《中国康复理论与实践》 ›› 2009, Vol. 15 ›› Issue (09): 821-822.

• 专题 • 上一篇    下一篇

康复指导在痉挛型脑性瘫痪康复中的疗效观察

王益梅;王跑球;张惠佳;颜华;阳伟红;龙亚君;周洪涛   

  1. 湖南省儿童医院脑瘫康复中心,湖南长沙市 410007
  • 收稿日期:2009-06-08 修回日期:2009-06-23 出版日期:2009-09-01 发布日期:2009-09-01

Effects of Rehabilitation Direction on Spastic Cerebral Palsy

WANG Yi-mei,WANG Pao-qiu,ZHANG Hui-jia,et al   

  1. Rehabilitation Center of Hunan Children's Hospital, Changsha 410007, Hunan, China
  • Received:2009-06-08 Revised:2009-06-23 Published:2009-09-01 Online:2009-09-01

摘要: 目的 探讨康复指导在痉挛型脑瘫患儿康复中的应用价值。方法 在医院进行综合康复的痉挛型脑性瘫痪患儿116例,能配合家庭康复训练的56例为治疗组,不能配合进行家庭康复训练的60例患儿为对照组,两组患儿均进行运动训练、针刺、低频电治疗、智力训练,治疗组还由治疗师或医师根据患儿病情指导家长进行康复指导;治疗前和治疗3个月后采用粗大运动功能测试量表(GMFM)进行测试。结果 两组患儿治疗前后GMFM各项得分和总分均有非常显著性差异(P<0.01)。治疗后治疗组与对照组GMFM各项得分和总分比较均有显著性差异(P<0.05)。结论 家庭康复训练能提高痉挛型脑性瘫痪患儿粗大运动功能。

关键词: 痉挛型脑性瘫痪, 康复指导, 粗大运动功能, 康复

Abstract: Objective To evaluate the value of rehabilitation direction for the treatment of the children with spastic cerebral palsy. Methods 116 children with spastic cerebral palsy were investigated. 56 children who accepted rehabilitation direction and training in family participated in study group and 60 children who wouldn't accept rehabilitation direction participated in control group. All the children received comprehensive rehabilitation treatment in hospital, including physical therapy, acupuncture, low frequency electrotherapy and occupational therapy. All the children were assessed with Gross Motor Function Measure-88 (GMFM) before and 3 months after treatment. Results There was a significant difference before and after treatment in scores of GMFM in each dimension and total in both groups (P<0.01), and the treatment group improved more than control group(P<0.05). Conclusion Rehabilitation direction can facilitate the recovery of spastic cerebral palsy children.

Key words: spastic cerebral palsy, rehabilitation direction, gross motor function, rehabilitation