镜像反馈疗法结合任务导向训练在偏瘫型脑瘫患儿中的实践效果(1)
[摘要] 目的 探討镜像反馈疗法结合任务导向训练在偏瘫型脑瘫患儿中的实践效果。 方法 选取2017年6月～2018年6月海南省人民医院儿童康复科收治的拟进行康复治疗的偏瘫型脑瘫患儿170例，采用随机数字表法将其分为A组(41例，常规康复治疗)、B组(43例，常规康复治疗+镜像反馈疗法)、C组(42例，常规康复治疗+任务导向训练)和D组(44例，常规康复治疗+镜像反馈疗法结合任务导向训练)。比较四组患儿治疗前后平衡功能[Berg平衡量表(BBS)]、步行功能状况(步速、步长)、患肢握力、上肢功能[Carroll上肢功能评定(UEFT)]、独立功能情况[儿童功能独立性评定量表(WeeFIM)]及康复疗效。 结果 治疗后四组BBS评分、步速、步长较治疗前均提高，差异有高度统计学意义(P < 0.01)，其中D组治疗后BBS评分、步速、步长均大于A、B、C三组，且B组和C组大于A组，差异有统计学意义(P < 0.05);治疗后四组患肢握力、UEFT评分、WeeFIM评分较治疗前均提高，差异有高度统计学意义(P < 0.01)，其中D组治疗后患肢握力、UEFT评分、WeeFIM评分均高于A、B、C三组，且B组和C组高于A组，差异均有统计学意义(P < 0.05);四组疗效及总有效率比较，差异有统计学意义(P < 0.05)，且D组总有效率高于A组，差异有高度统计学意义(P < 0.01)。 结论 在偏瘫型脑瘫患儿中实施镜像反馈疗法结合任务导向训练能够显著提高平衡功能、肢体运动功能、独立能力，且可增强康复疗效。
[关键词] 镜像反馈疗法;任务导向训练;偏瘫型脑瘫;效果
[中图分类号] R742.3 [文献标识码] A [文章编号] 1673-7210(2020)06(b)-0101-05
Practical effect of mirror feedback therapy combined with task-oriented training in children with hemiplegic cerebral palsy
ZHAO Xiuying1 QUE Lishuang1 LIAO Feng2 LIN Bin1 WU Zhanbo1 PAN Wenjiao1
1.Department of Children′s Rehabilitation， Hainan General Hospital (Hainan Affiliated Hospital of Hainan Medical University)， Hainan Province， Haikou 570311， China; 2.Department of Pediatrics， Hainan General Hospital (Hainan Affiliated Hospital of Hainan Medical University)， Hainan Province， Haikou 570311， China
[Abstract] Objective To explore the practical effect of mirror feedback therapy combined with task-oriented training in children with hemiplegic cerebral palsy. Methods From June 2017 to June 2018， 170 children with hemiplegic cerebral palsy who were admitted to the Department of Children Rehabilitation of Hainan General Hospital for rehabilitation treatment were selected， according to the random number table method， they were divided into Group A (41 cases， conventional rehabilitation therapy)， Group B (43 cases， conventional rehabilitation treatment + mirror feedback therapy)， Group C (42 cases， conventional rehabilitation treatment + task-oriented training)， and Group D (44 cases， conventional rehabilitation treatment + mirror feedback therapy combined with task-oriented training). Before and after treatment， balance function (Berg balance scale [BBS])， walking function status (step speed and step length)， grip strength of affected limb， upper limb function (Carroll upper limb function assessment [UEFT])， Wee functional in dependence measure (WeeFIM) and rehabilitation efficacy of children were compared among the four groups. Results After treatment， the BBS score， step speed and step length of the four groups were all higher than those before treatment， and the differences were highly statistically significant (P < 0.01)， and the BBS score， step speed and step length after treatment of Group D were larger than those among Group A， B and C， and Group B and Group C were larger than those of Group A， the differences were statistically significant (P < 0.05). After treatment， the grip strength， UEFT scores and WeeFIM scores of the affected limb were all improved in the four groups， and the differences were highly statistically significant (P < 0.01)， the grip strength， UEFT scores and WeeFIM scores of the affected limb of Group D were larger than those among Group A， B and C， and Group B and Group C were larger than those of Group A， and the differences were statistically significant (P < 0.05). There were statistically significant differences in the curative effect and total effective rate among the four groups (P < 0.05)， and the total effective rate of the Group D was higher than that of the Group A， and the difference was highly statistically significant (P < 0.01). Conclusion In children with hemiplegic cerebral palsy， mirror feedback therapy combined with task-based training can significantly improve balance function， limb motor function and independent ability， and enhance the rehabilitation effect., 百拇医药(赵秀英 阙利双 廖锋 林斌 武湛波 潘文娇)
[关键词] 镜像反馈疗法;任务导向训练;偏瘫型脑瘫;效果
[中图分类号] R742.3 [文献标识码] A [文章编号] 1673-7210(2020)06(b)-0101-05
Practical effect of mirror feedback therapy combined with task-oriented training in children with hemiplegic cerebral palsy
ZHAO Xiuying1 QUE Lishuang1 LIAO Feng2 LIN Bin1 WU Zhanbo1 PAN Wenjiao1
1.Department of Children′s Rehabilitation， Hainan General Hospital (Hainan Affiliated Hospital of Hainan Medical University)， Hainan Province， Haikou 570311， China; 2.Department of Pediatrics， Hainan General Hospital (Hainan Affiliated Hospital of Hainan Medical University)， Hainan Province， Haikou 570311， China
[Abstract] Objective To explore the practical effect of mirror feedback therapy combined with task-oriented training in children with hemiplegic cerebral palsy. Methods From June 2017 to June 2018， 170 children with hemiplegic cerebral palsy who were admitted to the Department of Children Rehabilitation of Hainan General Hospital for rehabilitation treatment were selected， according to the random number table method， they were divided into Group A (41 cases， conventional rehabilitation therapy)， Group B (43 cases， conventional rehabilitation treatment + mirror feedback therapy)， Group C (42 cases， conventional rehabilitation treatment + task-oriented training)， and Group D (44 cases， conventional rehabilitation treatment + mirror feedback therapy combined with task-oriented training). Before and after treatment， balance function (Berg balance scale [BBS])， walking function status (step speed and step length)， grip strength of affected limb， upper limb function (Carroll upper limb function assessment [UEFT])， Wee functional in dependence measure (WeeFIM) and rehabilitation efficacy of children were compared among the four groups. Results After treatment， the BBS score， step speed and step length of the four groups were all higher than those before treatment， and the differences were highly statistically significant (P < 0.01)， and the BBS score， step speed and step length after treatment of Group D were larger than those among Group A， B and C， and Group B and Group C were larger than those of Group A， the differences were statistically significant (P < 0.05). After treatment， the grip strength， UEFT scores and WeeFIM scores of the affected limb were all improved in the four groups， and the differences were highly statistically significant (P < 0.01)， the grip strength， UEFT scores and WeeFIM scores of the affected limb of Group D were larger than those among Group A， B and C， and Group B and Group C were larger than those of Group A， and the differences were statistically significant (P < 0.05). There were statistically significant differences in the curative effect and total effective rate among the four groups (P < 0.05)， and the total effective rate of the Group D was higher than that of the Group A， and the difference was highly statistically significant (P < 0.01). Conclusion In children with hemiplegic cerebral palsy， mirror feedback therapy combined with task-based training can significantly improve balance function， limb motor function and independent ability， and enhance the rehabilitation effect., 百拇医药(赵秀英 阙利双 廖锋 林斌 武湛波 潘文娇)