动态平衡训练联合目标导向性训练对痉挛型脑瘫患儿运动能力和平衡能力的影响

<正>脑性瘫痪简称脑瘫,全球患病率0.15%～0.4%^1]。痉挛型脑瘫是所有脑瘫分型中占比最高的一型。姿势异常及运动功能障碍是痉挛型脑瘫特征性表现。目标导向性训练为患者设定目标导向式任务,重复训练以达到目标,当目标实现后,设定新的更高的目标,继而进入一个新的目标训练过程,从而使运动动机强度维持在较高的水平上,充分调动积极主动性^2]。

Effects of balance training combined with goal-oriented training on gross motor function and balance in children with spastic cerebral palsyDu Yu1, Mao Zhenghuan2 ,Wang Hui2, Yin Hongwei2, Li Haifeng2

Objective To observe the effect of balance training combined with goal-directed training on gross motor function and balance in children with spastic cerebral palsy. Methods Forty-six children with spastic cerebral palsy were randomly divided into an observation group and a control group, 23 cases in each group. The two groups were given routine rehabilitation training, and the observation group was given dynamic balance combined with goal-oriented training on this basis (30 min each time, 3 times a week, continuous training for 6 months). Before treatment and after 6 months of treatment, gross motor function measure (GMFM), Pediatric Balance Scale (PBS), and passive surface electromyography of adductor and gastrocnemius muscles ( Surface electromyography, sEMG) evaluated the motor function and balance ability of the two groups respectively. Results The percentages of GMFM D and E areas and the PBS scores in the control group and the observation group before and after treatment were significantly increased (P<0.05). 85.43±11.91, 66.43±15.28, 45.76±3.35, which were all significantly better than those in the control group after treatment, the differences were statistically significant (P<0.05). there was no statistically significant difference between the observation group and the control group (P>0.05). Conclusion Balance training can effectively improve gross motor function and balance ability in children with spastic cerebral palsy.