痉挛型脑瘫患儿用腹肌训练器的研制与应用研究

doi:10.11852/zgetbjzz2021-0554

中国儿童保健杂志 ›› 2022, Vol. 30 ›› Issue (3): 339-342.DOI: 10.11852/zgetbjzz2021-0554

痉挛型脑瘫患儿用腹肌训练器的研制与应用研究

宋福祥^1,2,3, 孔祥颖^2,3, 郭津^2,3, 林萍^2,3, 张朋^2,3, 李鑫^1,2,3

1.佳木斯大学附属第三医院小儿神经科;
2.佳木斯大学康复医学院;
3.佳木斯大学儿童神经康复实验室,黑龙江佳木斯 154003

收稿日期:2021-04-09 修回日期:2021-07-05 发布日期:2022-03-18 出版日期:2022-03-10
通讯作者: 孔祥颖,E-mail:kxylindsay@163.com
作者简介:宋福祥,男,(1981-),黑龙江人,副主任医师,硕士研究生,主要研究方向为小儿脑损伤发病机制及早期防治研究。
基金资助:
黑龙江省省属高等学校基本科研业务费科研项目(2017-KYYWF-0573);黑龙江省卫生健康委科研项目(2017-409)

Design and application of abdominal muscle strength trainer in children with spastic diplegia cerebral palsy

SONG Fu-xiang^*, KONG Xiang-ying, GUO Jin, LIN Ping, ZHANG Peng, LI Xin

^*Department of Pediatrics Neurology, the Third Affiliated Hospital of Jiamusi University; Rehabilitation Medicine College of Jiamusi University;Rehabilitation of Children Neural Laboratory of Jiamusi University, Jiamusi, Heilongjiang 154003, China

Received:2021-04-09 Revised:2021-07-05 Online:2022-03-10 Published:2022-03-18
Contact: KONG Xiang-ying, E-mail:kxylindsay@163.com

摘要/Abstract

摘要： 目的研制痉挛型脑瘫患儿用腹肌训练器并观察其在临床中的应用效果,将其应用于临床并进行推广。方法研制脑瘫患儿用腹肌训练器,包括坐垫板、底架和背部训练板3个部分。2018年1月-2019年12月,选取由佳木斯大学附属第三医院确诊的痉挛型双瘫脑瘫患儿40例,年龄3～6岁,随机分为观察组20例和对照组20例,两组均接受常规康复训练,每周5 d、每日1次,观察组利用腹肌训练器进行腹肌训练,观察组和对照组治疗周期均为3个月,分别于治疗前、治疗后采用徒手肌力检查对患儿进行评估。结果与治疗前相比,两组患儿治疗3个月后,徒手肌力检查结果均有一定提高,差异有统计学意义(t=2.517、7.768、2.179、8.718,P＜0.05);治疗后徒手肌力检查得分显示观察组得分显著高于对照组(t=3.454、2.886,P＜0.01)。结论痉挛型脑瘫患儿用腹肌训练器具备操作简单、自主性强、安全有效,能够改善痉挛型双瘫患儿的腹肌力量,提升脑瘫患儿的康复效果。

关键词: 腹肌训练器, 痉挛型脑性瘫痪, 腹肌, 徒手肌力检查

Abstract: Objective To design an abdominal muscle strength trainer, and to observe its clinical efficacy in children with spastic diplegia cerebral palsy (CP). Methods An abdominal muscle strength trainer was designed, consisting of three important parts: a seat plate, a base plate and a back training plate. Forty spastic diplegia CP children were enrolled in this study from January 2018 to December 2019, and were randomly divided into observation group (n=20) and control group (n=20). All children were treated with routine rehabilitation training with the frequency of once a day, 5 d/week. The control group received conventional rehabilitation, while the observation group received abdominal muscle strength trainer exercise training for 5 - 10 min per day. Children in both groups were assessed with manual muscle testing at the beginning and at the end of the three months of treatment course. Results After three-month treatment, MMT scores of children in both groups were improved significantly than those before training (t=2.517, 7.768, 2.179, 8.718, P＜0.05).MMT scores of children in the observation group were significantly higher than those in the control group (t=3.454, 2.886, P＜0.01). Conclusions The abdominal muscle strength trainer is easy and safe for children with spastic diplegia cerebral palsy to use, and it can significantly improve the rehabilitation efficacy.

