任务导向性训练对痉挛型脑瘫患儿移动功能疗效研究

doi:10.11852/zgetbjzz2015-23-05-35

中国儿童保健杂志 ›› 2015, Vol. 23 ›› Issue (5): 556-558.DOI: 10.11852/zgetbjzz2015-23-05-35

任务导向性训练对痉挛型脑瘫患儿移动功能疗效研究

李鑫, 庞伟, 范艳萍, 赵彦博

佳木斯大学附属第三医院, 黑龙江佳木斯 154002

收稿日期:2015-01-09 发布日期:2015-05-10 出版日期:2015-05-10
通讯作者: 庞伟
作者简介:李鑫(1988-), 女, 黑龙江人, 研究生在读, 研究方向为小儿脑瘫的综合康复。
基金资助:
佳木斯大学校级科技创新项目(Cxtd-2013-02)

Effects of task-oriented training method as a rehabilitation strategy for mobile motor function of spastic cerebral palsy children.

LI Xin, PANG Wei, FAN Yan-ping, ZHAO Yan-bo.

The Third Affiliated Hospital of Jiamusi University, Jiamusi, Heilongjiang 154002, China

Received:2015-01-09 Online:2015-05-10 Published:2015-05-10
Contact: PANG Wei, E-mail:pangwei76@aliyun.com

摘要/Abstract

摘要： 目的任务导向性训练对痉挛型脑瘫患儿移动功能疗效研究, 以帮助脑瘫儿童提高各项运动功能及日常生活能力。方法将60例痉挛型脑瘫患儿进行随机分组, 对照组30例, 实验组30例。对照组采用常规康复训练, 实验组采用常规康复训练结合任务导向性训练, 两组均治疗3个月。在治疗前后对患儿分别应用粗大运动功能量表评定(Gross Motor Function Scale Assessment, GMFM-88) 、定时起身行走测试(Time Up and Go Test, TUG)、儿童残疾评定量表(Pediatric Evaluation of Disability Inventory, PEDI)进行评定。结果两组治疗后GMFM的D区和E区评分、TUG时间及PEDI移动能力部分评分均优于治疗前(P<0.05), 实验组优于对照组(P<0.05)。结论任务导向性训练结合常规康复训练有利于改善痉挛型双瘫患儿移动运动功能及日常生活移动活动能力。

关键词: 脑性瘫痪, 任务导向性训练, 移动功能

Abstract: Objective To explore the application of the task-oriented training method in the spastic cerebral palsy children's rehabilitation. Methods A total of 60 children with spastic cerebral palsy were randomly divided, 30 cases in control group, 30 cases in treatment group.Control group received conventional rehabilitation training, the treatment group received conventional rehabilitation training combined with task-orientated training, the two groups were treated for 3 months.Respectively analysis method was taken with children before and after treatment.Gross Motor Function Scale Assessment (GMFM-88), Time Up and Go Test (TUG), Pediatric Evaluation of Disability Inventory (PEDI) were assessed. Results The D and E rating scores of GMFM, TUG times and PEDI mobile ability part scores of two groups after treatment were better than those before treatment (P<0.05), the indexes of the treatment group were better than those of control group (P<0.05). Conclusion Conventional rehabilitation training combined with task-orientated training can improve movement function and daily life activities ability of children with spastic cerebral palsy observably.

Key words: cerebral palsy, task-orientated training, mobile capabilities

中图分类号:

R722

李鑫, 庞伟, 范艳萍, 赵彦博. 任务导向性训练对痉挛型脑瘫患儿移动功能疗效研究[J]. 中国儿童保健杂志, 2015, 23(5): 556-558.

LI Xin, PANG Wei, FAN Yan-ping, ZHAO Yan-bo.. Effects of task-oriented training method as a rehabilitation strategy for mobile motor function of spastic cerebral palsy children.[J]. journal1, 2015, 23(5): 556-558.

