悬吊运动系统治疗痉挛型脑性瘫痪疗效观察

【】目的观察悬吊运动系统治疗（slingexercisetherapy，SET）联合神经发育疗法治疗对痉挛型脑性瘫痪儿童肌张力及日常生活活动能力（activitiesofdailyliving，ADL）的影响。方法2008年8月-2009年3月收治的40例双下肢痉挛型脑性瘫痪儿童纳入研究。根据随机数字表法分为治疗组与对照组，每组各20例。对照组与治疗组均采用神经发育疗法进行康复训练，治疗组在神经发育疗法基础上配合悬吊运动系统治疗。观察两组患儿治疗1、3个月时肌张力与ADL变化。结果治疗1个月时，治疗组患儿肌张力缓解明显优于对照组（P＜0.05），3个月时，治疗组肌张力缓解程度明显优于对照组。两组ADL评分比较，治疗组ADL评分改善情况明显优于对照组（P＜0.05）。结论悬吊运动系统治疗联合神经发育疗法可明显缓解痉挛型脑性瘫痪患儿童肌张力，提高ADL。？【Abstract】ObjectiveToobservetheeffectsofslingexercisetherapy(SET)combinedwithneurodevelopmentaltherapyonmuscletensionandactivitiesofdailyliving(ADL)ofchildrenwithspasticcerebralpalsy.MethodsFortychildrenwithspasticcerebralpalsyonbilaterallowerlimbwereselectedinourstudy.Thechildrenwererandomlydividedintoatreatmentgroupandacontrolgroup,20childrenineachgroup.Boththetwogroupswereacceptedrehabilitationtrainingbyneurodevelopmentaltherapy,whilethetreatmentgroupwasreceivedSETascooperatecurebasedontheneurodevelopmentaltherapy.ThechangesofmuscletensionandADLontheoneandthreemonthsaftertreatmentwereobserved.ResultsOntheoneandthreemonthsaftertreatment,theremissionofmuscletensionandimprovementofADLscorewerebetterthanthoseinthecontrolgroup,thedifferenceswerestatisticallysignificant(P<0.01).ConclusionSETcombinedwithneurodevelopmentaltherapycanrelievethemuscletension,andimprovetheADLofchildrenwithspasticcerebralpalsy.