《中国康复理论与实践》

《中国康复理论与实践》 ›› 2014, Vol. 20 ›› Issue (11): 1071-1073.

• 临床研究 • 上一篇    下一篇

核心控制训练对痉挛型脑性瘫痪的疗效

刘跃琴，张惠佳，覃蓉，杨勇，廖公平，童英姿，刘璨，胡继红，王跑球   

  1. 湖南省儿童医院康复二科，湖南长沙市410007
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2014-11-25 发布日期:2014-11-25

Effects of Core Control Training on Spastic Cerebral Palsy

LIU Yue-qin, ZHANG Hui-jia, QIN Rong, YANG Yong, LIAO Gong-ping,TONG Ying-zi, LIU Can, HU Ji-hong, WANG Pao-qiu   

  1. Rehabilitation Center of Hunan Children's Hospital, Changsha, Hunan 410007, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2014-11-25 Online:2014-11-25

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摘要： 目的探讨核心控制训练方法对痉挛型脑瘫患儿粗大运动功能的影响。方法60 例脑瘫患儿分为对照组(n=30)和治疗组(n=30)，对照组采用常规运动训练配合针灸、电疗等综合康复治疗，治疗组在此基础上增加核心控制训练。共治疗3 个月。治疗前后，分别采用粗大运动功能测量(GMFM-88)和躯干控制测试(TCT)进行评估。结果治疗后，两组患儿GMFM、TCT评分较治疗前均显著提高(P<0.001)，治疗组显著优于对照组(P<0.001)。结论核心控制训练能加强躯干的控制能力，可进一步改善痉挛型脑瘫患儿的粗大运动功能。

关键词: 脑性瘫痪, 痉挛型, 核心控制训练, 粗大运动功能, 躯干控制

Abstract: Objective To study the effects of core control training on gross motor function of children with spastic cerebral palsy. Methods 60 children with spastic cerebral palsy were divided into control group (n=30) and treatment group (n=30). The control group accepted routine comprehensive rehabilitation therapy including physical therapy, acupuncture, electrotherapy, etc., while the treatment group accepted the core control training in addition. They were assessed with the Gross Motor Function Measure (GMFM-88) and the Trunk Control Test (TCT) before and 3 months after rehabilitation. Results Both groups improved in the scores of GMFM-88 and TCT after treatment (P<0.001), and improved more in the treatment group than in the control group (P<0.001). Conclusion The core control training can strengthen the trunk control and further improve the gross motor function in children with spastic cerebral palsy.

Key words: cerebral palsy, spastic, core control training, gross motor function, trunk control