摘要
目的：观察Halliwick技术对学龄期脑瘫患儿粗大运动功能和平衡功能的影响。方法：选取在广州市康复实验学校就读的痉挛型脑瘫患儿24例．对照组和实验组各12例。两组在性别、年龄、智力、社会适应行为能力、粗大运动功能和平衡能力上差异无统计学意义。具有可比性。对照组采用常规康复疗法。实验组在常规康复疗法基础上应用Halliwick技术进行游泳训练．实验共4个月。实验前后分别评测两组患儿GMFM一88项和平衡能力。实验组训练结束后测评游泳技能。结果：实验组通过4个月Halliwick技术练习，6名患儿可独立游完50～100米。实验前后实验组GMFM一88总分，平衡睁眼时的X轴速度均值、Y轴速度均值、X轴向移动距离、Y轴向移动距离，平衡闭眼时的X轴速度均值、Y轴速度均值、正方形区域边长均有显著性差异（P〈0．05）。实验后比较对照组患儿GMFM一88总分较实验组增加。但无显著性差异（P〉0．05），除平衡睁眼时X轴速度均值有显著性差异（P〈0．05）外，其他平衡能力测试指标无显著性差异（P〉0．05）。实验后两组GMFM一88总分无显著性差异（P〉0．05）。结论：Halliwick技术可以指导学龄期脑瘫儿童学习游泳，还有助于改善学龄期脑瘫儿童粗大运动功能和平衡协调能力。在运用Halliwick技术指导学龄期脑瘫儿童进行水中运动疗法的过程中．可着重结合神经发育疗法进行水中体位控制训练。
To study the effect of Halliwick technique on the gross motor function and balance ability of the preschool children with spastic cerebral palsy. Methods Twenty-four preschool children with spastic cerebral palsy were selected as our subjects. They were divided into the control group （conventional rehabilitation therapy, n = 12） and the experimental group （conventional rehabilitation plus swimming training,n=12）. The GMFM-88 and balance ability of the subjects in two groups was assessed before and after the treatment, and swimming skills of the experimental group was assessed. Results Independently 50-100m swimming was achieved in half of the experimental group after 4 months training. GMFM-88 scores,the average speed of balance in X axis and Y axis with eyes opened,the moving distance of balance in X axial and Y axial with eyes opened, the average speed of balance in X axis and Y axis with eyes closed, and the side length of square area with eyes closed in experimental group after treatment were significant higher than before treatment （P 〈 0.05）. There was no significant difference in above parameters in control group at the same time （P 〉 0.05）,except the moving distance in X axis with eyes opened （P 〈 0.05）. There was no significant difference in GMFM-88 and balance ability between two groups after treatment （P 〉 0.05）. Conclusion Halliwick technique can help preschool children with cerebral palsy learning swimming,improve their motor function and balance ability effectively.
出处
《中国运动医学杂志》
CAS
CSCD
北大核心
2013年第10期875-880,共6页
Chinese Journal of Sports Medicine
基金
广东省自然科学基金项目(S2011010001011)
广东省科技计划社会发展项目(2012B031600005)
