《中国康复理论与实践》

《中国康复理论与实践》

• 临床研究 • 上一篇    下一篇

神经肌肉激活技术对偏瘫型脑性瘫痪患儿平衡及步行能力的效果①

吕仁华，李晓捷，范艳萍，吕洋，孙颖，康贝贝，张鑫阳   

  1. 佳木斯大学附属第三医院，黑龙江佳木斯市154002。
  • 出版日期:2016-03-25 发布日期:2016-06-01

Effects of Neuromuscular Activation Training on Balance andWalking in Children with Hemiplegic Cerebral Palsy

LÜ Ren-hua, LI Xiao-jie, FAN Yan-ping, LÜ Yang, SUN Ying, KANG Bei-bei, ZHANG Xin-yang   

  1. The Third Affiliated Hospital of Jiamusi University, Jiamusi, Heilongjiang 154002, China
  • Published:2016-03-25 Online:2016-06-01

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摘要： 目的观察神经肌肉激活技术对偏瘫型脑瘫患儿平衡及步行能力的影响。方法2015 年3~10 月，30 例偏瘫型脑瘫患儿分为观察组和对照组，每组15 例；两组均接受常规康复训练，观察组增加神经肌肉激活技术30 min，每周5 次，共3 个月。治疗前后采用粗大运动功能测量(GMFM-88)的D区、E区，Fugl-Meyer 评定中的平衡功能部分，以及足印分析法进行评定。结果两组治疗后GMFM-88 D区、E区评分，Fugl-Meyer 平衡功能评分，步长、步宽、步速均显著优于治疗前(t>7.31, P<0.001)，观察组优于对照组(t>2.08, P<0.05)。结论神经肌肉激活技术能进一步改善偏瘫型脑瘫患儿粗大运动功能、平衡及步行能力。

关键词: 脑性瘫痪, 偏瘫, 神经肌肉激活技术, 粗大运动功能, 平衡, 步行

Abstract: Objective To observe the effects of neuromuscular activation (Neurac) training on balance and walking in children with hemiplegic cerebral palsy. Methods 30 children with hemiplegic cerebral palsy from March to October, 2015 were divided into observation group (n=15) and control group (n=15). Both groups received routine rehabilitation, while the observation group received 30-minute Neurac training in addition, 5 times a week, for 3 months. They were assessed with D and E domains of Gross Motor Function Measure 88 (GMFM- 88), balance of Fugl-Meyer Assessment and footprints analysis before and after treatment. Results The scores of D and E domains of GMFM-88 and balance of Fugl-Meyer Assessment, and the step length, step width and velocity improved in both groups after training (t> 7.31, P<0.001), especially in the observation group (t>2.08, P<0.05). Conclusion Neuroac training can further promote the recovery of gross motor function, balance and walking in children with hemiplegic cerebral palsy.

Key words: cerebral palsy, hemiplegia, neuromuscular activation training, gross motor function, balance, walking