强化前馈控制结合躯干训练对小儿脑瘫运动功能及日常生活活动能力的影响

摘要

Objective:To investigate the effects of enhanced feedforward control combined with trunk control train-ing on motor function and activities of daily living(ADL)in patients with cerebral palsy(CP).Methods:Forty pa-tients with CP were randomly divided into treatment group(n=20)and control group(n=20).Both groups were treated with trunk control training,and the treatment group also received enhanced feedforward control combined with trunk control training.Berg balance scale(BBS)assessing the balance of children's function,large motor func-tion scale assessment(GMFM)assessing the children's motor function,Fugl-Meyer motor function rating scale (FMA)assessing the limb motor function in children,and modified Barthel index(MBI)assessing ADL were per-formed after 8 weeks of treatment.Results:There was significant improvement in BBS,GMFM,FMA and MBI scores after treatment in both two groups(P<0.05).BBS,GMFM,FMA and MBI scores in the treatment group were significantly higher than in the control group(P<0.05).Conclusion:Enhanced feedforward control combined with trunk control training can significantly improve motor function and the ADL in patients with CP.%目的:观察前馈控制结合躯干训练对小儿脑瘫运动功能及日常生活活动能力(ADL)的影响.方法:40例小儿脑瘫患者随机分成2组各20例,对照组给予常规躯干控制训练,训练组在此基础上结合基于强化前馈控制的躯干训练.在治疗8周后采用Berg平衡量表(BBS)评定2组患儿平衡功能,采用粗大运动功能评估量表(GM FM)评定患儿粗大运动功能,采用Fugl-Meyer运动功能评定量表(FMA)来评定患儿肢体运动功能,采用改良Barthel指数(MBI)评定患儿ADL能力.结果:治疗8周后,2组患儿的BBS,GMFM,FMA及MBI评分均明显高于治疗前水平(P<0.05),且训练组高于对照组(P<0.05).结论:强化前馈控制结合躯干训练可以明显改善小儿脑瘫运动功能及日常生活活动能力.