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

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