小组式手-臂双侧强化训练对痉挛型偏瘫脑性瘫痪儿童功能独立性和生活质量的影响

发布时间：2018-09-05 05:44

【摘要】：目的探讨小组式手-臂双侧强化训练(HABIT)对痉挛型偏瘫儿童功能独立性和生活质量的影响。方法 2015年11月至2016年9月入院的符合标准的痉挛型偏瘫患儿20例,随机分为对照组(n=10)和试验组(n=10)。对照组接受常规作业治疗训练,试验组采用常规作业治疗结合小组式HABIT每天1 h,两组均治疗8周。分别于治疗前、后采用Carroll双上肢功能评定量表(UEFT)、儿童功能独立性评定量表(Wee FIM)和中文版儿童生活质量量表(Peds QL~(TM))3.0进行评价。结果治疗后,两组UEFT评分、Wee FIM评分和Peds QL~(TM)3.0评分均较治疗前明显提高(t3.970,P0.01),且试验组评分均高于对照组(t2.306,P0.05)。结论小组式HABIT可改善偏瘫儿童的上肢精细功能和双手协调能力,提高儿童的功能独立性和生活质量。
[Abstract]:Objective to investigate the effects of group intensive hand-arm training (HABIT) on functional independence and quality of life in children with spastic hemiplegia. Methods from November 2015 to September 2016, 20 children with spastic hemiplegia were randomly divided into control group (n = 10) and experimental group (n = 10). The control group was trained with routine occupational therapy, the experimental group was treated with routine occupational therapy combined with group HABIT for 1 hour per day, both groups were treated for 8 weeks. Before and after treatment, Carroll double upper limb function rating scale (UEFT),) and Chinese version of Child quality of Life scale (Peds QL~ (TM) 3.0) were used to evaluate the children's functional independence. Results after treatment, the UEFT score, Wee FIM score and Peds QL~ (TM) 3.0 score in both groups were significantly higher than those before treatment (t3.970, P0.01), and the scores in the experimental group were higher than those in the control group (t2.306, P0.05). Conclusion Group HABIT can improve the fine function of upper limb and the coordination ability of hands, and improve the functional independence and quality of life of children with hemiplegia.
【作者单位】：佳木斯大学附属第三医院佳木斯大学康复医学院;
【基金】：佳木斯大学研究生科技创新项目(No.YM2016-089);佳木斯大学科技创新团队项目(No.Cxtd-2013-02)
【分类号】：R742.3

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