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指导家长参与和强化运动训练对脑瘫患儿粗大运动功能的疗效影响
引用本文:陈小聪,黄绍平.指导家长参与和强化运动训练对脑瘫患儿粗大运动功能的疗效影响[J].中国儿童保健杂志,2010,18(5).
作者姓名:陈小聪  黄绍平
作者单位:1. 西安交通大学第二附属医院儿科,陕西,西安,710004;西安市儿童医院神经康复科,陕西,西安,710002
2. 西安交通大学第二附属医院儿科,陕西,西安,710004
摘    要:目的]探讨指导家长参与和强化训练量对提高脑性瘫痪(简称脑瘫)患儿粗大运动功能的影响. 方法]按家长是否自愿接受康复培训并参加强化运动治疗分组,研究期间资料完整病例98例,其中50例参加患儿为观察组,48例未参加患儿为对照组.两组均由康复医生和康复治疗师采用综合康复治疗,功能训练主要采用Bobath法、上田法等康复技术,功能训练1次/d,每次40 min.观察组同时指导家长参与进行家庭康复训练,每天于医院治疗间期功能训练3次,每次40 min,观察时间6个月.治疗前后根据粗大运动发育量表(Gross Motor Function Measure,GMFM)-88项进行评估.结果]患儿入组时GMFM-88项总百分比两组间比较,差异无统计学意义(P>0.05);治疗6个月后,GM-FM-88项总百分比两组间比较,观察组比对照组提高,差异有统计学意义(P<0.01).结论]指导家长参与和强化运动训练有利于脑瘫患儿粗大运动功能的康复,是应该推广的康复模式.

关 键 词:家长参与  强化训练  小儿脑瘫  粗大运动功能

Effect of parents' participation and constraint-induced movement on gross motor function of children with cerebral palsy
CHEN Xiao-cong,HUANG Shao-ping.Effect of parents' participation and constraint-induced movement on gross motor function of children with cerebral palsy[J].Chinese Journal of Child Health Care,2010,18(5).
Authors:CHEN Xiao-cong  HUANG Shao-ping
Institution:CHEN Xiao-cong1,2,HUANG Shao-ping1.(1 The Second Affiliated Hospital of Medical College,Xi'an Jiaotong University,Xi'an,Shaanxi 710004,China,2 Department of Nervous Rehabilitation,Xi'an Children's Hospital,Shaanxi 710002,China)
Abstract:Objective] To study the effect of parents' participation and constraint-induced movement on gross motor function of children with cerebral palsy.Methods] 98 cases of children with cerebral palsy were analyzed.Two groups were divided according to whether parents would participate in rehabilitation exercise and constraint-induced movement or not.50 participants were observed and compared with the 48 references.All of the 98 children were treated for 6 months with comprehensive rehabilitation,functional trai...
Keywords:instructing parents' participation  constraint-induced movement  cerebral palsy  gross motor function  
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