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    感觉统合训练结合肌电触发电刺激治疗脑瘫患儿的疗效观察

    Effectiveness of sensory integration training combined with electromyography triggered electrical stimulation therapy on cerebral palsy children

    • 摘要: 目的 观察感觉统合训练结合肌电触发电刺激对脑瘫患儿运动功能及日常生活活动能力的影响。方法 回顾分析淮安市妇幼保健院儿童康复科收治的50例脑瘫患儿的资料,均采用物理疗法(PT)、作业疗法(OT)、推拿、针刺等常规康复治疗方法。将其中应用肌电触发电刺激疗法的24例患儿作为对照组,应用感觉统合训练结合肌电触发电刺激疗法的26例患儿作为治疗组,患儿的平均疗程3个月。治疗前后使用GMFM-88量表评定患儿粗大运动功能,ADL量表评定患儿的日常生活活动能力。结果 2组患儿治疗后GMFM-88量表中A—E区评分、GMFM-88量表总分及ADL量表评分总分均高于治疗前(P<0.05);治疗组治疗后GMFM-88量表中E区评分、总分、ADL量表评分总分均高于对照组(P<0.05);治疗组治疗后ADL障碍程度较治疗前明显改善,且改善程度优于对照组,差异均有统计学意义(P<0.05)。结论 感觉统合训练结合肌电触发电刺激疗法可以进一步提高脑瘫患儿的粗大运动功能,改善其日常生活活动能力。

       

      Abstract: Objective To observe the effect of sensory integration training combined with electromyography triggered electrical stimulation therapy on motor function and daily activities of children with cerebral palsy. Methods Retrospective analysis was performed using data from 50 cerebral palsy children who underwent rehabilitation in Department of Children Rehabilitation, Huai'an Maternity and Child Health Care Hospital. All the children received conventional rehabilitation methods such as physical therapy (PT), occupational therapy (OT), massage, and acupuncture. Furthermore, 24 children treated with electromyography triggered electrical stimulation were selected as a control group, while 26 children treated with sensory integration training combined with myoelectric trigger electrical stimulation were selected as a treatment group. The average treatment course was three months. Their gross motor function was evaluated by the GMFM-88, and their activities of daily living were assessed by the ADL scale before and after treatment. Results After treatment, both groups presented remarkable increases in the scores of areas A to E and the total scores of GMFM-88 scale and ADL scale, compared with those before treatment (P<0.05). Meanwhile, the treatment group produced remarkable increases in the area E score and total score of GMFM-88 scale, and ADL scale score, compared with the control group (P<0.05). After treatment, the treatment group also presented obvious improvement in ADL disorder, compared with those before treatment. Meanwhile, the treatment group also presented obvious improvement in ADL disorder, compared with the control group (P<0.05). Conclusions Sensory integration training combined with electromyography triggered electrical stimulation therapy can further improve the gross motor function and the activities of daily living of children with cerebral palsy.

       

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