参考文献

[1] 黄真.“运动学习”相关理论及其在脑性瘫痪康复中的应用[J].中国康复医学杂志, 2007, 22(7):652-655.
[2] Ivey FM, Hafer-Macko CE, Macko RF.Task-oriented treadmill exercise training in chronic hemiparetic stroke[J].Journal of Rehabilitation Research and Development, 2008, 45(2):249.
[3] 陈秀洁, 李树春.小儿脑性瘫痪的定义, 分型和诊断条件[J].中国物理医学与康复医学杂志, 2007, 29(5):309.
[4] Van de Port IGL, Wevers L, Roelse H, et al.Cost-effectiveness of a structured progressive task-oriented circuit class training programme to enhance walking competency after stroke:the protocol of the FIT-Stroke trial[J].BMC Neurology, 2009, 9(1):43.
[5] Ament MGA, Cox AL, Blandford A, et al.Making a task difficult:Evidence that device-oriented steps are effortful and error-prone[J].Journal of Experimental Psychology:Applied, 2013, 19(3):195.
[6] Ferguson GD, Jelsma D, Jelsma J, et al.The efficacy of two task-orientated interventions for children with developmental coordination disorder:neuromotor task training and nintendo wii fit training[J].Research in Developmental Disabilities, 2013, 34(9):2449-2461.
[7] Salem Y, Godwin EM.Effects of task-oriented training on mobility function in children with cerebral palsy[J].NeuroRehabilitation, 2009, 24(4):307-313.
[8] Song CS.Effects of Task-oriented Approach on Affected Arm Function in Children with Spastic Hemiplegia Due to Cerebral Palsy[J].Journal of Physical Therapy Science, 2014, 26(6):797.
[9] Schneiberg S, Mckinley PA, Sveistrup H, et al.The effectiveness of task-oriented intervention and trunk restraint on upper limb movement quality in children with cerebral palsy[J].Developmental Medicine & Child Neurology, 2010, 52(11):e245-e253.
[10] Au MK, Chan WM, Lee L, et al.Core stability exercise is as effective as task-oriented motor training in improving motor proficiency in children with developmental coordination disorder:a randomized controlled pilot study[J].Clinical Rehabilitation, 2014:0269215514527596.

[1]	王曼, 肖莹莹, 张园园, 张立新. 数字OT系统辅助下分析全身振动训练对脑瘫患儿精细运动能力影响的临床研究[J]. 中国儿童保健杂志, 2023, 31(5): 491-496.
[2]	范桃林, 刘杰, 贺晨, 谭玲惠, 李游, 肖喜辉, 姜灿. 基于镜像神经元的动作观察训练对脑瘫儿童平衡和步行能力的影响[J]. 中国儿童保健杂志, 2023, 31(2): 220-224.
[3]	施磊, 童光磊, 李红, 陈婧, 吴杉杉. 脑性瘫痪儿童喂养/吞咽困难和营养不良筛查工具的临床应用[J]. 中国儿童保健杂志, 2022, 30(9): 1024-1028.
[4]	宋福祥, 孔祥颖, 郭津, 林萍, 张朋, 李鑫. 痉挛型脑瘫患儿用腹肌训练器的研制与应用研究[J]. 中国儿童保健杂志, 2022, 30(3): 339-342.
[5]	梁伟健, 葛胜男, 万勤, 陈芳芳. 连续语音下学龄期脑瘫的流利性特征及其与言语可懂度的相关性[J]. 中国儿童保健杂志, 2022, 30(11): 1173-1176.
[6]	牛国辉, 谢加阳, 朱登纳, 王军, 刘红星, 王鑫, 李停停. 脑性瘫痪患儿共患癫痫的危险因素[J]. 中国儿童保健杂志, 2022, 30(11): 1241-1245.
[7]	张月华, 余志华, 孔勉. 脑性瘫痪儿童合并睡眠障碍的机制及治疗研究进展[J]. 中国儿童保健杂志, 2021, 29(5): 515-517.
[8]	刘红星, 牛国辉, 崔博, 张广宇, 王鑫. 外周血中miR-138、miR-338在痉挛型脑性瘫痪患儿中表达水平及临床价值[J]. 中国儿童保健杂志, 2021, 29(4): 352-356.
[9]	刘晓, 张丽华, 晁亦全. 脑瘫儿童胃肠道问题的研究进展[J]. 中国儿童保健杂志, 2021, 29(12): 1313-1316.
[10]	孔亚敏, 李华伟, 谢克功, 马丙祥. 生物力学矫形鞋垫对痉挛型脑性瘫痪足外翻患儿下肢功能及步态的影响[J]. 中国儿童保健杂志, 2021, 29(11): 1161-1166.
[11]	李颖妍, 李鑫, 黄信萍, 徐海兰, 庞伟. 脑瘫儿童营养状况的影响因素研究进展[J]. 中国儿童保健杂志, 2021, 29(11): 1203-1207.
[12]	王婷, 李晓捷, 朱琼, 黄玉柱. 脑性瘫痪并发智力障碍特点及其治疗进展[J]. 中国儿童保健杂志, 2020, 28(7): 756-758.
[13]	韩亮, 高超. 配戴踝足矫形器联合康复治疗对脑性瘫痪患儿肌张力康复效果的研究[J]. 中国儿童保健杂志, 2020, 28(7): 827-829.
[14]	杨晴, 王秋, 李娜, 易蕾. 手功能分级系统在脑性瘫痪中的应用研究[J]. 中国儿童保健杂志, 2020, 28(4): 419-422.
[15]	周洪涛, 覃蓉, 刘志雄, 左文敬. 健脑益智针法联合感觉统合训练在脑性瘫痪并精神发育迟滞患儿中的实践研究[J]. 中国儿童保健杂志, 2020, 28(3): 338-340.

任务导向性训练对痉挛型脑瘫患儿移动功能疗效研究

Effects of task-oriented training method as a rehabilitation strategy for mobile motor function of spastic cerebral palsy children.

PDF

可视化

被引次数

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics