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目的:观察前馈控制结合躯干训练对小儿脑瘫运动功能及日常生活活动能力(ADL)的影响。方法:40例小儿脑瘫患者随机分成2组各20例,对照组给予常规躯干控制训练,训练组在此基础上结合基于强化前馈控制的躯干训练。在治疗8周后采用Berg平衡量表(BBS)评定2组患儿平衡功能,采用粗大运动功能评估量表(GMFM)评定患儿粗大运动功能,采用Fugl-Meyer运动功能评定量表(FMA)来评定患儿肢体运动功能,采用改良Barthel指数(MBI)评定患儿ADL能力。结果:治疗8周后,2组患儿的BBS,GMFM,FMA及MBI评分均明显高于治疗前水平(P<0.05),且训练组高于对照组(P<0.05)。结论:强化前馈控制结合躯干训练可以明显改善小儿脑瘫运动功能及日常生活活动能力。
Objective: To observe the effect of feedforward control combined with trunk training on motor function and daily living activity (ADL) in children with cerebral palsy. Methods: Forty children with cerebral palsy were randomly divided into two groups of 20 patients. The control group was given routine trunk control training. The training group combined with the torso training based on the enhanced feedforward control. After 8 weeks of treatment, the Berg balance scale (BBS) was used to evaluate the balance function of the two groups. The gross motor function was assessed by the Gross Motor Function Assessment Scale (GMFM). The Fugl-Meyer Motor Function Rating Scale (FMA) To assess the motor function of children with limbs, using modified Barthel index (MBI) to assess children with ADL ability. Results: After 8 weeks of treatment, the scores of BBS, GMFM, FMA and MBI in two groups were significantly higher than those before treatment (P <0.05), and the training group was higher than the control group (P <0.05). Conclusion: Intensified feedforward control combined with trunk training can significantly improve children’s cerebral palsy motor function and daily living activities.