可调重服对脑瘫儿童上肢功能及日常活动能力的影响

doi:10.11852/zgetbjzz2018-26-08-31

中国儿童保健杂志 ›› 2018, Vol. 26 ›› Issue (8): 924-926.DOI: 10.11852/zgetbjzz2018-26-08-31

可调重服对脑瘫儿童上肢功能及日常活动能力的影响

徐磊^{1, 2}, 康贝贝^{1, 2}, 谭丽萍^{1, 2}, 朱琳^{1, 2}, 解秋雪², 杨雅楠², 姜志梅^{1, 2}

1 佳木斯大学附属第三医院,黑龙江佳木斯 154003;
2 佳木斯大学康复医学院,黑龙江佳木斯 154003

收稿日期:2017-11-23 发布日期:2018-08-10 出版日期:2018-08-10
通讯作者: 姜志梅,E-mail:mynard93@163.com
作者简介:徐磊(1983-),男,中级治疗师,硕士学位,主要研究方向为小儿脑性瘫痪的综合康复治疗。
基金资助:
国家级大学生创新创业训练计划项目(201610222017);黑龙江省教育厅科学技术应用技术类项目(2016-KYYWF-0541);佳木斯大学校级科技创新项目(Cxtd-2013-02);佳木斯大学校长创新创业基金项目(xzyf2016-18)

Effects of adjustable weighted clothing on upper limb function and activity of daily living in children with cerebral palsy

XU Lei^1,2, KANG Bei-bei^1,2, TAN Li-ping^1,2, ZHU Lin^1,2, XIE Qiu-xue², YANG Ya-nan², JIANG Zhi-mei^1,2

1 The Third Affiliated Hospital of Jiamusi University, Jiamusi, Heilongjiang 154003, China;
2 Rehabilitation Medicine College of Jiamusi University, Jiamusi, Heilongjiang 154003, China

Received:2017-11-23 Online:2018-08-10 Published:2018-08-10
About author:JIANG Zhi-mei, E-mailmynard93@163.com

摘要/Abstract

摘要： 目的观察可调重服对脑瘫儿童上肢功能及日常活动能力的影响。方法选取2016年3月-10月佳木斯大学附属第三医院收治的不随意运动型脑瘫儿童30例,随机分成观察组(n=15)和对照组(n=15)。对照组采用常规康复训练治疗,观察组在常规康复治疗的基础上,同时佩戴可调重服。两组儿童分别于治疗前后,采用上肢功能评定量表(QUEST)和儿童能力评定量表 (PEDI)对上肢功能及日常生活活动能力进行评估和比较分析。结果治疗后,两组儿童QUEST、PEDI评分较治疗前有所提高(P<0.05),而观察组评分明显高于对照组,差异有统计学意义(P均<0.05)。结论可调重服的佩戴能有效提高不随意运动型脑瘫患儿的上肢功能及日常生活活动能力,改善其生活质量,值得临床推广使用。

关键词: 脑瘫, 不随意运动, 可调重服, 上肢功能, 日常生活活动

Abstract: Objective To analyze the effect of adjustable weighted clothing on upper limb function and activity of daily living in children with cerebral palsy. Methods A total of 30 children with involuntary exercise-induced cerebral palsy admitted in the Third Affiliated Hospital of Jiamusi University from March 2016 to October 2016 were randomly divided into observation group (n=15) and control group (n=15).The control group was treated with routine rehabilitation training.while The observation group wore adjustable weighted clothes based on conventional rehabilitation.Upper limb function and the ability of activity of daily living of two groups before and after treatment were assessed by quality of upper extremity skills test (QUEST) and pediatric evaluation of disability inventory (PEDI) were compared. Result After treatment, the QUEST and PEDI scores of both groups were significantly improved than those before treatment, while the score of the observation group was significantly higher than that of the control group (all P<0.05). Conclusion Adjustable weighted clothing can effectively improve the upper limb function and daily living activities in children with involuntary exercise-induced cerebral palsy, so it is worth promoting in clinic.

Key words: cerebral palsy, involuntary exercise, adjustable weighted clothing, upper limb function, activity of daily living

中图分类号:

R179

徐磊, 康贝贝, 谭丽萍, 朱琳, 解秋雪, 杨雅楠, 姜志梅. 可调重服对脑瘫儿童上肢功能及日常活动能力的影响[J]. 中国儿童保健杂志, 2018, 26(8): 924-926.

XU Lei, KANG Bei-bei, TAN Li-ping, ZHU Lin, XIE Qiu-xue, YANG Ya-nan, JIANG Zhi-mei. Effects of adjustable weighted clothing on upper limb function and activity of daily living in children with cerebral palsy[J]. journal1, 2018, 26(8): 924-926.

