核心肌群激活联合躯干训练对小儿脑性瘫痪运动功能的影响

目的 探讨核心肌群激活联合躯干训练对小儿脑性瘫痪运动功能的影响。方法 收集40例脑性瘫痪患儿的临床资料,根据其训练方式分为观察组20例和对照组20例。对照组患儿在常规运动治疗基础上进行躯干训练,观察组在对照组的基础上增加核心肌群激活训练。分别记录治疗前后2组患儿的粗大运动功能量表（GMFM,D区、 E区）评分、Berg平衡量表（BBS） 评分、改良Barthel指数（MBI）评分和步行速度,并于治疗后对患儿家长进行满意度调查,比较2组各项指标的差异。结果 治疗前,观察组与对照组脑性瘫痪患儿的GMFM评分（D区、E区）、BBS评分、MBI评分和步行速度比较差异均无统计学意义（P均> 0.05）。治疗后,2组GMFM评分（D区、E区）、BBS评分和MBI评分均比治疗前增加,且观察组各项运动功能评分均优于对照组（P均< 0.05）;观察组患儿的步行速度为（33.15±4.33）m/min,优于对照组患儿的步行速度（26.25±3.84）m/min（P < 0.001）。治疗后,2组脑性瘫痪患儿家长的满意度比较差异有统计学意义（P < 0.001）,其中观察组总满意度为95%,高于对照组的50%（P < 0.05）。结论 核心肌群激活联合躯干训练康复治疗脑性瘫痪患儿能有效改善患儿的运动功能,患儿家长满意度高。

Effect of core muscle group activation combined with trunk control training on motor function of children with cerebral palsy

Objective To evaluate the effect of core muscle group activation combined with trunk control training on the motor function of children with cerebral palsy. Methods Clinical data of 40 children with cerebral palsy were collected and randomly divided into the observation （n = 20） and control groups （n = 20）. Children in the control group received trunk training on the basis of routine exercise therapy, and their counterparts in the observation group received trunk training in combination with core musde group activation training. The Gross Motor Function Measure （GMFM） score, Berg Balance Scale （BBS） score, modified Barthel Index （MBI） score, walking speed and degree of family satisfaction were recorded and statistically compared between two groups. Results Before treatment, the BBS score, GMFM score （D zone and E zone）, MBI score and walking speed did not significantly differ between two groups （all P > 0.05）. After treatment, the GMFM score （D zone and E zone）,BBS score and MBI score significantly increased in both groups. The scores of BBS, GMFM （D zone and E zone） and MBI （89.41±7.32） in the observation group were significantly better than those in the control group （all P < 0.05）. The walking speed in the observation group was （33.15±4.33） m/min, significantly faster than （26.25±3.84） m/min in the control group （P < 0.05）. After corresponding treatment, the degree of family satisfaction in the observation group was 95%, significantly higher compared with 50% in the control group （P < 0.05）. Conclusion Core muscle group activation combined with trunk training rehabilitation treatment can effectively improve the motor function of children with cerebral palsy and elevate the degree of family satisfaction.