Abstract: Objective To explore the efficacy of lower limb rehabilitation robot training combined with family posture management on motor function of children with cerebral palsy, so as to provide theoretical basis for rehabilitation treatment of children with cerebral palsy. Methods From March 2020 to March 2021, a total of 120 children with spastic cerebral palsy treated in the outpatient or inpatient Department of Pediatric Rehabilitation of the Third Affiliated Hospital of Zhengzhou University were randomly divided into 4 groups: control group,observation group A, observation group B and observation group C, with 30 cases in each group.The control group only received routine rehabilitation training, observation group A was given Lokomat Pro lower limb rehabilitation robot training and family posture management additionally, observation group B was given lower limb rehabilitation robot training combined with routine rehabilitation training, observation group C was given family posture management combined with routine rehabilitation training. All children in four groups were treated for 3 months. Their gross motor function, balance function and daily living activities were evaluated by Gross Motor Function Measure-88 (GMFM-88) D and E, Berg Balance Scale (BBS) and Modified Marthel Index (MBI) before and 3 months after treatment, respectively. Then the evaluation results were analyzed and compared among the four groups. Results After 3 months of treatment, the total scores of GMFM-88 D and E dimension, BBS and MBI in the 4 groups were improved compared with those before treatment(P<0.01). The total scores of GMFM-88 D and E dimension and BBS significantly decreased in sequence: observation group A> observation group B> observation group C>control group (F=14.083, 13.051,P<0.001). MBI score was higher in the following sequence: observation group A> observation group B (observation group C)> control group, and the difference was statistically significant (F=6.177,P=0.001), but there was no significant difference between observation group B and observation group C (t＝0.057, P>0.05). Conclusion Lower limb rehabilitation robot training combined with family posture management is more effective in improving gross motor function, balance function and activities of daily living in children with cerebral palsy, which is worth popularizing and being applied in children with cerebral palsy.

Key words: children with cerebral palsy, lower limb rehabilitation robot training, family posture management

摘要： 目的 探究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,为脑瘫患儿的康复治疗提供理论依据。方法 选取2020年3月—2021年3月在郑州大学第三附属医院儿童康复科门诊及住院治疗的痉挛型脑瘫患儿120例,随机分为4组,分别为对照组、观察组A、观察组B和观察组C,每组各30例。对照组只进行常规康复训练,观察组A在常规康复训练的基础上给予Lokomat Pro下肢康复机器人训练联合家庭姿势管理,观察组B在常规康复训练的基础上给予下肢康复机器人训练,观察组C在常规康复训练的基础上给予家庭姿势管理,4组患儿均治疗3个月。分别于治疗前及治疗3个月后采用粗大运动功能评定量表-88(GMFM-88)D和E能区总分、Berg平衡量表(BBS)和改良Barthel指数(MBI)分别评估4组患儿的粗大运动功能、平衡功能及日常生活活动能力,并对评估结果进行分析比较。结果 治疗3个月后4组患儿的GMFM-88 D和E能区总分、BBS、MBI得分较治疗前均有提高(P<0.01),其中GMFM-88 D和E能区总分、BBS得分:观察组A >观察组B>观察组C>对照组,且差异具有统计学意义(F=14.083,13.051,P<0.001)。MBI得分:观察组A>观察组B(观察C)>对照组,差异具有统计学意义(F=6.177,P＝0.001),而观察组B、观察组C间差异无统计学意义(t＝0.057,P>0.05)。结论 在脑瘫患儿中采用下肢康复机器人训练联合家庭姿势管理更为有效的改善患儿的粗大运动功能、平衡功能及日常生活活动能力,该综合疗法值得在临床推广应用。

关键词: 脑瘫患儿, 下肢康复机器人训练, 家庭姿势管理