任务导向性训练对痉挛型脑性瘫痪患儿上肢功能及功能独立性的效果研究

doi:10.3969/j.issn.2095-5340.2020.03.012

发育医学电子杂志

2020, Vol. 8

Issue (3): 257-261 DOI: 10.3969/j.issn.2095-5340.2020.03.012

结构畸形论著

任务导向性训练对痉挛型脑性瘫痪患儿上肢功能及功能独立性的效果研究

李欣欣　时庆红　栾玲玲　贾飞勇　李洪华

吉林大学第一医院　发育行为儿科，吉林　长春　130021

Effects of task-oriented training on upper limb function and functional independence in children with spastic cerebral palsy

Li Xinxin, Shi Qinghong, Luan Lingling, et al

Department of DevelopmentalBehavioral Pediatrics, the First Hospital of Jilin University, Jilin, Changchun 130021, China

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摘要

【摘要】目的　探讨任务导向性训练对改善痉挛型脑性瘫痪患儿上肢功能及功能独立性的效果。方法　选取 2017 年 1 月至 2018 年 1 月于吉林大学第一医院发育行为儿科治疗的 40 例痉挛型脑性瘫痪患儿为研究对象。入组患儿按随机数字表法分为研究组和对照组，每组 20 例。对照组采用常规康复治疗。研究组给予以儿童兴趣为主导的，贴近日常生活活动的任务导向性训练。治疗前及治疗后 3 个月均采用 Peabody 运动发育量表第 2 版（Peabody motor development scale，PDMS-2）及儿童功能独立性评定量表（the functional independence measure for children，WeeFIM）评估患儿上肢功能及功能独立性。采用 t 检验、χ² 检验进行统计学分析。结果　两组患儿性别、年龄、疾病类型、手功能分级及脑性瘫痪危险因素比较差异均无统计学意义（P>0.05）。治疗 3 个月后，对照组和研究组患儿的抓握能力评分较治疗前均有显著提高（t=-20.125，P<0.05； t=-12.910，P<0.05）。治疗后研究组患儿的抓握能力评分明显高

于对照组［（51±7）与（41±5）分，P<0.05］。两组患儿的视觉 - 运动整合能力的治疗后评分较治疗前均

有提高（t=-14.795，P<0.05；

t=-8.486，P<0.05）, 治疗后研究组患儿的视觉 - 运动整合能力评分明显高于

对照组［（90±21）与（77±12）分，P<0.05］。两组患儿的 WeeFIM 评分治疗后与治疗前相比，均有显著提

高（t=-23.120，P<0.05；t=-16.643，P<0.05）, 治疗后研究组的 WeeFIM 评分明显高于对照组［（80±11）与

（68±6）分，P<0.05］。结论常规治疗与任务导向性训练均可改善 4 ～ 6 岁脑瘫儿童的上肢功能。任

务导向性训练在改善上肢功能及独立性方面疗效更显著。

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关键词: 脑性瘫痪')" href="#">

脑性瘫痪任务导向训练上肢功能功能独立性

Abstract:

【Abstract】 Objective To explore the effect of task-oriented training on improving upper limb function and

functional independence of children with spastic cerebral palsy. Methods 40 cases diagnosed with spasmodic

cerebral palsy from January 2017 to January 2018 at the Department of Developmental-Behavioral Pediatrics

of the First Hospital of Jilin University were enrolled to the study. According to the method of random number

table, they were divided into control group (n=20) and study group (n=20). The control group was treated with

routine operations. The study group was given task-oriented training that was oriented to children's interests

and close to their daily activities. Peabody motor development scale (PDMS-2) and the child functional

independence scale (WeeFIM) were used to evaluate the upper limb function and functional independence

of the children before and after 3 months of intervention. t test and χ² test were used for statistical analysis.

Results There were no significant differences in gender, age, disease type, hand function grade or risk

factors of cerebral palsy between the two groups (P>0.05). After 3 months of treatment, the grasping ability

scores of both control and study groups were signifificantly higher than those before treatment (t=-20.125,

P<0.05; t=-12.910, P<0.05). After treatment, the grasping ability scores of children in the study group were

signifificantly higher than that in the control group [(51±7) vs (41±5) points, P<0.05]. The scores of vision

motor integration ability after treatment in both groups were higher than before treatment (t=-14.795, P<0.05;

t=-8.486, P<0.05), and the score of vision-motor integration ability in the case group was signifificantly higher

than that in the control group [(90±21) vs (77±12) points, P<0.05]. The WeeFIM scores after treatment in

both groups were signifificantly higher than before treatment (t =-23.120, P<0.05; t=-16.643, P<0.05), and

WeeFIM score in the study group was signifificantly higher than that in the control group [(80±11) vs (68±6)

points, P< 0.05]. Conclusion Both routine therapy and task-oriented training can improve the upper limb

function of children with cerebral palsy between 4-6 years old, but task-oriented training is more effective

than conventional intervention in improving upper limb function and independence.

Key words: Cerebral palsy')" href="#">

Cerebral palsy Task-oriented training Upper limb function Functional independence

收稿日期: 2019-02-25 出版日期: 2020-07-30 发布日期: 2020-07-28 期的出版日期: 2020-07-30

基金资助:

国家重点研发计划（2016YFC1306204）；吉大一院转化基金项目（JDYYZH-1902034）

通讯作者: 李洪华 E-mail: honghua_li1986@jlu.edu.cn

引用本文:

李欣欣　时庆红　栾玲玲　贾飞勇　李洪华.

任务导向性训练对痉挛型脑性瘫痪患儿上肢功能及功能独立性的效果研究

[J]. 发育医学电子杂志, 2020, 8(3): 257-261.
Li Xinxin, Shi Qinghong, Luan Lingling, et al.

Effects of task-oriented training on upper limb function and functional independence in children with spastic cerebral palsy

. Journal of Developmental Medicine(Electronic Version), 2020, 8(3): 257-261.

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http://www.fyyxzz.com/CN/10.3969/j.issn.2095-5340.2020.03.012 或 http://www.fyyxzz.com/CN/Y2020/V8/I3/257

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