基于认知与运动的双重任务导向训练对痉挛型脑瘫儿童运动功能的影响OA

Objective To observe the effects of cognitive-motor dual-task-oriented training on walking,balance function,and overall efficacy in children with spastic cerebral palsy,aiming to explore more effective training strategies to further improve their functional outcomes.Methods Sixty children with spastic cerebral palsy treated at the Pediatric Rehabilitation Department of the Acupuncture and Tuina Rehabilitation Center,the Hunan University of Traditional Chinese Medicine,from January 2024 to October 2024,were enrolled.The children were randomly assigned into a control group(n=30)and an observation group(n=30)using a random number table.Both groups underwent interventions for 12 weeks.Changes in Gross Motor Function Measure-88(GMFM-88)dimensions D and E scores and Berg Balance Scale(BBS)scores before and after treatment,and overall efficacy were compared between the groups.Results Both the control and observation groups showed significant improvements in GMFM-88 dimensions D and E scores after treatment compared with baseline(P＜0.05).Post-treatment,the GMFM-88 dimensions D and E scores in the observation group were significantly higher than those in the control group(P＜0.05).Similarly,BBS scores increased significantly in both groups after treatment(P＜0.05),with post-treatment scores in the observation group exceeding those in the control group(P＜0.05).The overall effective rate was higher in the observation group than in the control group(P＜0.05).Conclusion Cognitive-motor dual-task-oriented training can significantly improve walking and balance function in children with spastic cerebral palsy and is worthy of clinical promotion.