自制肘关节夹板在脑瘫患儿作业疗法中的应用.docVIP

精品论文 参考文献 自制肘关节夹板在脑瘫患儿作业疗法中的应用 广西桂林市妇幼保健院儿童康复中心 541002 【摘 要】目的 观察脑瘫作业治疗应用自制肘关节夹板（以下简称夹板）训练提高患儿上肢功能的效果。方法 将100例脑瘫患儿随机分为观察组（N=50）及对照组（n=50）。对照组采用运动、按摩、理疗、水疗及针灸疗法；观察组在此基础上配合作业疗法用自制肘关节夹板训练增强上肢功能，分别于治疗前后采用精细运动功能评估表（FMFM）对两组患儿进行评定，比较两组治疗效果。结果 治疗3个月后，两组患儿FMFM评分均较治疗前提高，与对照组比较，观察组FMFM值提高更显著（Plt;0.01）。结论 作业疗法加用夹板训练能显著提高患儿上肢功能，有效促进脑瘫患儿康复。 【关键词】夹板；作业疗法；脑性瘫痪；精细运动功能 Homemade elbow splint in occupational therapy in children with cerebral palsy Wu Bao yin Guilin MCH Childrens Rehabilitation Center 541002 [Abstract] Objective To investigate the treatment of cerebral palsy job application homemade elbow splint（hereinafter referred to as splints）the effect of improving the training of children with upper limb function.Methods 100 patients with cerebral palsy were randomly divided into two groups（N = 50）and control group（n = 50）.The control group，exercise，massage，physical therapy，hydrotherapy and acupuncture；observation group on the basis of occupational therapy with homemade elbow splint training increased upper body function，respectively，before and after treatment with fine motor function evaluation form（FMFM）Two groups of patients children were assessed the effect of treatment were compared.Results After 3 months of treatment，two groups of children FMFM rates than before treatment increased compared with the control group，the observation group FMFM value increased more significantly（P lt;0.01）.Conclusion Occupational therapy plus splint training can significantly improve upper limb function in children，effectively promote the rehabilitation of children with cerebral palsy. [Keywords] cerebral palsy occupational therapy plywood fine motor function 脑性瘫痪（下称脑瘫）是指受孕开始至婴儿期非进行性颅脑损伤和发育缺陷所致的综合征，主要表现为运动障碍和姿势异常[1]。严重脑瘫影响儿童的身心发育，如果得不到及时有效康复，会造成终身残疾，给家庭、社会带来极大的负担。脑瘫康复是一个艰苦漫长的过程，且单一的训练方法或单一的康复模式往往难以收到理想的疗效[2]。脑瘫患儿上肢功能障碍表现在抓握能力、操作能力、及手眼协调能力差。以往康复治疗重视粗大运动功能障碍恢复，而忽视了精细运动功能障碍的治疗，影响了手精细运动功能恢复，最终导致日常生活活动能力下降[3]。作业治疗，是应用有目的的、经过选择的作业活动，对身体、精神发育有功能障碍或残疾以致不