全身振动训练结合束腹带对痉挛型脑性瘫痪运动能力的影响

目的 分析全身振动训练结合束腹带对痉挛型脑性瘫痪运动能力的影响,为痉挛型脑性瘫痪的康复治疗提供依据。方法 选取广西医科大学第二附属医院康复医学科2018年6月-2019年5月诊治的痉挛型脑性瘫痪儿童90例,随机分为常规组、常规-振动训练组、常规-束腹带-振动训练组各30例,评估三组治疗前后运动功能改善情况。结果 1)三组治疗前后的组内比较,每组儿童的各指标均优于治疗前(P＜0.05);2)单因素方差分析显示,三组踝关节活动度、MMT、MAS、PBS、GMFM-C区、D区及E区、PEDI、6MWT比较,差异具有统计学意义(F=14.278、26.886、14.149、25.883、3.769、4.254、6.512、5.194、6.982,P<0.05),且常规-束腹带-振动训练组各指标改善明显优于其他两组,差异有统计学意义(P<0.05)。结论 全身振动训练结合束腹带更有利于改善痉挛型脑性瘫痪儿童痉挛程度,提高运动能力。

Effect of whole-body vibration training and combined with belly band for motor function of children with spastic cerebral palsy

Objective To investigate the application of whole-body vibration training and belly band for motor function of children with spastic cerebral palsy (CP), in order to provide reference for the rehabilitation treatment. Methods A total of 90 children with spastic CP admitted to the Second Hospital Affiliated to Guangxi Medical University were enrolled in this study from June, 2018 to May, 2019,and were randomly divided into three groups, including convention group(n=30), convention-vibration training group(n=30), convention-band-vibration training group (n=30) .The motor function among three groups were evaluated and compared before and after intervention. Results 1)After treatment, the scores of indicators all markedly improved among three groups (P<0.05).2)Univariate analysis indicated that there were significant difference on the number of ankle's range of motion, scores of manual muscle test(MMT), Modified Ashworth Scale (MAS), Pediatric Balance Scale(PBS), C,D,E zone of Gross Motor Function Measure(GMFM), Pediatric Evaluation of Disability Inventory(PEDI), 6-minute walk test (6MWT) among three groups(F=14.278,26.886,14.149,25.883,3.769,4.254,6.512,5.194,6.982,P<0.05).In addition, the improvement of these indicators in convention-vibration training group was greater than that in other two groups (P<0.05). Conclusion Whole-body vibration training combined with belly band can improve the motion function and spastic level for spastic cerebral palsy more effectively.