气动式手康复设备对痉挛型偏瘫脑性瘫痪儿童手功能的效果

doi:10.3969/j.issn.1006-9771.2023.01.014

Abstract

Abstract:

Objective To apply pneumatic hand rehabilitation equipment in comprehensive rehabilitation training to improve hand function in children with spastic hemiplegic cerebral palsy.

Methods From Januray, 2020 to September, 2021, 58 children with spastic hemiplegia cerebral palsy in Maternity and Child Health Care Hospital of Nantong University were randomly divided into control group (n = 29) and experimental group (n = 29). Both groups accepted comprehensive rehabilitation training, while the experimental group accepted pneumatic hand rehabilitation equipment training in addition, for six months. They were assessed with Peabody Developmental Motor Scales-Fine Motor (PDMS-FM), Fine Motor Function Measurement (FMFM) and Wee-Function Independence Measure (Wee-FIM) before and after training.

Results The scores of PDMS-FM, FMFM and Wee-FIM improved in both groups after training (|t| > 16.310, P< 0.001), and improved more in the experimental group than in the control group (t > 2.795, P< 0.01).

Conclusion Application of pneumatic hand rehabilitation equipment in comprehensive rehabilitation training can effectively promote the recovery of hand function for children with spastic hemiplegic cerebral palsy.

Key words: cerebral palsy, pneumatic hand rehabilitation equipment, fine motor, hands

CLC Number:

R742.3

GU Qiuyan, NI Yufei, GE Xiaoyun, WANG Feiying, LU Meijuan, XU Xiaojing. Application of pneumatic hand rehabilitation equipment in rehabilitation of hand function in children with spastic hemiplegia cerebral palsy[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(1): 93-97.

Figures/Tables 5

References 26

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组别	n	性别(男/女)/n	年龄/岁	GMFCS分级(1级/2级) /n	BFMF分级(1级/2级) /n
对照组	29	16/13	4.25±0.84	14/15	13/16
试验组	29	15/14	4.13±1.29	16/13	15/14
χ²/t值		0.293	0.326	0.285	0.194
P值		0.079	0.158	0.096	0.073

项目		对照组(n = 29)	试验组(n = 29)	χ²值	P值
父亲文化水平	中学及以下	3	2	1.392	0.078
	大专	8	10
	大学及以上	18	17
母亲文化水平	小学及以下	3	3	2.549	0.163
	大专	10	9
	大学及以上	16	17
家庭经济收入/元	< 3000	2	3	1.275	0.354
	3000~8000	14	15
	> 8000	13	11
家庭康复训练时间/h	< 1	6	7	3.242	0.096
	1~2	15	13
	> 2	8	9

组别	n	治疗前	治疗后	t值	P值
对照组	29	63.58±2.97	71.03±3.53	-17.615	< 0.001
试验组	29	64.86±3.69	74.21±4.99	-16.310	< 0.001
t值		1.450	2.795
P值		0.153	0.007

组别	n	治疗前	治疗后	t值	P值
对照组	29	33.13±2.06	56.79±2.24	-52.231	< 0.001
试验组	29	33.76±2.71	62.62±3.35	-65.132	< 0.001
t值		0.981	7.780
P值		0.331	< 0.001

组别	n	治疗前	治疗后	t值	P值
对照组	29	39.83±3.58	59.51±3.86	-29.807	< 0.001
试验组	29	41.79±4.20	64.86±2.90	-22.907	< 0.001
t值		1.920	5.962
P值		0.060	< 0.001

Application of pneumatic hand rehabilitation equipment in rehabilitation of hand function in children with spastic hemiplegia cerebral palsy

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