渐进性抗阻训练对痉挛型脑性瘫痪儿童活动和参与能力的影响

Effect of progressive resistance training on the activity and participation ability of children with spastic cerebral palsy

目的在国际功能、残疾和健康分类(儿童青少年版)(ICF-CY)层面下,探讨渐进性抗阻训练对脑性瘫痪(简称脑瘫)儿童活动和参与能力的影响,为提高脑瘫儿童临床治疗效果提供依据。方法研究对象为2021年1~12月在佳木斯大学附属第三医院收治的痉挛型双瘫脑瘫儿童40例,随机分为对照组和观察组各20例。对照组接受常规康复训练,观察组接受渐进性抗阻训练和常规康复训练,每组均治疗3个月。治疗前后分别给予儿童功能独立性评定量表(Wee-FIM)、中文版残疾儿童能力评定量表(PEDI)、日常生活活动能力评定量表(ADL)、活动的游戏性检查表(TOP)评定,评估两组儿童活动和参与能力。结果观察组治疗后Wee-FIM、PEDI、ADL和TOP评分均高于对照组,差异有统计学意义(P<0.05)。结论渐进性抗阻训练可有效改善痉挛型双瘫脑瘫儿童的活动和参与能力。

Objective To explore the effects of progressive resistance training on the activity and participation abilities of children with cerebral palsy at the ICF-CY level.Methods The study subjects were 40 children with spastic diplegic cerebral palsy who were admitted to the Third Affiliated Hospital of Jiamusi University from January to December 2021.They were randomly divided into a control group and an observation group,with 20 cases in each group.The control group received routine rehabilitation training,while the observation group received progressive resistance training and routine rehabilitation training,with each group receiving treatment for 3 months.Before and after treatment,these children were evaluated for their activity and participation abilities using the Wee-FIM,PEDI,ADL,and TOP,respectively.Results The Wee-FIM,PEDI,ADL,and TOP scores in the observation group were all higher than those in control group after treatment,and the differences were of statistical significance(P<0.05).Conclusion The progressive resistance training can effectively improve the activity and participation ability of children with spastic diplegic cerebral palsy.