《中国康复理论与实践》

《中国康复理论与实践》 ›› 2011, Vol. 17 ›› Issue (6): 572-575.

• 论文 • 上一篇    下一篇

脑功能生物反馈治疗脑瘫伴注意障碍的临床疗效观察

李雪梅1，姜志梅1，郭岚敏1，吕智海1，祝丽玲2，张士岭1，李海华1   

  1. 1.佳木斯大学附属第三医院/黑龙江省小儿脑瘫防治疗育中心发育与行为儿科，佳木斯大学儿童神经康复实验室，黑龙江佳木斯市 154003；2. 佳木斯大学公共卫生学院，黑龙江佳木斯市 154003。
  • 收稿日期:2011-03-16 修回日期:2011-06-13 出版日期:2011-06-25 发布日期:2011-06-25
  • 通讯作者: 姜志梅

Effect of Brain Function Biofeedback on Cerebral Palsy with Attention Deficit

LI Xue-mei, JIANG Zhi-mei, GUO Lan-min, et al.   

  1. Rehabilitation Center for Child Cerebral Palsy, the 3rd Affiliated Hospital of Jiamusi University, Child Neural Rehabilitation Laboratory of JiamusiUniversity, Jiamusi 154003, Heilongjiang, China
  • Received:2011-03-16 Revised:2011-06-13 Published:2011-06-25 Online:2011-06-25

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被引次数

8

摘要： 目的观察脑功能生物反馈治疗伴注意障碍痉挛型脑瘫的效果。方法2010 年1月～2010 年10 月本院门诊及住院治疗的痉挛型脑瘫患儿44 例，分成对照组(n=21)和观察组(n=23)。对照组采用综合康复治疗方法(包括运动疗法、作业疗法、感觉统合训练、言语疗法、传统中医疗法)，观察组采用与对照组相同的综合康复治疗方法，另加脑功能生物反馈治疗。每周训练5 d，疗程为3 个月。以盲评的方式对两组干预前、中、后进行中国比内智力测试和注意力变量检测。结果治疗后，观察组智力水平较治疗前显著提高(P<0.001)；注意力变量观察指标疏漏数明显减少(P<0.01)，错误数减少(P<0.05)，反应时明显缩短(P<0.01)，变异率明显降低(P<0.01)。治疗后，对照组智力水平与治疗前比较无显著性差异(P>0.05)；注意力变量观察指标疏漏数明显减少(P<0.01)，反应时明显缩短(P<0.01)；错误数及变异率较治疗前无显著性差异(P>0.05)。结论脑功能生物反馈疗法能有效地提高脑瘫患儿的注意力水平。

关键词: 脑性瘫痪, 注意力障碍, 脑功能生物反馈

Abstract: Objective To study the effect of brain function biofeedback on children with spastic cerebral palsy following attention deficit disorder. Methods 44 children with spastic cerebral palsy were divided into 2 groups: 23 cases in observation group and 21in control group. The routine rehabilitation including physical therapy, occupational therapy, sensory integration, speech therapy and traditional Chinese medicine were used in two groups, while at the same time EEG biofeedback therapy was used in the observation group 5 times a week for 3 months. Chinese Binet Intelligence Scale (CBIS) and The Test of Variables of Attention (TOVA) were used to assess the effect before and after treatment. Results After the treatment, the intellectual level of the observation group significantly improved (P<0.01), omissions significantly reduced (P<0.01), error number was lower (P<0.05), reaction time was significantly shorter(P<0.01), mutation rate was significantly lower (P<0.01); while the intellectual level of the control group didn't significantly improve (P>0.05), omissions and reaction time significantly reduced (P<0.01), there was not obvious difference in error number and the mutation (P>0.05). Conclusion Brain function biofeedback can effectively improve attention disorder in children with spastic cerebral palsy.

Key words: cerebral palsy, attention deficit, brain function biofeedback