ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2024, Vol. 16 ›› Issue (4): 277-280.doi: 10.3969/j.issn.1674-3865.2024.04.001

• 儿童脑性瘫痪康复专栏 •    下一篇

渐进性抗阻训练对痉挛型脑性瘫痪儿童活动和参与能力的影响

宋凡旭, 赵宏博, 庞伟   

  1. 154002 黑龙江 佳木斯，佳木斯大学康复医学院/佳木斯大学附属第三医院脑瘫康复科
  • 收稿日期:2024-03-06 出版日期:2024-08-25 上线日期:2024-08-26
  • 通讯作者: 宋凡旭，E-mail：songfanxu98@163.com
  • 基金资助:
    黑龙江省自然科学基金项目（LH2022H092）；黑龙江省卫生健康委科研课题（2020-311）；佳木斯大学人才类（自然类）青年创新人才培养计划项目（JMSUQP2020022）

Effect of progressive resistance training on the activity and participation ability of children with spastic cerebral palsy

SONG Fanxu, ZHAO Hongbo, PANG Wei   

  1. College of Rehabilitation Medicine,Jamusi University/The Third Affiliated Hospital of Jiamusi University，Jamusi 154002,China
  • Received:2024-03-06 Published:2024-08-25 Online:2024-08-26
  • Contact: SONG Fanxu，E-mail：songfanxu98@163.com

PDF (PC)

65

摘要： 目的 在国际功能、残疾和健康分类(儿童青少年版)(ICF-CY)层面下，探讨渐进性抗阻训练对脑性瘫痪(简称脑瘫)儿童活动和参与能力的影响，为提高脑瘫儿童临床治疗效果提供依据。方法 研究对象为2021年1～12月在佳木斯大学附属第三医院收治的痉挛型双瘫脑瘫儿童40例，随机分为对照组和观察组各20例。对照组接受常规康复训练，观察组接受渐进性抗阻训练和常规康复训练，每组均治疗3个月。治疗前后分别给予儿童功能独立性评定量表(Wee-FIM)、中文版残疾儿童能力评定量表(PEDI)、日常生活活动能力评定量表(ADL)、活动的游戏性检查表(TOP)评定，评估两组儿童活动和参与能力。结果 观察组治疗后Wee-FIM、PEDI、ADL和TOP评分均高于对照组，差异有统计学意义(P<0.05)。结论 渐进性抗阻训练可有效改善痉挛型双瘫脑瘫儿童的活动和参与能力。

关键词: 脑性瘫痪；渐进性抗阻训练, 活动, 参与, 儿童

Abstract: Objective  To explore the effects of progressive resistance training on the activity and participation abilities of children with cerebral palsy at the ICF-CY level.Methods  The study subjects were 40 children with spastic diplegic cerebral palsy who were admitted to the Third Affiliated Hospital of Jiamusi University from January to December 2021.They were randomly divided into a control group and an observation group,with 20 cases in each group.The control group received routine rehabilitation training,while the observation group received progressive resistance training and routine rehabilitation training,with each group receiving treatment for 3 months.Before and after treatment,these children were evaluated for their activity and participation abilities using the Wee-FIM,PEDI,ADL,and TOP,respectively.Results  The Wee-FIM,PEDI,ADL,and TOP scores in the observation group were all higher than those in control group after treatment,and the differences were of statistical significance (P<0.05).Conclusion  The progressive resistance training can effectively improve the activity and participation ability of children with spastic diplegic cerebral palsy.

Key words:
Cerebral palsy, Progressive resistance training, Activity, Participation；Child