任务导向训练联合引导式教育对痉挛型脑瘫病儿粗大运动功能的影响

Effect of conductive education combined with task-oriented training on gross motor function in children with spastic cerebral palsy

目的观察任务导向训练联合引导式教育对痉挛型脑瘫病儿粗大运动功能的影响。方法采用便利抽样法选择2021年10月至2023年1月在山西省儿童医院康复科诊治且符合入选标准的痉挛型脑瘫病儿60例,家长签知情同意书后,用密封信封法将入选病儿分成对照组和观察组,每组各30例。对照组病儿接受常规康复训练(每日1次,每项治疗30 min),观察组在常规康复训练基础上给予任务导向训练联合引导式教育(每日1次,每次30 min),两组病儿均住院治疗12周,分别于干预前、干预12周后采用Peabody粗大运动发育量表(PDMS-GM)姿势、移动测试及粗大运动功能评定量表(GMFM)的D区、E区对病儿粗大运动功能进行评估。结果干预12周后观察组病儿的GMFM的D区评分(26.02±3.14)分、E区评分(27.97±5.29)分,PDMSGM姿势评分(57.34±14.83)分、移动评分(75.14±14.73)分与组内治疗前、对照组治疗后比较,均差异有统计学意义(P<0.O5)。结论任务导向训练联合引导式教育可改善痉挛型脑瘫病儿粗大运动功能。

Objective To observe effect of conductive education combined with task-oriented training on gross motor function in children with spastic cerebral palsy.Methods A total of 60 children with spastic cerebral palsy in Rehabilitation Department of Children,s Hospital of Shanxi from October 2021 to January 2023 were selected and randomly divided into a control group(n=30)and a observation group(n=30).The children in the control group were given routine rehabilitation training,while the children in the observation group received routine rehabilitation training and task-oriented training combined with conductive education.Both groups were hospitalized for 12 weeks,gross motor function of the two groups were evaluated with the gross motor function measure(GMFM):D district,E district,and Peabody gross motor development Scale(posture,move).Results After 12 weeks,there was significant improvement in GMFM(D,E district),PDMS-GM(posture,move)scores of both groups(P<0.O5).After treatment,the scores of GMFM(D,E district),PDMS-GM(posture,move)in the observation group were(26.02±3.14),(27.97±5.29)and(57.34±14.83),(75.14±14.73),respectively,which were better than those in the control group(P<0.O5).Conclusion Task-oriented training combined with conductive education can significantly improve the gross motor function of children with spastic cerebral palsy.