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任务导向结合生物反馈训练对痉挛型脑瘫患儿手功能、Gesell量表评分及平衡能力的影响

Effect of Biofeedback Combined with Task-oriented Training on Hand Function, Gesell Scale Score and Balance Ability in Children with Spastic Cerebral Palsy

    摘要
  • 摘要:
      目的  分析任务导向结合生物反馈训练对痉挛型脑瘫（spastic cerebral palsy，SCP）患儿手功能、格塞尔婴幼儿发展量表评分（Gesell）及平衡能力的影响。
      方法  选取2016年1月至2018年6月我院收治的66例SCP患儿为研究对象，根据干预方法不同分组，对照组（n=33）采用常规康复治疗，观察组（n=33）在对照组基础上采用任务导向结合生物反馈训练，干预6个月后，比较两组干预前后改良Ashworth量表（MAS），Berg平衡量表（BBS），粗大运动功能量表（GMFM）中站立、行走功能评分，手功能评估量表（AHA），Gesell量表评分，患儿监护人康复治疗满意度。
      结果  两组干预后MAS评分均较干预前降低，BBS评分均较干预前升高（P<0.05）；观察组干预后MAS评分低于对照组，BBS评分高于对照组（P<0.05）；两组干预后站立、行走功能评分均较干预前升高（P<0.05）；观察组干预后站立、行走功能评分高于对照组（P<0.05）；两组干预后AHA评分、Gesell量表发展商数（developmental quotient，DQ）均较干预前升高（P<0.05）；观察组干预后AHA评分、Gesell量表DQ高于对照组（P<0.05）；观察组患儿监护人康复治疗满意度（90.91%）高于对照组（60.61%）（P<0.05）。
      结论  任务导向结合生物反馈训练应用于SCP患儿，可改善患儿平衡能力与肌痉挛程度，提高患儿手功能与发育水平，改善患儿站立、行走功能，提高患儿监护人康复治疗满意度。

     

    Abstract:
      Objective  To analyze the effects of biofeedback combined with task-oriented training on hand function, Gesell's infant development scale score (Gesell) and balance ability in children with spastic cerebral palsy (SCP).
      Methods  66 children with SCP admitted to our hospital from January 2016 to June 2018 were randomly divided into the control group and the observation group. The control group (n=33) received conventional rehabilitation treatment, and the observation group (n=33) received biofeedback combined with task-oriented training based on the treatment of control group. After 6-month treatment, Modified Ashworth scale (MAS) score, Berg balance scale (BBS) score, standing and walking function score in gross motor function scale (GMFM), assisting hand assessment scales (AHA) score, Gesell scale score and satisfaction of the children's parents were compared between the two groups.
      Results  The MAS score after treatment was lower than that before treatment in both two groups (P<0.05), and the BBS score after treatment was higher than that before treatment in both two groups (P<0.05). After treatment, the MAS score in the observation group was lower than the control group, and the BBS score in the observation group was higher than the control group (P<0.05). The scores of standing and walking function after treatment were higher than that before treatment in both two groups (P<0.05). After treatment, the scores of standing and walking function in the observation group were higher than the control group (P<0.05). The AHA score and Gesell developmental quotient (DQ) score after treatment were higher than that before treatment in both two groups (P<0.05). After the treatment, the AHA score and Gesell DQ score in the observation group were higher than the control group (P<0.05). The satisfaction rate of rehabilitation treatment in the observation group was higher than the control group (90.91% vs. 60.61%, P<0.05).
      Conclusion  Biofeedback combined with task-oriented training can improve balance ability, spasm relieve, hand function, development level, standing and walking function in the children with spastic cerebral palsy and increase the treatment satisfaction degree of children's guardians.

     

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