Objective: To investigate the effect of VOJTA therapy on gross motor function in children with cerebral palsy. Methods: The 86 children with cerebral palsy were all from the First People’s Hospital of Jingzhou City f...Objective: To investigate the effect of VOJTA therapy on gross motor function in children with cerebral palsy. Methods: The 86 children with cerebral palsy were all from the First People’s Hospital of Jingzhou City from January 2023-December 2023, and were divided into the control group and the study group with 43 cases according to the principle of voluntariness. Results: In terms of total effective rate of treatment, the gross motor function scale-88 (GMFM-88) was used to evaluate the effective rate before and after treatment, and the effective rate of the study group was higher than that of the control group, and the difference was statistically significant, and the scores of gross motor items of GMFM-88 were better than those of the control group after treatment, and the difference was statistically significant (P 0.05). Conclusion: The application of VOJTA therapy in the treatment of children with cerebral palsy can not only promote the rehabilitation of gross motor function, but also help to improve the treatment effect, and the earlier the treatment, the better.展开更多
Objective: To observe the effect of lumbar spinal point injection on sitting function in children with cerebral palsy. Method: Sixty-two children with post-confirmed cerebral palsy were randomly divided into control g...Objective: To observe the effect of lumbar spinal point injection on sitting function in children with cerebral palsy. Method: Sixty-two children with post-confirmed cerebral palsy were randomly divided into control group and treatment group, 31 each. The control group was given conventional rehabilitation treatment, and the treatment group was given lumbar chiropspinal acupoint injection on the basis of the treatment method of the control group. After 3 consecutive courses of treatment, the sitting score of the two groups before and after treatment (GMFM88) was used to evaluate the sitting score before and after treatment. Outcome: Before treatment, the two groups were evaluated and the differences were not statistically significant (p > 0.05), which was comparable. The two groups (GMFM88) after treatment had significantly increased the differential values, and the difference was statistically significant compared with the same group before treatment (p Conclusion: Conventional rehabilitation combined with lumbar spinal point injection can effectively improve the sitting motor function of children with cerebral palsy.展开更多
