This work was carried out to investigate the efficacy of sensory integration therapy in improving gross motor coordination and grip control in Down syndrome children. Thirty children were enrolled in this study and ra...This work was carried out to investigate the efficacy of sensory integration therapy in improving gross motor coordination and grip control in Down syndrome children. Thirty children were enrolled in this study and randomly assigned into two groups: group A received (sensory integration therapy program plus specific physiotherapy training) and group B received (specific physiotherapy training program only). Motor coordination test measures (Balancing backward, Hopping, Jumping from side to side and Transferring boxes) to test and follow gross motor coordination, handheld dynamometer to test and follow grip control ability and kinesthesia test to test and follow awareness of joint position and movement. These measurements were taken before initial treatment and after 12 weeks of treatment. The children parents in both groups A and B were instructed to complete 3 hours of the home routine program. Data analysis was available on the 30 Down syndrome children participating in the study. The difference between pre- and post-treatment results was more significant in Motor coordination test measures in the study group than the control group. Grip control ability and kinesthesia test demonstrate representative improvement in the study groups (p = 0.0001) while insignificant in the kinesthesia control group and significant in a grip control group. The addition of sensory integration therapy program to specific physiotherapy training is recommended in improving gross motor coordination and grip control abilities in Down syndrome, so this suggested approach may be used as a selective choice for improving posture control and hand functions in Down syndrome children.展开更多
目的探讨以针康法为主的中医整合康复技术对脑卒中后偏瘫患者的干预效果及对患者肢体肌力、肢体运动功能的影响。方法将医院针灸科、康复科收治的脑卒中后偏瘫患者90例纳入研究,随机分为对照组与中医整合康复组,各45例。两组均给予脑卒...目的探讨以针康法为主的中医整合康复技术对脑卒中后偏瘫患者的干预效果及对患者肢体肌力、肢体运动功能的影响。方法将医院针灸科、康复科收治的脑卒中后偏瘫患者90例纳入研究,随机分为对照组与中医整合康复组,各45例。两组均给予脑卒中常规西药治疗,对照组在此基础上给予常规康复训练,中医整合康复组在常规治疗基础上给予针康法、易筋经联合推拿治疗,共治疗8周后判定疗效。比较两组的中医证候积分,比较治疗前后患者肢体肌力[徒手肌力检查(Manual muscle testing,MMT)]、肌张力[改良Ashworth分级标准(MAS)]、肢体运动功能[Fug-Meyer运动功能量表(Fugl-Meyer assessment scale,FMA)]、神经功能[美国国立卫生研究院卒中量表(National Institute of Health stroke scale,NIHSS)]及生活质量[脑卒中专用生活质量量表(Stroke Specific Quality of Life,SS-QOL)]。彩色多普勒超声测定颈总动脉收缩期最大流速(Peak systolic velocity,PSV)、舒张末期最低流速(End diastolic velocity,EDV)及阻力指数(Resistance index,RI)等脑血流动力学参数。结果两组治疗后半身不遂、偏身麻木、口舌歪斜、言语謇涩、步履不稳、气短乏力等中医证候积分及总积分均较治疗前显著降低(P<0.05),中医整合康复组显著低于对照组(P<0.05)。中医整合康复组的显效率(51.1%,23/45)和有效率(95.5%,43/45)均明显优于对照组[24.4%(11/45)和82.2%(37/45)],组间比较差异有统计学意义(P<0.05)。两组治疗后MMT、FAM、SS-QOL评分及PSV、EDV值均较治疗前显著升高(P<0.05),中医整合康复组显著高于对照组(P<0.05);两组治疗后MAS、NIHSS评分及RI值均较治疗前显著降低(P<0.05),中医整合康复组显著低于对照组(P<0.05)。结论以针康法为主的中医整合康复技术治疗脑卒中后偏瘫效果显著,能够明显增强患者肢体肌力,降低肌张力,改善患者的肢体运动功能和神经功能,提高患者生活质量。展开更多
文摘This work was carried out to investigate the efficacy of sensory integration therapy in improving gross motor coordination and grip control in Down syndrome children. Thirty children were enrolled in this study and randomly assigned into two groups: group A received (sensory integration therapy program plus specific physiotherapy training) and group B received (specific physiotherapy training program only). Motor coordination test measures (Balancing backward, Hopping, Jumping from side to side and Transferring boxes) to test and follow gross motor coordination, handheld dynamometer to test and follow grip control ability and kinesthesia test to test and follow awareness of joint position and movement. These measurements were taken before initial treatment and after 12 weeks of treatment. The children parents in both groups A and B were instructed to complete 3 hours of the home routine program. Data analysis was available on the 30 Down syndrome children participating in the study. The difference between pre- and post-treatment results was more significant in Motor coordination test measures in the study group than the control group. Grip control ability and kinesthesia test demonstrate representative improvement in the study groups (p = 0.0001) while insignificant in the kinesthesia control group and significant in a grip control group. The addition of sensory integration therapy program to specific physiotherapy training is recommended in improving gross motor coordination and grip control abilities in Down syndrome, so this suggested approach may be used as a selective choice for improving posture control and hand functions in Down syndrome children.
文摘目的探讨以针康法为主的中医整合康复技术对脑卒中后偏瘫患者的干预效果及对患者肢体肌力、肢体运动功能的影响。方法将医院针灸科、康复科收治的脑卒中后偏瘫患者90例纳入研究,随机分为对照组与中医整合康复组,各45例。两组均给予脑卒中常规西药治疗,对照组在此基础上给予常规康复训练,中医整合康复组在常规治疗基础上给予针康法、易筋经联合推拿治疗,共治疗8周后判定疗效。比较两组的中医证候积分,比较治疗前后患者肢体肌力[徒手肌力检查(Manual muscle testing,MMT)]、肌张力[改良Ashworth分级标准(MAS)]、肢体运动功能[Fug-Meyer运动功能量表(Fugl-Meyer assessment scale,FMA)]、神经功能[美国国立卫生研究院卒中量表(National Institute of Health stroke scale,NIHSS)]及生活质量[脑卒中专用生活质量量表(Stroke Specific Quality of Life,SS-QOL)]。彩色多普勒超声测定颈总动脉收缩期最大流速(Peak systolic velocity,PSV)、舒张末期最低流速(End diastolic velocity,EDV)及阻力指数(Resistance index,RI)等脑血流动力学参数。结果两组治疗后半身不遂、偏身麻木、口舌歪斜、言语謇涩、步履不稳、气短乏力等中医证候积分及总积分均较治疗前显著降低(P<0.05),中医整合康复组显著低于对照组(P<0.05)。中医整合康复组的显效率(51.1%,23/45)和有效率(95.5%,43/45)均明显优于对照组[24.4%(11/45)和82.2%(37/45)],组间比较差异有统计学意义(P<0.05)。两组治疗后MMT、FAM、SS-QOL评分及PSV、EDV值均较治疗前显著升高(P<0.05),中医整合康复组显著高于对照组(P<0.05);两组治疗后MAS、NIHSS评分及RI值均较治疗前显著降低(P<0.05),中医整合康复组显著低于对照组(P<0.05)。结论以针康法为主的中医整合康复技术治疗脑卒中后偏瘫效果显著,能够明显增强患者肢体肌力,降低肌张力,改善患者的肢体运动功能和神经功能,提高患者生活质量。
