Abstract: Objective To explore the effect of situational exercise training on motor function of children with motor retardation,so as to analyze its influence on motor function development,in order to provide scientific basis for clinicl application.Methods Totally 95 children with motor retardation were enrolled in this study from February 2018 to January 2019 and were divided into experimental group (n=48) and control group (n=47).The control group received early comprehensive intervention such as low frequency pulse electric stimulation,exercise therapy and somatosensory therapy,while the experimental group was given situational exercise training additionally.The physique,intelligence,motor ability and balance ability of the two groups were compared before treatment,2 months after treatment and 4 months after treatment,thus the clinical therapeutic effect was evaluated.Results The total effective rate of the experimental group was significantly higher than that of the control group (54.17% vs.31.91%,Z=2.212,P<0.05).After 2 or 4 months of treatment,the scores of gross motor quotient (GMQ),fine motor quotients (FMQ),mental development index (MDI),psychomotor developmental index (PDI),Berg Balance Scale (BBS) and development quotient (DQ) in experimental group were significantly higher than those in control group(P<0.05).Repeated measurement analysis of variance showed that the main effect of intervention and time on GMQ,FMQ,MDI,PDI,BBS and DQ was statistically significant (P<0.05),and there was interaction between the effect of intervention and time on these indicators (P<0.05).There was significant difference on the therapeutic efficacy among children with different degrees of motor retardation (H=7.433,P<0.05).The lighter the degree,the better the therapeutic efficacy.Conclusion Situational sports training can promote the gross and fine motor function,balance ability and intelligence level of children with motor retardation,which is worthy of clinical promotion.

Key words: situational sports training, motor retardation, gross motor function, fine motor function, developmental quotient

摘要： 目的 研究情景式运动训练对运动发育迟缓患儿的干预效果,分析其对运动功能的影响,为临床应用提供科学依据。方法 将医院康复科2018年2月-2019年1月期间收治的95例运动发育迟缓患儿随机分为实验组(n=48)和对照组(n=47);对照组给予低频脉冲电刺激、运动疗法等早期综合干预,实验组在对照组基础上进行情景式运动训练。比较治疗前、治疗2个月和治疗4个月,两组体格、智力和运动能力、平衡能力等,并评价临床治疗效果。结果 实验组治疗总有效率高于对照组(54.17% vs.31.91%,Z=2.212,P＜0.05);治疗2、4个月后,实验组粗大运动发育商(GMQ)、精细运动发育商(FMQ)、智力发育指数(MDI)、运动发育指数(PDI)、Berg平衡量表(BBS)、发育商(DQ)评分均高于对照组(P＜0.05)。重复测量方差分析显示两组GMQ、FMQ、MDI、PDI、BBS、DQ评分时间干预主效应、时间主效应和交互效应有统计学意义(P＜0.05)。随着时间的变化,两组GMQ、FMQ、MDI、PDI、BBS、DQ评分均呈上升趋势,且实验组上升幅度高于对照组(P＜0.05)。不同程度运动发育迟缓患儿临床治疗效果差异有显著差异(H＝7.433,P＜0.05),程度越轻,治疗效果越好。结论 情景式运动训练能够促进运动发育迟缓患儿粗大及精细运动功能、平衡能力和智力水平发展,值得临床推广。

关键词: 情景式运动训练, 运动发育迟缓, 粗大运动功能, 精细运动功能, 发育商