仿生训练联合功能性电刺激与常规康复训练对痉挛型脑性瘫痪患儿运动功能及下肢关节活动度的影响OA
Effects of bionic training combined with functional electrical stimulation and conventional rehabilitation training on motor function and lower limb joint mobility in children with spastic cerebral palsy
目的 探讨仿生训练联合功能性电刺激与常规康复训练对痉挛型脑性瘫痪(spastic cerebral palsy,SCP)患儿运动功能及下肢关节活动度的影响.方法 采用前瞻性研究方法,选取2019年1月至2023年12月在四川省妇幼保健院就诊的118例SCP患儿为研究对象,按照随机数字表法将其分为试验组(n=59)和对照组(n=59).2 组均接受常规康复训练,在此基础上,对照组给予功能性电刺激,试验组在对照组基础上开展仿生训练.比较 2 组治疗前、治疗后粗大运动功能、精细运动功能、下肢关节活动度及患儿家属满意度.统计学方法采用t检验、t'检验、χ2 检验及Ridit检验.结果 治疗后,试验组Peabody运动发育量表-粗大运动分量表(Peabody Developmental Motor Scales,Second Edition-Gross Motor Quotient,PDMS-GM)姿势、移动、实物操作评分均高于对照组[(20.85±3.68)分与(18.01±2.39)分,(64.90±10.03)分与(57.13±8.77)分,(17.28±3.46)分与(14.34±2.91)分,P值均<0.05];治疗后,试验组抓握标准分(standard score of grip,SSG)、视觉-运动整合发育测试(Developmental Test of Visual-Motor Integration,VMI)标准分及精细动作发育商(fine motor quotient,FMQ)均高于对照组[(5.42±0.71)分与(4.87±0.60)分,(6.76±0.68)分与(6.08±0.62)分,(77.61±5.06)分与(73.18±4.72)分,P值均<0.05)];治疗后,试验组内收肌角大于对照组[(94.43±7.12)°与(91.18±6.28)°,P<0.05],足背屈角小于对照组[(78.76±3.21)°与(82.13±3.69)°,P<0.05].试验组患儿家属满意度高于对照组[94.74%(54/57)与77.19%(44/57),P<0.05].结论 仿生训练联合功能性电刺激治疗SCP患儿,能提高患儿的粗大运动功能、精细运动功能以及下肢关节活动度,提高家属满意度.
Objective To investigate the effects of bionic training combined with functional electrical stimulation and conventional rehabilitation training on motor function and lower limb joint mobility in children with spastic cerebral palsy(SCP).Methods A prospective study was conducted to enroll 118 children with SCP who received treatment at Sichuan Provincial Maternity and Child Health Care Hospital from January 2019 to December 2023.Participants were randomly divided into the experimental group(n=59)and the control group(n=59)using a random number table method.The children of both groups were given conventional rehabilitation training,on the basis of which the control group received functional electrical stimulation,and the experimental group was additionally provided with bionic training on the basis of the control group's intervention.The gross motor function,fine motor function,lower limb joint mobility and family satisfaction of the two groups were compared before and after treatment.Statistical analysis was performed using the t-test,t'-test,χ2 test and Ridit test.Results After treatment,the scores of posture,locomotion and object manipulation in the Peabody Developmental Motor Scales,Second Edition-Gross Motor Quotient(PDMS-GM)in the experimental group were significantly higher than those in the control group[(20.85±3.68)points vs(18.01±2.39)points,(64.90±10.03)points vs(57.13±8.77)points,(17.28±3.46)points vs(14.34±2.91)points,all P<0.05].After treatment,the standard score of grip(SSG),standard score of Developmental Test of Visual-Motor Integration(VMI),and fine motor quotient(FMQ)in the experimental group were significantly higher than those in the control group[(5.42±0.71)points vs(4.87±0.60)points,(6.76±0.68)points vs(6.08±0.62)points,(77.61±5.06)points vs(73.18±4.72)points,all P<0.05].After treatment,the adductor angle was significantly larger and the dorsiflexion angle of the foot was significantly smaller in the experimental group than those in the control group[(97.43±7.12)° vs(91.18±6.28)°,(78.76±3.21)° vs(82.13±3.69)°,all P<0.05].Additionally,the family satisfaction rate in the experimental group was significantly higher than that in the control group[94.74%(54/57)vs 77.19%(44/57),P<0.05].Conclusion Bionic training combined with functional electrical stimulation can improve the gross motor function,fine motor function and lower limb joint mobility of children with SCP,as well as improve family saisfaction.
代君茹;付跃馨;钟运寰;聂晶;李政峰
四川省妇幼保健院 儿童保健科,四川 成都 610031四川省妇幼保健院 儿童保健科,四川 成都 610031四川省妇幼保健院 儿童保健科,四川 成都 610031四川省妇幼保健院 儿童保健科,四川 成都 610031四川省妇幼保健院 儿童保健科,四川 成都 610031
仿生训练功能性电刺激痉挛型脑性瘫痪儿童运动功能满意度
Bionic trainingFunctional electrical stimulationSpastic cerebral palsyChildrenMotor functionSatisfaction
《发育医学电子杂志》 2026 (2)
89-94,6
四川省营养学会妇幼营养研究基金(SCNC-MCNR2023-02)
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