网络化终端指导家庭康复在脑瘫高危儿早期神经发育中的作用

目的 探讨网络化终端指导下的早期家庭康复及姿势管理对0～6个月脑瘫高危儿运动功能和日常生活活动能力(ADL)的影响.方法 选择2018 年8月至2019 年8 月脑瘫高危儿92 例,将入选患儿随机分为对照组和治疗组,各42例.对照组进行康复科门诊机构治疗,每天治疗时间为2 h,每周5 d;治疗组机构治疗时间频率同对照组...

Effect of family rehabilitation guided by network terminal on early neurodevelopment in high-risk infants with cerebral palsy

Objective To explore the effect of early family rehabilitation and posture management under the guidance of network terminal on motor function and activities of daily living(ADL)in high-risk infants aged 0 to 6 months with cerebral palsy(CP).Methods The enrolled CP children from August 2018 to August 2019 were randomly divided into control group and treatment group(42 cases each).The outpatient treatment of rehabilitation institutions was performed for 2 hours a day,5 days a week in control group.The network terminal guidance was used to enrich the environment of family rehabilitation,including sports program,visual,auditory,tactile intervention and family posture management based on the same regimen in control group according to the usual treatment situation in treatment group.At the first visit and 3 months after treatment,Gross Motor Function Test(GMFM)score and Activity of Daily Living(ADL)scale were used to evaluate and compare the efficacy between two groups.Results Before treatment,there were no significant differences in GMFM and ADL scores between two groups(all P>0.05).After 3 months of treatment,gross movements such as head-up and body turning were improved,and scores of GMFM and ADL were higher than those before treatment in both groups(all P<0.01).In treatment group,GMFM[(3.91±1.17)vs(3.39±0.82)]and ADL[(11.19±3.71)vs(7.78±2.91)]were statistically higher than those in control group(all P<0.01).Conclusion Under the guidance of network terminal,early enriched family rehabilitation environment is conducive to promote the neural development of CP high-risk infants.