[目的]探讨影响痉挛型脑瘫患儿髋关节脱位的相关因素。[方法]本院2016年1月—2024年1月收治的322例痉挛型脑瘫患儿纳入本研究。分别按照粗大运动功能分级(gross motor function classification system,GMFCS)、改良Ashworth分级(modifie...[目的]探讨影响痉挛型脑瘫患儿髋关节脱位的相关因素。[方法]本院2016年1月—2024年1月收治的322例痉挛型脑瘫患儿纳入本研究。分别按照粗大运动功能分级(gross motor function classification system,GMFCS)、改良Ashworth分级(modified Ashworth scale,MAS)和股骨头偏移百分比(migration percentage,MP)分组,比较不同组临床与影像指标差异。对MP与临床、影像等指标进行两两相关分析。行多元线性逐步回归分析,评价相关因素的作用大小。[结果]根据GMFCS分组,其中Ⅰ级57例(17.7%),Ⅱ级92例(28.6%),Ⅲ级82例(25.5%),Ⅳ级60例(18.6%),Ⅴ级31例(9.6%)。根据MAS分组,其中1级22例(6.8%),2级131例(40.7%),3级127例(39.4%),4级42例(13.1%)。根据MP分组,其中≤20%组42例(13.0%),20%~30%组109例(33.9%),30%~40%组90例(28.0%),≥40%组81例(25.1%)。GMFCS与MP具有显著正相关(r=0.621,P<0.001),MAS与MP具有显著正相关(r=0.694,P<0.001),NSA与MP具有显著正相关(r=0.701,P<0.001),AI与MP具有显著正相关性(r=0.682,P<0.001)。MP与孕龄、出生体重、性别、年龄及入院体重无显著相关性(P>0.05)。多元线性逐步回归方程为Y (MP)=-49.095+0.540×AI+4.887×MAS+0.326×NSA+2.291×GMFCS。[结论]GMFCS、MAS、NSA和AI是痉挛型脑瘫患儿股骨头外移的相关因素。展开更多
目的系统评价家庭干预对脑瘫儿童粗大运动功能及日常生活活动能力的疗效,为制定有效的干预策略提供依据。方法检索知网、维普、万方、CBM、PubMed、Embase、Web of Science、Cochrane Library中家庭干预治疗脑瘫儿童的研究文献,时限为...目的系统评价家庭干预对脑瘫儿童粗大运动功能及日常生活活动能力的疗效,为制定有效的干预策略提供依据。方法检索知网、维普、万方、CBM、PubMed、Embase、Web of Science、Cochrane Library中家庭干预治疗脑瘫儿童的研究文献,时限为建库至2024年6月。采用Review Manager 5.4和Stata17.0进行Meta分析。结果最终纳入28篇文献,Meta分析结果显示,家庭干预组与常规康复组GMFM-88评分(MD=10.87,95%CI:8.51~13.23)、GMFM-88 E区评分(MD=4.71,95%CI:3.82~5.61)、ADLs评分(MD=7.63,95%CI:4.68~10.57)差异有统计学意义(P<0.001),两组儿童GMFM-66评分差异无统计学意义(MD=4.43,95%CI:-1.56~10.42,P=0.15)。结论家庭干预能够有效改善脑瘫儿童粗大运动功能及日常生活活动能力。展开更多
目的:总结水中运动疗法作为单一治疗方式或辅助治疗方式在孤独症谱系障碍患者运动功能训练中的应用。方法:检索建库至2024年3月5日的PubMed、Web of Science、中国知网、万方数据库等数据库中水中运动疗法训练对孤独症谱系障碍患者运动...目的:总结水中运动疗法作为单一治疗方式或辅助治疗方式在孤独症谱系障碍患者运动功能训练中的应用。方法:检索建库至2024年3月5日的PubMed、Web of Science、中国知网、万方数据库等数据库中水中运动疗法训练对孤独症谱系障碍患者运动功能治疗效果的文献,采用Scoping综述方法提取文献内容。结果:共检索到135篇相关文献,最终纳入2004~2024年来自7个国家的8篇文献。孤独症谱系障碍疾病的身体结构和功能障碍主要涉及粗大运动障碍、肌肉力量、肌肉耐力和平衡能力。评价工具包括粗大运动能力指标如粗大运动功能测试(GMFM)、粗大运动发育测试(TGMD-2),力量测试工具如立定跳远、手持式握力计,肌肉耐力评估工具如肺活量测量仪、改良的仰卧起坐和等长俯卧撑试验。水中运动疗法的形式有Halliwick方法、游泳技能训练、冲浪训练和水上游戏训练。结论:水中运动疗法训练干预孤独症谱系障碍患者的粗大运动、肌肉力量、耐力、平衡等问题是当前的研究热点。未来需要进一步探讨水中运动疗法训练介入的时机、持续时间等问题,为基于循证医学推广水中运动疗法训练提供更充分的理论依据。展开更多
文摘Objective: To investigate the effect of VOJTA therapy on gross motor function in children with cerebral palsy. Methods: The 86 children with cerebral palsy were all from the First People’s Hospital of Jingzhou City from January 2023-December 2023, and were divided into the control group and the study group with 43 cases according to the principle of voluntariness. Results: In terms of total effective rate of treatment, the gross motor function scale-88 (GMFM-88) was used to evaluate the effective rate before and after treatment, and the effective rate of the study group was higher than that of the control group, and the difference was statistically significant, and the scores of gross motor items of GMFM-88 were better than those of the control group after treatment, and the difference was statistically significant (P 0.05). Conclusion: The application of VOJTA therapy in the treatment of children with cerebral palsy can not only promote the rehabilitation of gross motor function, but also help to improve the treatment effect, and the earlier the treatment, the better.
