任务导向性训练对痉挛型脑性瘫痪儿童粗大运动功能及步行功能的疗效

关键词：脑性瘫痪  任务导向性训练  粗大运动功能  步行功能

Keywords:cerebral palsy  task oriented training  gross motor function  gait function

摘要：

      摘要 目的：研究任务导向性训练对痉挛型脑性瘫痪（脑瘫）儿童粗大运动功能及步行功能的疗效。 方法：2013年3—12月在佳木斯大学附属第三医院明确诊断，并收入住院治疗的3—12岁痉挛型脑瘫儿童40例进行随机分组，对照组20例，试验组20例。对照组采用常规康复训练，试验组采用常规康复训练结合任务导向性训练，两组均治疗3个月。在治疗前后对患儿分别应用粗大运动功能量表（gross motor function scale assessment, GMFM-88项）、足印分析法、10m步行测试（10 meters walk test, 10MWT）、1min步行测试（1 minute walk test, 1MWT）进行评定。 结果：两组治疗后GMFM-88项D区和E区评分、跨步长和步宽、10m步行时间及1min步行总距离均优于训练前（P＜0.05），试验组优于对照组（P＜0.05）。 结论：任务导向性训练有利于提高痉挛型脑瘫儿童的粗大运动功能，改善步态并提高步行的速度和耐力，有助于患儿适应和参与学校及社会环境。

Abstract:

      Abstract Objective: To explore the application of the task-oriented training method in the spastic cerebral palsy children's rehabilitation. Method: Forty cases of children with spastic cerebral palsy in a randomized, 20 cases in control group, 20 cases in treatment group. Control group received conventional rehabilitation training, the treatment group received conventional rehabilitation training combined with task-orientated training, the two groups were treated for 3 months. Taken respectively analysis method with children in before and after treatment, gross motor function scale assessment (GMFM-88), footprint analysis, 10 meters walk test（10 MWT） and 1 minute walk test （1 MWT） were assessed. Result: Two groups of D and E rating scores of GMFM, turnover step length, step width, 10MWT time and 1MWT distance were better than before treatment (P＜0.05), the effect of treatment group was better than that of control group (P＜0.05). Conclusion: Task-orientated training combined with conventional rehabilitation raining could to improve gross motor function, gait, walking speed and endurance of children with spastic cerebral palsy, and helped children back to school and society.