任务导向性训练对痉挛型偏瘫儿童上肢功能的效果
Effect of Task-oriented Training on Upper Limb Function in Children with Spastic Hemiplegic
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摘要: 目的 观察任务导向性双侧上肢训练对脑瘫痉挛型偏瘫型患儿上肢功能恢复的效果.方法 27例36岁的脑瘫痉挛型偏瘫患儿随机分为对照组 (n=13) 和治疗组 (n=14) 进行训练.对照组进行常规作业治疗, 治疗组在对照组基础上增加任务导向性双侧上肢训练.治疗持续10周.治疗前后均采用Peabody运动发育量表-2 (PDMS-2) 及Upper Limb Physician’s Rating Scale, ULPRS进行疗效评估.结果 2组患儿经过治疗后, Peabody运动发育量表中的抓握功能和视觉-运动整合评分均较治疗前提高 (P<0.05) , 实验组评分高于对照组 (P<0.05) , 评分增加程度比较也具有统计学意义 (P<0.05) ;2组患儿治疗后ULPRS评分均有提高 (P<0.05) , 治疗组较对照组评分差异无统计学意义 (P>0.05) , 评分增加程度差异无统计学意义 (P>0.05) .结论 任务导向性双侧上肢训练能够促进偏瘫型脑瘫患儿偏瘫侧上肢及手功能的恢复.Abstract: Objective To investigate the effectiveness of task-oriented bilateral arm training on upper limb function in children with spastic hemiplegia. Methods 27 children within 4-6 years with spastic hemiplegic were randomly divided into control group (n=13) and experiment group (n=14) . The children in control group received routine occupational therapy. The bilateral arm task-oriented training was added for children in experiment group. The Peabody development motor scale-2 (PDMS-2) and Upper Limb Physician's Rating Scale (ULPRS) were used to assess the upper limb function before and after 10 weeks intervention. Results After treatment, the scores of grasping function and visual-motor integration in PDMS-2 were significantly higher than those before treatment (P<0.05) , and the scores of experimental group werehigher than that of control group (P <0.05) , and the difference of the added value between two groups were statistically significant (P<0.05) .The ULPRS scores of both groups increased after treatment (P<0.05) , scores between the treatment group and the control group were not statistically significant (P>0.05) , and the difference of the added value between two groups was not statistically significant (P>0.05) . Conclusion The task-oriented bilateral arm training can promote recovery for upper limb and hand function in children with spastic hemiplegia compared with routine occupational therapy.
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Key words:
- Cerebral palsy /
- Spastic hemiplegia /
- Task-oriented training /
- Upper limb functions
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