文摘Objective: To observe the effect of lumbar spinal point injection on sitting function in children with cerebral palsy. Method: Sixty-two children with post-confirmed cerebral palsy were randomly divided into control group and treatment group, 31 each. The control group was given conventional rehabilitation treatment, and the treatment group was given lumbar chiropspinal acupoint injection on the basis of the treatment method of the control group. After 3 consecutive courses of treatment, the sitting score of the two groups before and after treatment (GMFM88) was used to evaluate the sitting score before and after treatment. Outcome: Before treatment, the two groups were evaluated and the differences were not statistically significant (p > 0.05), which was comparable. The two groups (GMFM88) after treatment had significantly increased the differential values, and the difference was statistically significant compared with the same group before treatment (p Conclusion: Conventional rehabilitation combined with lumbar spinal point injection can effectively improve the sitting motor function of children with cerebral palsy.
文摘[目的]探讨影响痉挛型脑瘫患儿髋关节脱位的相关因素。[方法]本院2016年1月—2024年1月收治的322例痉挛型脑瘫患儿纳入本研究。分别按照粗大运动功能分级(gross motor function classification system,GMFCS)、改良Ashworth分级(modified Ashworth scale,MAS)和股骨头偏移百分比(migration percentage,MP)分组,比较不同组临床与影像指标差异。对MP与临床、影像等指标进行两两相关分析。行多元线性逐步回归分析,评价相关因素的作用大小。[结果]根据GMFCS分组,其中Ⅰ级57例(17.7%),Ⅱ级92例(28.6%),Ⅲ级82例(25.5%),Ⅳ级60例(18.6%),Ⅴ级31例(9.6%)。根据MAS分组,其中1级22例(6.8%),2级131例(40.7%),3级127例(39.4%),4级42例(13.1%)。根据MP分组,其中≤20%组42例(13.0%),20%~30%组109例(33.9%),30%~40%组90例(28.0%),≥40%组81例(25.1%)。GMFCS与MP具有显著正相关(r=0.621,P<0.001),MAS与MP具有显著正相关(r=0.694,P<0.001),NSA与MP具有显著正相关(r=0.701,P<0.001),AI与MP具有显著正相关性(r=0.682,P<0.001)。MP与孕龄、出生体重、性别、年龄及入院体重无显著相关性(P>0.05)。多元线性逐步回归方程为Y (MP)=-49.095+0.540×AI+4.887×MAS+0.326×NSA+2.291×GMFCS。[结论]GMFCS、MAS、NSA和AI是痉挛型脑瘫患儿股骨头外移的相关因素。
文摘目的:总结水中运动疗法作为单一治疗方式或辅助治疗方式在孤独症谱系障碍患者运动功能训练中的应用。方法:检索建库至2024年3月5日的PubMed、Web of Science、中国知网、万方数据库等数据库中水中运动疗法训练对孤独症谱系障碍患者运动功能治疗效果的文献,采用Scoping综述方法提取文献内容。结果:共检索到135篇相关文献,最终纳入2004~2024年来自7个国家的8篇文献。孤独症谱系障碍疾病的身体结构和功能障碍主要涉及粗大运动障碍、肌肉力量、肌肉耐力和平衡能力。评价工具包括粗大运动能力指标如粗大运动功能测试(GMFM)、粗大运动发育测试(TGMD-2),力量测试工具如立定跳远、手持式握力计,肌肉耐力评估工具如肺活量测量仪、改良的仰卧起坐和等长俯卧撑试验。水中运动疗法的形式有Halliwick方法、游泳技能训练、冲浪训练和水上游戏训练。结论:水中运动疗法训练干预孤独症谱系障碍患者的粗大运动、肌肉力量、耐力、平衡等问题是当前的研究热点。未来需要进一步探讨水中运动疗法训练介入的时机、持续时间等问题,为基于循证医学推广水中运动疗法训练提供更充分的理论依据。
