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

doi:10.11852/zgetbjzz2022-1142

摘要/Abstract

摘要： 目的探究全身振动训练对痉挛型偏瘫患儿精细运动功能的影响效果,为偏瘫型脑瘫的作业治疗提供临床参考依据。方法选取2020年10月—2022年10月在中国医科大学附属盛京医院康复科进行训练的痉挛型偏瘫患儿68例,随机分成对照组(n=34)和观察组(n=34),两组均给予常规作业治疗,观察组在此基础上增加全身振动训练,比较其训练前、训练第4周、8周、12周的精细运动功能评估(FMFM)中D区(上肢操作)、E区(手眼协调)得分及数字OT评估系统中的《运动控制报告》结果。结果重复测量方差分析显示,D区分值随时间变化而改变(F_时间＝76.017,P_时间＜0.001),分组效应及交互效应无意义(F_组间_/交互＝1.173、0.470,P＞0.05);E区分值的改变受时间效应及分组效应的双重影响影响(F_时间_{/组间/交互}=783.275、4.209、50.233,P＜0.05),在训练8周及12周后,观察组的得分高于对照组(F＝9.375、9.207,P＜0.05);运动轨迹的重合度受时间效应及分组效应双重影响(F_时间_{/组间/交互}=567.166、4.720、47.497,P＜0.05),在训练第4周、8周及12周后,观察组的成绩优于对照组(F＝8.783、7.583、8.937,P＜0.05);运动速度受时间效应和组间效应双重影响(F_时间_{/组间/交互}=351.375、16.538、73.909,P＜0.05),在训练8周及12周后,观察组的运动速度优于对照组(F＝69.764、60.557,P＜0.05)。结论全身振动训练能够改善痉挛型偏瘫患儿的精细运动功能,提高患儿的运动速度及手眼协调能力。

关键词: 脑性瘫痪, 精细运动功能, 全身振动训练, 数字OT评估与训练系统

Abstract: Objective To explore the effect of whole body vibration training on the fine motor function of children with spastic hemiplegia, so as to provide clinical reference for occupational therapy of hemiplegic cerebral palsy. Methods A total of 68 children with spastic hemiplegia in Shengjing Hospital were enrolled in this study from October 2020 to October 2022, and were randomly divided into control group (n=34) and study group (n=34).Both groups were given conventional occupational therapy, while the study group was additionally provided with whole body vibration (WBV) training.Scores in fine motor function measurement-D (FMFM-D) (upper limb operation) and FMFM-E (hand-eye coordination) of FMFM before training, 4 weeks, 8 weeks and 12 weeks after training and the results of the Motion Control Report in the digital OT assessment system were compared between the two groups. Results Repeated-measures analysis of variance showed that FMFM-D score changed over time (F_time=76.017, P＜0.001), while grouping effect and interaction effect were not significant(F_group_/interaction=1.173, 0.470, P＞0.05).The change of FMFM-E score was influenced by both the time effect and group effect (F_time_{/group/interaction}=783.275, 4.209, 50.233, P＜0.05).After 8 and 12 weeks of training, the study group scored higher in FMFM-E than the control group(F=9.375,9.207, P＜0.05).The coincidence degree of motion trajectory was affected by both time effect and group effect (F_time_{/group/interaction}=567.166, 4.720, 47.497, P＜0.05).After 4, 8 and 12 weeks of training, the movement performance of the study group was better than that of the control group(F=8.783, 7.583, 8.937, P＜0.05).Movement speed was affected by both time effect and group effect (F_time_{/group/interaction}=351.375, 16.538, 73.909, P＜0.05).After 8 weeks and 12 weeks of training, the movement speed of the study group was higher than that of the control group (F=69.764, 60.557, P＜0.05). Conclusion Whole-body vibration training can improve the fine motor function, movement speed and hand-eye coordination of children with spastic hemiplegia.

Key words: cerebral palsy, fine motor function, whole body vibration, digital OT assessment and training system

中图分类号:

R742.3

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.

WANG Man, XIAO Yingying, ZHANG Yuanyuan, ZHANG Lixin. Effect of whole body vibration training on fine motor ability of children with cerebral palsy with the assistance of digital OT system[J]. Chinese Journal of Child Health Care, 2023, 31(5): 491-496.

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