核心稳定性训练联合交变电磁场治疗中枢性协调障碍

目的:探讨核心稳定性训练联合交变电磁场治疗中枢性协调障碍的效果。方法:95例中枢性协调障碍痉挛型患儿随机分为传统组23例、观察组26例、训练组24例和电磁场组22例。传统组仅采取传统康复治疗,观察组在传统组方法基础上应用核心稳定性训练联合交变电磁场。训练组采用传统康复治疗+核心稳定性训练,电磁场组采用传统康复治疗+交变电磁场。对患儿治疗前后Bayley运动发育指数(PDI)及自拟运动能评定表进行疗效评定。结果:治疗后观察组PDI均明显高于训练组及电磁场组(P<0.01),训练组及电磁场组PDI均明显高于传统组(P<0.01);治疗后运动能随访评估结果,观察组各种观察指标有效率均明显高于传统组(P<0.01);而训练组抬头及电磁场组腘角正常有效率均高于传统组(P<0.01)。结论:传统康复治疗联合核心稳定性训练及交变电磁场治疗中枢性协调障碍更有效。

Core stability training combined with alternating electromagnetic field therapy for treatment of central coordination disorder

Objective: To discuss the effect of the core stability training combined with alternating electromagnetic field therapy for treatment of central coordination disorder.Methods: Ninety-five children with central coordination disorder of the spastic type were randomly divided into four groups:traditional group(n=23 cases),observation group(n=26 cases),training group(n=24 cases) and alternating electromagnetic field(EMF) group(n=22 cases).The children in the traditional group were given only the routine rehabilitation training;the observation group received the core stability training combined with alternating electromagnetic field therapy,the training group received the core stability training and the EMF group received the alternating electromagnetic field therapy,all in addition to the routine rehabilitation training.The effect was evaluated by Bayley motor development index(PDI) and motor function.Results: The PDI of the observation group was significantly higher than that of the training group and the EMF group(P<0.01);the PDI of the training group and the electromagnetic field group was significantly higher than that of the traditional group(P<0.01).The follow- up results showed that the motor function index of the observation group was significantly higher than that of the traditional group(P<0.01);The rates of normal head-raising in the training group and normal popliteal angle in the electromagnetic field group were higher than those in the traditional group(P<0.01).Conclusions: Traditional rehabilitation therapy in combination with core stability training and alternating electromagnetic field therapy is more effective than traditional rehabilitation therapy alone in treatment of central coordination disorder.