摘要
目的:探讨指导家长参与强化训练对纠正痉挛型双瘫患儿尖足步态效果的作用。方法:将50例痉挛型双瘫患儿分为观察组(27例)和对照组(23例)。对照组只进行综合康复治疗,观察组在综合康复治疗的基础上实施家长参与的强化训练,3个月为1个疗程。治疗前后采用盲法评定法对患儿足背屈角被动活动范围、粗大运动功能量表(GMFM)的站立及行走功能项目进行评定。结果:(1)治疗前两组各项比较无差异(P>0.05)。(2)治疗3个月后,观察组足背屈角被动活动度较对照组降低(P<0.05);GMFM站立及行走功能评分均较对照组增高(P<0.05)。(3)两组治疗后足背屈角被动活动度、GMFM站立及行走功能评分均较治疗前改善(P<0.05)。结论:指导家长参与强化训练可更好地提高痉挛型双瘫患儿的纠正效果,是值得推广的康复治疗模式。
Objective： To discuss the effect of parent participation in intensive training of the gait of children with spastic diplegia. Methods： Fifty patients with spastic diplegia were divided into two groups.The comprehensive therapies were taken in the contrast group（23 children）.Based on the comprehensive therapies,there was intensive training taken by parents in the observation group（27 children）.A course of treatment was carried out for three months.Blinding assessment method was used to evaluate the angle of dorsiflexion with passive range of motion,standing and walking function using gross motor function measure（GMFM） before and after treatment. Results：（1） The conclude showed no difference in all items between two groups（P0.05）.（2） After 3 months of treatment,compared with the contrast group,the angle of dorsiflexion in observation group decreased（P0.05） and scores of standing and walking in GMFM increased（P0.05）.（3） After treatment,above all items improved than the ones before treatment in two groups（P0.05）.Conclusion： Parent participation increase the effect of intensive training of the gait of children with spastic diplegia,which should be adopted.It＇s worthy of wide dissemination of therapy model.
出处
《现代医学》
2011年第6期638-640,共3页
Modern Medical Journal
关键词
家长参与
强化训练
痉挛型双瘫
功能障碍
parents participation
intensive training
spastic diplegia
dysfunction
