全身振动训练对1～3岁痉挛型脑瘫患儿下肢运动功能的影响

发布时间：2018-02-09 05:12

本文关键词： 全身振动训练痉挛型脑瘫儿童痉挛粗大运动功能　出处：《郑州大学学报(医学版)》2017年06期 　论文类型：期刊论文

【摘要】：目的:观察全身振动训练对1~3岁痉挛型脑瘫儿童下肢运动功能的影响。方法:选取1~3岁痉挛型脑瘫患儿75例,随机分为全身振动训练组(n=38)和常规训练组(n=37),常规训练组给予12周的运动疗法、石蜡疗法及神经肌肉电刺激疗法;全身振动训练组在常规训练的基础上给予12周的全身振动训练。采用改良Tardieu量表(MTS)、表面肌电图(sE MG)被动状态数值对患儿治疗前后下肢痉挛程度进行评价,采用粗大运动功能测试量表-88(GMFM-88)、Berg平衡量表(BBS)对患儿治疗前后的粗大运动功能及平衡功能进行评价。结果:治疗前两组患儿MTS评分、MTS踝关节角度R1、R2、sE MG被动状态数值、GMFM-88评分、BBS评分差异无统计学意义(P0.05);治疗后,全身振动训练组MTS评分、MTS踝关节角度R1、R2、sEMG被动状态数值、GMFM-88、BBS评分较常规训练组明显改善(P0.05)。结论:全身振动训练可有效缓解1~3岁痉挛型脑瘫儿童的下肢痉挛,改善其粗大运动及平衡功能。
[Abstract]:Objective: to observe the effect of whole body vibration training on motor function of lower extremities in children with spastic cerebral palsy of 1 to 3 years old. Methods: 75 cases of children with spastic cerebral palsy of 1 and 3 years old were selected. They were randomly divided into general vibration training group and routine training group. The routine training group was given 12 weeks exercise therapy, paraffin wax therapy and neuromuscular electrical stimulation therapy. The whole body vibration training group was given 12 weeks of whole body vibration training on the basis of routine training. The degree of spasticity of lower extremities was evaluated before and after treatment by modified Tardieu scale and surface electromyography (EMG) passive state. The gross motor function and balance function were evaluated by using the gross motor function test scale -88g GMFM-88g balance scale before and after treatment. Results: before and after treatment, the MTS score of the two groups was used to evaluate the passive state of the MTS ankle angle R1OR2SEMG and GMFM-88. After treatment, there was no significant difference in BBS score (P 0.05). The MTS score of the whole body vibration training group and the passive state value of the MTS ankle angle R1 / R2SEMG were significantly improved compared with the conventional training group. Conclusion: the whole body vibration training can effectively relieve the spasm of lower extremity in the children with spastic cerebral palsy aged 1 to 3 years old, and the lower extremity spasm of the children with spastic cerebral palsy aged 1 to 3 years old can be effectively alleviated by the whole body vibration training group. Improve its coarse movement and balance function.
【作者单位】：郑州大学第三附属医院儿童康复科;郑州市儿童脑瘫防治重点实验室;
【基金】：郑州市科学技术局普通科技攻关项目153PKJGG164
【分类号】：R493;R742.3

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