足背屈角小于对照组(P<0.05);两组患儿腘窝角、大腿内收肌角较治疗前均增大,且观察组腘窝角、大腿内收肌角大于对照组(P<0.05);两组患儿BBS评分较治疗均升高,且观察组BBS评分高于对照组(P<0.05);两组患儿MAS评分均降低,且观察组MAS评分低于对照组(P<0.05)。与治疗前比较,两组患儿治疗1、3个月后FMFM评分均升高,且观察组FMFM评分高于对照组(P<0.05)。治疗1、3个月后,两组患儿FAC评分、6MWD与治疗前相比均升高,且观察组FAC评分、6MWD均高于对照组(P<0.05)。结论:全身垂直律动疗法联合肌电生物反馈治疗痉挛型脑性瘫痪患儿可减轻肌肉痉挛程度,改善平衡能力,还可调节下肢关节活动度,促进患儿精细运动功能、步行功能、平衡能力恢复。

Objective:To analyze the effects of veritical whole-body vibration therapy combined with myoelectric biofeedback on fine motor function and walking function in children with spastic cerebral palsy.Methods:106 children with spastic cerebral palsy admitted in our hospital from March 2022 to July 2023 selected as the research object and randomly divided into the control group and the observa-tion group,with 53 cases in each group.The control group was treated with myoelectric biofeedback therapy,and the observation group was treated with vertical whole-body vibration therapy+myoelectric biofeedback therapy.The lower limb joint motion,balance ability[Berg balance scale(BBS)],spasticity degree[modified Ashworth scale(MAS)],fine motor function[fine motor function measure scale(FMFM)],walking function[functional ambulation category(FAC),6-min walk distance(6MWD)]of the two groups of patients were compared before and after the treatment.Results:After 1 month and 3 months of treatment,the foot dorsiflexion angle of patients in both groups decreased compared with that before treatment,and the foot dorsiflexion angle of patients in the observation group was smaller than that of the control group(P<0.05),and the popliteal fossa angle and thigh adductor angle of patients in both groups increased compared with those before treatment,and the popliteal fossa angle and thigh adductor angle of patients in the observation group were larger than those of the control group(P<0.05).After 1 month and 3 months of treatment,the BBS score of patients in both groups were higher than those before treatment,and the BBS score of patients in the observation group was higher than that of the control group(P<0.05),and the MAS score of patients in both groups decreased,and the MAS score of patients in the observation group was lower than that of the control group(P<0.05).Compared with before treatment,the FMFM score of patients in both groups increased after 1 month and 3 months of treatment,and the FMFM score of patients in the observation group was higher than that of the control group(P<0.05).After 1 month and 3 months of treatment,the FAC score and 6MWD of patients in both groups were higher than those before treatment and the FAC score and 6MWD of patients in the observation group were higher than those of the control group(P<0.05).Conclusion:Veritical whole-body vibration therapy combined with myoelectric biofeedback therapy for children with spastic cere-bral palsy can reduce the degree of muscle spasm,improve balance ability,adjust lower limb joint motion,and promote the recovery of fine motor function,walking function and balance ability.