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【目的】探讨指导家长参与和强化训练量对提高脑性瘫痪(简称脑瘫)患儿粗大运动功能的影响。【方法】按家长是否自愿接受康复培训并参加强化运动治疗分组,研究期间资料完整病例98例,其中50例参加患儿为观察组,48例未参加患儿为对照组。两组均由康复医生和康复治疗师采用综合康复治疗,功能训练主要采用Bobath法、上田法等康复技术,功能训练1次/d,每次40min。观察组同时指导家长参与进行家庭康复训练,每天于医院治疗间期功能训练3次,每次40min,观察时间6个月。治疗前后根据粗大运动发育量表(Gross Motor Function Measure,GMFM)-88项进行评估。【结果】患儿入组时GMFM-88项总百分比两组间比较,差异无统计学意义(P>0.05);治疗6个月后,GM-FM-88项总百分比两组间比较,观察组比对照组提高,差异有统计学意义(P<0.01)。【结论】指导家长参与和强化运动训练有利于脑瘫患儿粗大运动功能的康复,是应该推广的康复模式。
【Objective】 To explore the influence of parents’ participation and training intensity on improving gross motor function in children with cerebral palsy (CP). 【Methods】 According to whether parents voluntarily received rehabilitation training and participated in intensive exercise therapy group, 98 cases were complete during the study period, of which 50 cases participated in the observation group and 48 cases did not participate in the control group. Both groups were treated by rehabilitation physicians and rehabilitation therapists. Comprehensive rehabilitation was used in the two groups. Functional training consisted of Bobath’s method and Ueda’s method of rehabilitation. Functional training was performed once per day for 40 minutes. The observation group also instructed parents to participate in family rehabilitation training, daily functional training in the hospital treatment interval of 3 times, each 40min, the observation time of 6 months. Before and after treatment according to the Gross Motor Function Measure (GMFM) -88 items were evaluated. 【Results】 There was no significant difference in the total percentage of GMFM-88 between the two groups (P> 0.05). After 6 months of treatment, the total percentage of GM-FM-88 was compared between the two groups Group than the control group increased, the difference was statistically significant (P <0.01). 【Conclusion】 Guiding parents to participate in and strengthen exercise training is beneficial to the recovery of gross motor function in children with cerebral palsy. It is a rehabilitation mode that should be popularized.