ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2022, Vol. 14 ›› Issue (3): 265-268.doi: 10.3969/j.issn.1674-3865.2022.03.021

• 中医应用研究 • 上一篇    下一篇

推拿配合情景互动智能步行训练对痉挛型脑性瘫痪患儿下肢运动功能的影响

张红霞, 刘正阳, 刘尉叶   

  1. 467000 河南 平顶山，平顶山市第二人民医院儿科

  • 收稿日期:2021-06-25 出版日期:2022-06-25 上线日期:2023-12-01
  • 通讯作者: 刘正阳，E-mail：312053857@qq.com
  • 基金资助:
    河南省科技攻关计划项目（16210210223）

Effect of massage combined with situational interactive intelligent walking training on motor function of lower limbs in children with spastic cerebral palsy

ZHANG Hongxia, LIU Zhengyang, LIU Weiye   

  1. Pediatric Department,Pingdingshan Second People's Hospital，Pingdingshan 467000，China

  • Received:2021-06-25 Published:2022-06-25 Online:2023-12-01
  • Contact: LIU Zhengyang，E-mail：312053857@qq.com

PDF (PC)

7

摘要： 目的 探讨推拿配合情景互动智能步行训练对痉挛型脑性瘫痪(简称脑瘫)患儿下肢运动功能的影响。方法 选择2018年3月至2020年10月我院收治的痉挛型脑瘫患儿76例，随机分为观察组和对照组各38例。对照组接受Bobath、Rood等神经发育疗法，观察组在对照组基础上接受推拿结合情景互动智能步行训练。干预3个月后，评价两组下肢运动功能，并测定三维步态(支撑相、摆动相、步长及步速)指标水平。结果 两组干预前粗大运动功能量表(GMFM-88)评分、支撑相、摆动相、步长及步速比较比较，差异无统计学意义(P>0.05)。观察组干预后GMFM-88的D区、E区评分高于对照组，支撑相低于对照组，摆动相及步速高于对照组，差异有统计学意义(P<0.05)。结论 在神经发育疗法基础上行推拿配合情景互动智能步行训练可改善痉挛型脑瘫患儿的步态，利于增进下肢运动功能，值得推广。

关键词:

痉挛型脑性瘫痪, 推拿, 情景互动智能步行训练, 下肢运动功能, 儿童

Abstract:

Objective To explore the effect of massage combined with situational interactive intelligent walking training on motor function of lower limbs in children with spastic cerebral palsy (CP).Methods Totally 76 children with spastic cerebral palsy admitted to our hospital from March 2018 to October 2020 were randomly divided into observation group and control group with 38 cases in each group. The control group received neurodevelopmental therapy such as Bobath and Rood. The observation group received massage combined with situational interactive intelligent walking training on the basis of the treatment for the control group. After 3 months of intervention, the motor function of lower limbs in the two groups was evaluated, and the index-level of three-dimensional gait (support phase, swing phase, step length and walking speed) was measured.Results The scores of gross motor function scale (GMFM-88), support phase, swing phase, step length and walking speed were compared between the two groups before intervention,and there was no significant difference (P>0.05). After the intervention, the scores of GMFM-88 in D region and E region in the observation group were higher than those in the control group, the supporting phase was lower, and the swinging phase and walking speed were higher than those in the control group,the differences being of statistical significance(P<0.05). Conclusion On the basis of neurodevelopmental therapy, massage combined with situational interactive intelligent walking training can improve the gait of children with spastic cerebral palsy, which is conducive to improving the motor function of lower limbs. It is worth popularizing.

Key words:

Spastic cerebral palsy, Massage, situational interactive intelligent walking training, Lower limb motor function, Children