摘要
目的:观察平衡仪训练联合家庭康复训练在发育性运动协调障碍(DCD)患儿中的应用效果。方法:选取2018年9月至2021年8月该院收治的88例DCD患儿进行前瞻性研究,采用随机数字表法将其分为对照组和观察组各44例。对照组采用家庭康复训练,观察组在对照组基础上联合平衡仪训练,比较两组康复效果、训练前后平衡能力[跌倒指数、功能性Berg平衡量表(BBS)、儿童运动协调能力评估量表第二版(MABC-2)]评分和运动功能[粗大运动功能测试量表(GMFM)]评分、日常生活能力[日常生活活动能力(ADL)]评分。结果:观察组康复总有效率为95.45%(42/44),高于对照组的81.82%(36/44),差异有统计学意义(P<0.05);训练后,两组跌倒指数均低于训练前,且观察组低于对照组,两组BBS、MABC-2评分均高于训练前,且观察组高于对照组,差异有统计学意义(P<0.05);两组A、B、C、D、E区等GMFM评分均高于训练前,且观察组高于对照组,差异有统计学意义(P<0.05);两组ADL评分均高于训练前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:平衡仪训练联合家庭康复训练应用于DCD患儿可提高康复总有效率及运动功能和日常生活能力评分,改善平衡能力评分,其效果优于单纯家庭康复训练。
Objective:To observe application effects of balance instrument training combined with family rehabilitation training in children with developmental coordination disorder(DCD).Methods:A prospective study was conducted on 88 children with DCD admitted to the hospital from September 2018 to August 2021.They were divided into control group and observation group by using the random number table method,44 cases in each.The control group was treated with family rehabilitation training,while the observation group was combined with balance instrument training on the basis of that of the control group.The rehabilitation effects,the balance ability before and after the training[falling index,functional Berg balance scale(BBS),the movement assessment battery for children,2nd ed(MABC-2)]score,the motor function[gross motor function measure(GMFM)]score,and the activities of daily living[activities of daily living(ADL)]score were compared between the two groups.Results:The total effective rate of training in the observation group was 95.45%(42/44),which was higher than 81.82%(36/44)in the control group,and the difference was statistically significant(P<0.05).After the training,the falling index levels of the two groups were lower than those before the training,and that of the observation group was lower than the control group;the BBS score and MABC-2 score of the two groups were higher than those before the training,and those of the observation group were higher than the control group;and the differences were statistically significant(P<0.05).The GMFM scores of A,B,C,D and E in the two groups were higher than those before the training,those in the observation group were higher than the control group,and the differences were statistically significant(P<0.05).Further,the ADL scores of the two groups were higher than those before the training,that of the observation group was higher than the control group,and the differences were statistically significant(P<0.05).Conclusions:The balance instrument training combined with the family rehabilitation training in the children with DCD can improve the total effective rate of training,the motor function scores and the ADL scores,and improve the balance ability scores.Moreover,it is superior to single family rehabilitation training.
作者
郑玲玲
ZHENG Lingling(Department of Pediatrics of the 7th People’s Hospital of Zhengzhou,Zhengzhou 450000 Henan,China)
出处
《中国民康医学》
2023年第5期97-99,103,共4页
Medical Journal of Chinese People’s Health
关键词
发育性运动协调障碍
患儿
家庭康复训练
平衡仪训练
平衡能力
运动功能
日常生活能力
Developmental coordination disorder
Children
Family rehabilitation training
Balance instrument training
Balance ability
Motor function
Activity of daily living
