基于感觉统合理论体育游戏对发展障碍儿童临床康复疗效评价.docVIP

基于感觉统合理论体育游戏对发展障碍儿童临床康复疗效评价 　　摘 要：为进一步指导及优化临床作业治疗方案，探讨以体育游戏模式对发展障碍儿童进行感觉统合训练干预后，患儿感觉统合失调症状的康复效果。23名有不同发展障碍的儿童接受为期4周，以体育游戏治疗为主的感觉统合训练，每周训练5 d（周一至周五），每天训练60 min。训练内容包括触觉训练、前庭平衡觉训练以及本体感觉训练。治疗前后及治疗结束后4周末（即第8周）通过简式儿童感觉处理能力剖析量表、Conner’s教师用评定量表以及DeGangi-Berk感觉统合测量工具进行评分。结果发现：（1）患儿经体育游戏训练后，各项感觉统合能力均有改善，存在显著性差异（P0.05）。试验过程中，所有受试儿童未出现不良反应，社会效度佳。结果表明，体育游戏型感觉统合训练对发展障碍儿童临床康复近期、远期疗效明显，且年龄越小，疗效越佳。 　　关 键 词：运动医学；体育游戏；感觉统合训练；作业治疗；发展障碍儿童 　　中图分类号：G804.5 文献标志码：A 文章编号：1006-7116（2016）04-0127-08 　　Evaluation of the therapy effects of sports games based on sensory integration theory on the clinical rehabilitation of children with development disabilities 　　ZHAO Fei-yi1，DUAN Yi-ru1，XIA Xiao-jie2，SHEN Jun-liang3，LI Ai-qun4， 　　ZHANG Zhe-yuan5，YAN Hai-xia6，XU Hong1 　　（1.Shanghai Municipal Hospital of TCM，Affiliated to Shanghai TCM University，Shanghai 200071，China； 　　2.Department of Education，East China Normal University，Shanghai 200062，China；3.Faculty of Medical Sciences，University of Groningen，Groningen 9700 AB，Netherlands；4.Periodical Press，Wuhan Sports University，Wuhan 430079，China；5.School of Haiyan Clinical Medicine，Zhejiang Pharmacevtical College，Haiyan 314300，China；6.Basic Medical，Shanghai University of Traditional Chinese Medicine，Shanghai 201203，China） 　　Abstract： In order to further guide and optimize clinical operating therapy plans， and to probe into the effects of rehabilitation of children with development disabilities from their sensory integration disorder symptoms after they are intervened by sensory integration training via a sports game mode， the authors carried out 4-week sensory integration training based mainly on sports game therapy on 23 children with different development disabilities， 5 days a week （Monday through Friday）， 60 minutes a day. The training contents include tactile sense training， vestibular balance sense training and proprioceptive sense training. Before and after the therapy and 4 weeks after the therapy （i.e. at the end of week 8）， the authors