运动学习联合生物反馈治疗脑性瘫痪的临床研究

关键词：运动学习  生物反馈  脑性瘫痪  运动功能

Keywords:motor learning  biofeedback  cerebral palsy  motor function

摘要：

      目的：探讨运动学习联合生物反馈对脑瘫患儿运动功能的影响。方法：将56例脑瘫患儿按性别、年龄、分型、病情进行前瞻性随机配对设计。对照组（28例）：采用运动学习法；观察组（28例）：运动学习法+生物反馈疗法。两组疗程均为3个月。采用粗大运动功能量表（GMFM-66项）,以盲法测评两组患儿治疗前、后的粗大运动功能。结果：两组患儿治疗后的GMFM-66项评分均较治疗前提高，差异有显著性意义（观察组P＜0.01，对照组P＜0.05）；但观察组的疗效明显优于对照组，差异有显著性意义（治疗后分值比较P＜0.05；分值改变量比较P＜0.01）。结论：运动学习联合生物反馈能更有效地提高脑瘫患儿的运动功能。

Abstract:

      Objective: To explore the effects of motor learning combined with biofeedback therapy on motor function in children with cerebral palsy(CP). Method: Fifty-six children with CP were prospectively selected for this study, each child was matched as closly as possible with another child for sex, age, type and disease. All were randomly assigned to either control or observation group.The control group (n=28) received motor learning, and the observation group(n=28) received motor learning combined with biofeedback therapy, both for 3 months, and their gross motor functions were evaluated with GMFM-66 blindly before and after treatment. Result: The scores of GMFM-66 in both groups improved obviously after treatment than that before treatment (observation group: P<0.01, control group: P＜0.05), and in observation group the effects were significantly superior to control group(the comparison of scores post-treatment P＜0.05; the comparison of increment of scores P＜0.01). Conclusion: Motor learning combined with biofeedback therapy can effectively improve the motor function of children with CP.