悬吊疗法对痉挛型脑瘫患儿躯干控制能力的影响

发布时间：2017-12-28 11:11

本文关键词：悬吊疗法对痉挛型脑瘫患儿躯干控制能力的影响　出处：《黑龙江中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:探讨悬吊疗法对痉挛型脑瘫患儿躯干控制能力的临床疗效。方法:选择符合纳入标准的痉挛型脑瘫患儿60例,按照随机数字表法分成治疗组与对照组各30例。对照组给予常规康复治疗,治疗组在此基础上采用悬吊疗法治疗。治疗前后采用平衡测试及训练系统评价躯干控制能力,采用粗大运动功能(GMFM-88)评定量表评价患儿粗大运动能力,采用中国康复研究中心的儿童日常生活活动能力(ADL)评定量表对患儿进行日常生活活动能力的评定。结果:1.躯干控制能力:治疗前两组患儿躯干前后标准差、躯干左右标准差、躯干总标准差无显著差异(P0.05);治疗后两组患儿躯干前后标准差、躯干左右标准差、躯干总标准差较治疗前均有所降低(P＜0.01);治疗组较对照组降低得更明显,具有统计学意义(P0.05)。2.粗大运动功能:治疗前两组患儿粗大运动功能评分(GMFM-88)无显著差异(P0.05);治疗后两组患儿粗大运动功能评分较治疗前均有所升高(P0.01);治疗组较对照组升高更明显,具有统计学意义(P0.05)。3.日常生活活动能力:治疗前两组患儿儿童日常生活活动能力评分无显著差异(P0.05);治疗后两组患儿日常生活活动能力评分较治疗前均有所升高(P0.01);治疗组较对照组升高更明显,具有统计学意义(P＜0.05)。结论:1.悬吊疗法能够显著增加痉挛型脑瘫患儿的躯干控制能力;2.悬吊疗法可明显改善痉挛型脑瘫患儿的粗大运动功能;3.悬吊疗法可明显提高痉挛型脑瘫患儿的日常生活活动能力。
[Abstract]:Objective: To explore the clinical effect of suspension therapy on the trunk control ability of children with spastic cerebral palsy. Methods: 60 children with spastic cerebral palsy were selected and divided into 30 cases in the treatment group and the control group according to the random number table method. The control group was given routine rehabilitation treatment, and the treatment group was treated with suspension therapy on this basis. Before and after treatment by balance test and training system for evaluation of trunk control ability, using the gross motor function assessment scale (GMFM-88) assessment of children's gross motor ability, the China rehabilitation research center of children's activities of daily living (ADL) assessment scale of activities of daily life of children. Results: 1. trunk control ability: before treatment, the two groups before and after the trunk standard deviation, standard deviation, trunk trunk around the total standard deviation (P0.05); there was no significant difference between the two groups after treatment before and after the trunk standard deviation, standard deviation, trunk trunk around the total standard deviation compared with those before treatment were lower (P < 0.01); the treatment group than the control group decreased more significantly, with statistical significance (P0.05). 2. gross motor function: before treatment, there was no significant difference in gross motor function score (GMFM-88) between the two groups (P0.05). After treatment, the gross motor function scores of the two groups were all increased compared with those before treatment (P0.01), and the treatment group increased more significantly than the control group (P0.05). 3. activities of daily living: there was no significant difference in the activities of daily living in two groups of children score before treatment (P0.05); the two groups of activities of daily living score after treatment than before treatment were significantly increased (P0.01); the treatment group increased more significantly than the control group, with statistical significance (P < 0.05). Conclusion: 1., suspension therapy can significantly increase the trunk control ability of children with spastic cerebral palsy. 2. suspension therapy can significantly improve the gross motor function of children with spastic cerebral palsy, and 3. suspension therapy can significantly improve the activity of daily living of children with spastic cerebral palsy.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R742.3;R49

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