Key words: abdominal muscle strength trainer, spastic-type cerebral palsy, abdominal muscles, manual muscle testing

中图分类号:

R742.3

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.

SONG Fu-xiang, KONG Xiang-ying, GUO Jin, LIN Ping, ZHANG Peng, LI Xin. Design and application of abdominal muscle strength trainer in children with spastic diplegia cerebral palsy[J]. Chinese Journal of Child Health Care, 2022, 30(3): 339-342.

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.
[2] Huang C, Chen Y, Chen G, et al. Efficacy and safety of core stability training on gait of children with cerebral palsy: A protocol for a systematic review and meta-analysis[J]. Medicine (Baltimore). 2020,99(2):e18609.
[3] Park JH,You JSH. Innovative robotic hippotherapy improves postural muscle size and postural stability during the quiet stance and gait initiation in a child with cerebral palsy: A single case study[J]. Neuro Rehabilitation, 2018,42(2):247-253.
[4] 孔祥颖,宋福祥,庞伟,等.痉挛型脑瘫患儿Bobath 球上仰卧起坐训练的疗效观察[J].中国康复医学杂志,2017,32(7):811-813.
[5] 梁文锐,吴小平,张启富,等. 束带强化核心稳定性训练对痉挛型脑性瘫痪患儿运动功能及平衡的效果[J].中国康复,2018,24(1):97-100.
[6] Ali MS, El-Aziz H.Effect of whole-body vibration on abdominal thickness and sitting ability in children with spastic diplegia[J]. J Taibah Univ Med Sci,2020,16(3):379-386.
[7] 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,2015,30(7):533-538.
[8] O'sullivan SB, Schmitz TJ. Physical Rehabilitation [M]. 6th ed. Philadelphia: FA Davis, 2013.
[9] Vitrikas K, Dalton H, Breish D.Cerebral palsy: an overview[J].Am Fam Physician,2020,101(4):213-220.
[10] Sato H.Postural deformity in children with cerebral palsy: Why it occurs and how is it managed[J]. Phys Ther Res,2020,23(1):8-14.
[11] 白艳,王秀霞,陈海英.经颅磁刺激联合核心肌力训练在痉挛型脑瘫患儿中的应用研究[J].中国全科医学,2020,23(2):177-182.
[12] Franki I, Bar-On L, Molenaers G, et al. Tone reduction and physical therapy: Strengthening partners in treatment of children with spastic cerebral palsy[J]. Neuropediatrics,2020,51(2):89-104.
[13] Cho C, Hwang W, Hwang S, et al. Treadmill training with virtual reality improves gait, balance, and muscle strength in children with cerebral palsy[J]. Tohoku J Exp Med,2016,238(3):213-218.
[14] 梁文锐,吴小平,张启富,等.束带强化核心稳定性训练对痉挛型脑性瘫痪患儿运动功能及平衡的效果[J].中国康复理论与实践, 2018,24(1):97-100.
[15] 范艳萍,高晶.肌电反馈疗法联合核心肌力训练对脑瘫儿童步行能力的影响[J].中国康复,2017,32(5):373-375.
[16] Dallmeijer AJ, Rameckers EA,Houdijk H,et al. Isometric muscle strength and mobility capacity in children with cerebral palsy[J]. Disabil Rehabil. 2017,39(2):135-142.
[17] van Vulpen LF, de Groot S,Rameckers E,et al. Improved walking capacity and muscle strength after functional power-training in young children with cerebral palsy[J]. Neurorehabil Neural Repair,2017,31(9):827-841.
[18] 李美萍,沈敏,徐纯鑫,等.等速肌力训练改善痉挛型脑性瘫痪患儿下肢肌力的临床观察[J]. 中国康复医学杂志,2020,35(6):713-715.
[19] Skoutelis VC, Kanellopoulos A, Vrettos S,et al.Improving gait and lower-limb muscle strength in children with cerebral palsy following selective percutaneous myofascial lengthening and functional physiotherapy[J]. NeuroRehabilitation. 2018;43(4):361-368.
[20] Song S, Lee K, Jung S,et al.Effect of horizontal whole-body vibration training on trunk and lower-extremity muscle tone and activation, balance, and gait in a child with cerebral palsy[J]. Am J Case Rep. 2018,31(19):1292-1300.

痉挛型脑瘫患儿用腹肌训练器的研制与应用研究

Design and application of abdominal muscle strength trainer in children with spastic diplegia cerebral palsy

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