引导式教育结合Frenkel训练法对脑瘫患儿平衡功能的疗效研究

Effect of conductive education combined with Frenkel training on balance disability in children with cerebral palsy

摘要:

目的：探索引导式教育结合Frenkel训练法对脑瘫患儿平衡功能的治疗效果。方法：脑性瘫痪患儿115例，随机分为常规组和引导式教育结合Frenkel训练法治疗组，常规组采用常规平衡训练方法，治疗组采用引导式教育结合Frenkel训练法，两组其他康复治疗相同。由专人对患儿的社会适应性行为评定ADL量表和GMFM 运动疗效评定量表中平衡项目量表的平衡功能进行评定。结果：常规组和引导式教育结合Frenkel训练法组治疗后ADL评分和GMFM88平衡评分与治疗前相比有显著变化，评分普遍增高，且引导式教育结合Frenkel训练法组ADL评分和GMFM88平衡评分分别高于常规组，差异均具有显著性(t=3.09，P<0.05; t=2.91，P<0.05)。结论：引导式教育结合Frenkel训练法治疗可更加有效地提高对脑瘫患儿平衡功能障碍的训练效果。［中国当代儿科杂志，2009，11（3）：207-209］

Abstract:

OBJECTIVE: To study the efficacy of conductive education combined with Frenkel training in the improvement of balance function in children with cerebral palsy. METHODS: One hundred and fifteen children with cerebral palsy were randomly administered with conductive education and Frenkel training (study group, n=60) or conventional training (control group, n=55). Activities of daily living (ADL) scale and gross motor function measurement (GMFM) of physical performances were used to assess the balance function. RESULTS: The scores of ADL scale and GMFM of physical performances in both the study and the control groups increased after training. The study group showed higher scores of ADL scale (37.91±10.12 vs 34.18±6.13; P<0.05)and GMFM (62.93±15.00 vs 54.53±14.11) than the control group (P<0.05). CONCLUSIONS: Conductive education combined with Frenkel training is more effective for the improvement of balance function in children cerebral palsy.［Chin J Contemp Pediatr, 2009, 11 (3):207-209］