揿针疗法联合核心稳定性训练对脑瘫儿童粗大运动功能、平衡功能及日常生活活动能力的影响
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Effects of Thumb-tack Needing for Subcutaneous Embedding Therapy Combined with Core Stability Exercises on Gross Motor Function,Balance Function and Activities of Daily Living in Children with Cerebral Palsy
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    摘要:

    目的:观察揿针疗法联合核心稳定性训练对脑瘫儿童粗大运动功能、平衡功能及日常生活活动能 力的影响。方法:选取73 例脑瘫患儿,按随机数字表法分为对照组36 例及观察组37 例。对照组给予运动疗 法、作业疗法、物理因子治疗等康复治疗,且在运动疗法后给予核心稳定性训练。观察组在对照组基础上给予 揿针疗法。观察2 组治疗前及治疗第4、8、12、16 周后粗大运动功能评定(GMFM-88)、Berg 平衡量 表(BBS)、脑瘫儿童日常生活活动能力(ADL) 量表评分的变化。结果:治疗后,GMFM-88 评分随着治疗时 间延长而提高,存在时间效应(P<0.05);观察组评分提高程度大于对照组,存在分组效应(P<0.05);分组 因素与时间因素对评分存在交互作用(P<0.05)。在治疗第8 周、第12 周和第16 周,观察组GMFM-88 评分 均高于对照组(P<0.05)。2 组治疗后各时间点GMFM-88 评分均较治疗前及治疗的前一时间点评分高,差异 有统计学意义(P<0.05)。治疗后,BBS 评分随着治疗时间延长而提高,存在时间效应(P<0.05);观察组评 分提高程度大于对照组,存在分组效应(P<0.05);分组因素与时间因素对评分存在交互作用(P<0.05)。在 治疗第8 周、第12 周和第16 周,观察组BBS 评分均高于对照组(P<0.05)。2 组治疗后各时间点BBS 评分均 较治疗前及治疗的前一时间点评分高,差异有统计学意义(P<0.05)。治疗后,ADL 评分随着治疗时间延长而 提高,存在时间效应(P<0.05);观察组评分提高程度大于对照组,存在分组效应(P<0.05);分组因素与时 间因素对评分存在交互作用(P<0.05)。在治疗第12 周和第16 周,观察组ADL 评分均高于对照组(P< 0.05)。2 组治疗后各时间点ADL 评分均较治疗前及治疗的前一时间点评分高,差异有统计学意义(P< 0.05)。结论:揿针疗法联合核心稳定性训练可进一步促进脑瘫儿童粗大运动功能提升,提高平衡功能及日常 生活活动能力。

    Abstract:

    Abstract: Objective: To observe the effects of thumb- tack needing for subcutaneous embedding combined with core stability exercises on gross motor function,balance function and activities of daily living in children with cerebral palsy. Methods:A total of 73 cases of children with cerebral palsy were selected and divided into the control group and the observation group according to the random number table method , with 36 and 37 cases in each group respectively. The control group was given rehabilitation therapy such as exercise therapy, occupational therapy and physical factor therapy, and core stability exercises were given after exercise therapy. The observation group was given thumb- tack needing for subcutaneous embedding based on the treatment of the control group. The changes in scores of Gross Motor Function Measure (GMFM- 88), Berg Balance Scale (BBS) and Activities of Daily Living (ADL) of children with cerebral palsy in the two groups were observed before treatment and after 4,8,12 and 16 weeks of treatment. Results: After treatment, GMFM- 88 scores were increased with the extension of treatment time,and there was a time effect (P<0.05);the increase in the observation group was greater than that in the control group, and there was a grouping effect (P<0.05); the grouping factor and time factor interacted with the scores (P<0.05). At the eighth, twelfth and sixteenth weeks of treatment, GMFM- 88 scores in the observation group were higher than those in the control group (P<0.05). The GMFM- 88 scores in the two groups at each time point after treatment were higher than those before treatment and those at the previous time point of treatment, the difference being significant (P<0.05). After treatment,BBS scores were increased with the extension of treatment time,and there was a time effect (P<0.05); the increase in the observation group was greater than that in the control group, and there was a grouping effect (P<0.05);the grouping factor and time factor interacted with the scores (P< 0.05). At the eighth,twelfth and sixteenth weeks of treatment,the BBS scores in the observation group were higher than those in the control group (P<0.05). The BBS scores in the two groups at each time point after treatment were higher than those before treatment and those at the previous time point of treatment, the difference being significant (P<0.05). After treatment,ADL scores were increased with the extension of treatment time, and there was a time effect (P<0.05); the increase in the observation group was greater than that in the control group,and there was a grouping effect (P<0.05);the grouping factor and time factor interacted with the scores (P<0.05). At the twelfth and sixteenth weeks of treatment,the ADL scores in the observation group were higher than those in the control group (P<0.05). When compared the ADL scores in the two groups at each time point after treatment with those before treatment and those at the previous time point of treatment,the difference being significant (P<0.05). Conclusion:Thumb-tack needing for subcutaneous embedding combined with core stability exercises can further promote the improvement of gross motor function,balance function and activities of daily living of children with cerebral palsy.

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陈海,杨斌,孟文彬,曹良东,夏冰,马丹丹.揿针疗法联合核心稳定性训练对脑瘫儿童粗大运动功能、平衡功能及日常生活活动能力的影响[J].新中医,2024,56(3):165-170

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  • 在线发布日期: 2024-02-23
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