参考文献

[1] 李晓捷,唐久来,马丙祥,等.脑性瘫痪的定义、诊断标准及临床分型[J].中华实用儿科临床杂志,2014, 29(19):1520-1520.
[2] 唐久来, 秦炯, 邹丽萍, 等.中国脑性瘫痪康复指南 (2015):第一部分[J].中国康复医学杂志, 2015, 21(7):161-161.
[3] Chun SP, Kim KY, Kang TG, et al.A study on core stability training for postural control ability and respiratory function in patients with chronic stroke[J].International Journal of Bio-Science and Bio-Technology, 2015, 7(3):83-90.
[4] Lima LC, Denadai BS.Attenuation of eccentric exercise-induced muscle damage conferred by maximal isometric contractions:a mini review[J].Front Physiol, 2015,24(6):1-6.
[5] Gwin JT, Ferris DP.An EEG-Based study of discrete isometric and isotonic human lower limb muscle contractions[J].Neuroeng Rehabil, 2012, 9(1):35.
[6] Thorley M, Lannin N, Cusick A, et al.Reliability of the quality of upper extremity skills test for children with cerebral palsy aged 2 to 12 years[J].Phys Occup Ther Pediatr, 2012, 32(1):14-21.
[7] Salavati M, Waninge A, Rameckers E A, et al.Reliability of the modified Paediatric Evaluation of Disability Inventory (PEDI) for children with cerebral palsy and cerebral visual impairment[J].Res Dev Disabil, 2015, 37(4):189-201.
[8] 康贝贝, 徐磊, 卢明甲,等.儿童悬吊训练系统对脑瘫儿童躯干控制及粗大运动功能的影响[J].中国儿童保健杂志, 2017, 25(9):890-891.
[9] Park JH, Hwangbo G, Kim JS.The effect of treadmill-based incremental leg weight loading training on the balance of stroke patients[J].J Phys Ther Sci, 2014, 26(2):235-237.
[10] Burtner PA, Leinwand R, Sullivan KJ, et al.Motor learning in children with hemiplegic cerebral palsy:feedback effects on skill acquisition.[J].Dev Med Child Neurol, 2014, 56(3):259-266.
[11] 王珂.牵拉负重康复训练治疗小儿脑性瘫痪效果探讨[J].白求恩医学杂志, 2017, 15(1):68-69.
[12] 潘化平, 冯慧, 李亚娟,等.负荷控制的本体感觉训练对脑卒中患者平衡功能及下肢运动能力的影响[J].中国康复医学杂志, 2011, 26(11):1025-1028.

[1]	仲琛, 胡珊珊, 张恒硕, 张翠, 姚传磊, 宋祺鹏. 水中运动疗法联合常规康复疗法对学龄前痉挛型脑瘫儿童运动功能的影响[J]. 中国儿童保健杂志, 2023, 31(5): 486-490.
[2]	杨婷婷, 李鑫, 俞鑫璐, 张博, 庞伟. 体感游戏对脑瘫儿童上肢功能影响的系统评价[J]. 中国儿童保健杂志, 2023, 31(5): 535-540.
[3]	刘金, 张芳, 王建忠. 脑瘫患儿血清25-羟维生素D水平与小腿骨骼肌发育及粗大运动功能量表评分的关系[J]. 中国儿童保健杂志, 2023, 31(5): 541-545.
[4]	吴茜茜, 郝朝丽, 曾佩, 郭津. 脑性瘫痪儿童伴随交流障碍的影响因素及治疗研究进展[J]. 中国儿童保健杂志, 2023, 31(1): 52-57.
[5]	梁伟健, 丁忠冰, 李梦雅. 44例5~7岁痉挛型脑瘫儿童言语流利性障碍的临床特征[J]. 中国儿童保健杂志, 2022, 30(7): 702-705.
[6]	熊华春, 周志恒, 周洋萍, 王军, 朱登纳, 陈精慧. 下肢康复机器人训练联合家庭姿势管理对脑瘫患儿运动功能的疗效研究[J]. 中国儿童保健杂志, 2022, 30(7): 711-714.
[7]	赵明月, 项栋良, 张春艳, 乌云塔娜, 杨海凤, 李爽, 王琰, 王艳. 高危儿早期干预的研究进展[J]. 中国儿童保健杂志, 2022, 30(5): 531-534.
[8]	陈婧, 童光磊. 脑瘫儿童进食功能分级系统及营养不良分析[J]. 中国儿童保健杂志, 2022, 30(5): 544-547.
[9]	胡昊, 亓毅飞. 脑性瘫痪致病机制中的遗传因素初探[J]. 中国儿童保健杂志, 2022, 30(3): 237-239.
[10]	王静, 岳玲, 陈智红, 孙素真, 马贵林, 白冰, 陈翠英. 悬吊训练联合MOTOmed智能训练应用于痉挛型脑瘫儿童的康复疗效研究[J]. 中国儿童保健杂志, 2022, 30(3): 240-243.
[11]	钟得香, 翟淳, 陈建平. 目标达成量表在脑瘫康复中的应用进展[J]. 中国儿童保健杂志, 2022, 30(2): 172-175.
[12]	陈婧, 童光磊, 施磊, 叶福玲, 冯超, 徐学翠, 李红. 脑瘫儿童主观全面营养评估方法的临床研究[J]. 中国儿童保健杂志, 2022, 30(2): 212-215.
[13]	邓经辉, 龙正印, 吕志刚, 卢永雪, 牟尅蓉, 唐雪怡. 核心稳定训练改善痉挛型脑瘫患儿运动能力的Meta分析[J]. 中国儿童保健杂志, 2022, 30(11): 1226-1230.
[14]	郝朝丽, 吴茜茜, 韩清梅, 曾佩, 郭津. 目标-活动-运动强化疗法对脑瘫高危儿早期干预的应用进展[J]. 中国儿童保健杂志, 2022, 30(10): 1104-1107.
[15]	许业涛, 史惟. 节律性听觉刺激改善痉挛型脑瘫患儿步态的研究进展[J]. 中国儿童保健杂志, 2021, 29(8): 873-876.

可调重服对脑瘫儿童上肢功能及日常活动能力的影响

Effects of adjustable weighted clothing on upper limb function and activity of daily living in children with cerebral palsy

PDF

可视化

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