《中国康复理论与实践》

中国康复理论与实践 >

2017 , Vol. 23 >Issue 2: 199 - 202

DOI: https://doi.org/10.3969/j.issn.1006-9771.2017.02.016

临床研究

小组式手-臂双侧强化训练对痉挛型偏瘫脑性瘫痪儿童功能独立性和生活质量的影响

  • 王灿 ,
  • 姜志梅 ,
  • 王亚男 ,
  • 孙艳秋 ,
  • 汤敬华 ,
  • 李雪梅 ,
  • 冯欢欢
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  • 佳木斯大学附属第三医院,佳木斯大学康复医学院,黑龙江佳木斯市 154003
王灿(1989-),女,汉族,河南郑州市人,硕士研究生,主要研究方向：小儿脑损伤发病机制及早期防治研究。

收稿日期: 2016-10-20

  修回日期: 2016-11-23

  网络出版日期: 2017-03-06

基金资助

1.佳木斯大学研究生科技创新项目(No.YM2016-089); 2.佳木斯大学科技创新团队项目(No.Cxtd-2013-02)

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Effects of Hand-arm Bimanual Intensive Training in Group on Functional Independence and Quality of Life of Children with Hemiplegic Cerebral Palsy

  • WANG Can ,
  • JIANG Zhi-mei ,
  • WANG Ya-nan ,
  • SUN Yan-qiu ,
  • TANG Jing-hua ,
  • LI Xue-mei ,
  • FENG Huan-huan
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  • The Third Affiliated Hospital of Jiamusi University, Rehabilitation College of Jiamusi University, Jiamusi, Heilongjiang 154003, China

Received date: 2016-10-20

  Revised date: 2016-11-23

  Online published: 2017-03-06

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摘要

目的 探讨小组式手-臂双侧强化训练(HABIT)对痉挛型偏瘫儿童功能独立性和生活质量的影响。方法 2015年11月至2016年9月入院的符合标准的痉挛型偏瘫患儿20例,随机分为对照组(n=10)和试验组(n=10)。对照组接受常规作业治疗训练,试验组采用常规作业治疗结合小组式HABIT每天1 h,两组均治疗8周。分别于治疗前、后采用Carroll双上肢功能评定量表(UEFT)、儿童功能独立性评定量表(WeeFIM)和中文版儿童生活质量量表(PedsQLTM)3.0进行评价。结果 治疗后,两组UEFT评分、WeeFIM评分和PedsQLTM3.0评分均较治疗前明显提高(t>3.970, P<0.01),且试验组评分均高于对照组(t>2.306, P<0.05)。结论 小组式HABIT可改善偏瘫儿童的上肢精细功能和双手协调能力,提高儿童的功能独立性和生活质量。

关键词： 脑性瘫痪; 小组式手-臂双侧强化训练; 功能独立性; 生活质量

本文引用格式

王灿 , 姜志梅 , 王亚男 , 孙艳秋 , 汤敬华 , 李雪梅 , 冯欢欢 . 小组式手-臂双侧强化训练对痉挛型偏瘫脑性瘫痪儿童功能独立性和生活质量的影响[J]. 中国康复理论与实践, 2017 , 23(2) : 199 -202 . DOI: 10.3969/j.issn.1006-9771.2017.02.016

Abstract

Objective To explore the effects of hand-arm bimanual intensive training (HABIT) in group on functional independence and quality of life of children with hemiplegic cerebral palsy. Methods From November, 2015 to September, 2016, 20 children with hemiplegic cerebral palsy were randomly divided into control group (n=10) and experimental group (n=10). Both groups received routine occupational therapy, and the experimental group received HABIT in group one hour per day additionally, for eight weeks. They were assessed with the Carroll Upper Extremities Functional Test (UEFT), Functional Independence Measure Children's Edition (WeeFIM) and Chinese Version Pediatric Quality of Life Inventory (PedsQLTM) 3.0 Cerebral Palsy Module respectively before and after treatment. Results After treatment, the scores of UEFT, WeeFIM and the PedsQLTM3.0 improved in both groups (t>3.970, P<0.05), and were higher in the experimental group than in the control group (t>2.306, P<0.05). Conclusion HABIT in group could improve the fine function of upper extremity and hands coordination of children with hemiplegic cerebral palsy, and enhance the functional independence and quality of life.

Key words： cerebral palsy; hand-arm bimanual intensive training in group; functional independence; quality of life

参考文献

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