功能性电刺激训练对痉挛型脑瘫儿童运动功能的影响

目的:研究功能性电刺激训练（FES）对痉挛型脑瘫（SCP）儿童运动功能的影响。方法:选取2018年10月~2020年6月就诊于郴州市第一人民医院康复科的80例SCP患儿，根据随机数字表法将患儿分为观察组（n=40）和对照组（n=40），对照组行常规康复训练，观察组在其基础上行FES，治疗3个月。比较治疗前后两组Peabody精细运动发育量表（PDMS-FM）评分、Barthel指数评定量表（BI）评分、婴儿-初中学生社会生活能力量表（S-M）评分。结果:治疗后两组PDMS-FM各项评分显著升高，观察组升高幅度显著大于对照组（P<0.05）；治疗后两组BI评分显著升高，观察组升高幅度显著大于对照组（P<0.05）；治疗后两组S-M各项评分及总分显著升高，观察组升高幅度显著大于对照组（P<0.05）。结论:FES不仅能够有效提高SCP患儿的运动功能，而且对改善患儿日常生活能力、适应行为能力也有着积极的临床意义。

Efficacy of functional electrical stimulation training on motor function in pediatric patients with spastic cerebral palsy

Abstract: Objective To explore the therapeutic efficacy of functional electrical stimulation (FES) on the motor function in pediatric patients with spastic cerebral palsy (SCP). Methods A total of 80 pediatric patients with SCP who were treated in the Department of Rehabilitation, Chenzhou No.1 Peoples Hospital from October 2018 to June 2020 were enrolled in the study, and then divided into observation group (n=40) and control group (n=40) according to the random number table method. The patients in control group received routine rehabilitation training, while those in observation group were treated by routine rehabilitation training combined with FES and the treatment lasted for 3 months. The Peabody developmental motor scale-fine motor (PDMS-FM) score, Barthel index rating scale (BI) score, and infant-junior middle school students social life ability rating scale (S-M) score before and after treatment were compared. Results After treatment, the scores of PDMS-FM, BI and S-M in two groups were increased significantly, and the increases in observation group were obviously greater than those in control group, with statistically significant differences (P<0.05). Conclusion FES can not only effectively improve the motor function in pediatric patients with SCP, but also has positive clinical significance for improving their abilities of daily living and adaptive behavior.