关键词: 脑性瘫痪, 前馈控制, 躯干训练, 运动功能, 随访

Abstract: Objective To analyze the effects of feed-forward control combined with trunk training on motor development and activities of daily living (ADL) in children with cerebral palsy(CP),so as to provide scientific basis for clinical treatment.Methods Totally 40 CP children were enrolled in this study and were randomly divided into treatment group (n=20) and control group (n=20). Both groups were treated with trunk control training while the treatment group was given feed-forward control combined additionally before trunk control training.The assessment tools including Berg Balance Scale (BBS) for balance function,the Gross Motor Function Classification System (GMFCS) for gross motor function,Fugl-Meyer Assessment (FMA) of Motor Function Rating Scale for motor function,and Modified Barthel Index (MBI) for ADL ability were adopted to assess the efficacy in both groups after 8 weeks,6 months and one year of the treatment respectively. Results There were no significant differences on BBS,GMFCS,FMA and MBI scores between treatment group and control group before treatment (P＞0.05).The above indexes of the two groups were significantly improved compared with those before treatment,and the improvement of the training group was obvious in 8 weeks after treatment.Additionally,the differences on the indexes between the two groups were significant(t=2.124,2.393,2.283,3.048,P＜0.05).And the improvement of the training group was still higher than that of the control group after six months and one year (P＜0.05).Repeated measurement anova analysis showed that the time effect,intra-group effect and interaction of BBS,GMFCS,FMA and MBI scores between the two groups were statistically significant (P＜0.05). Conclusion Feed forward control combined with trunk training might improve the motor function and ADL of children with cerebral palsy,and its effect still lasts after long-term follow-up.

Key words: cerebral palsy, feed forward control, trunk control, motor function, follow-up