基于认知与运动的双重任务导向训练对痉挛型脑瘫儿童运动功能的影响

Effects of cognitive-motor dual-task-oriented training on motor function in children with spastic cerebral palsy

摘要:

目的 观察基于认知与运动的双重任务导向训练对痉挛性脑瘫儿童步行、平衡功能及总体疗效的影响，以期探索能进一步改善该型患儿相应功能更有效的训练手段。方法 选取2024年1月—2024年10月湖南中医药大学第一附属医院针灸推拿康复中心儿童康复专科诊治的60例痉挛型脑瘫患儿作为研究对象。采取随机数字表法将患儿随机分为对照组与观察组，各30例。两组分别干预12周。比较两组训练前后及组间的粗大运动功能测试量表88项（GMFM-88）D区-站立、E区-走、跑、跳的得分，比较两组训练前后Berg平衡量表（BBS）的得分变化和总体疗效差异。结果 对照组与观察组治疗前GMFM-88 D区的评分均低于治疗后（P <0.05）。对照组治疗后GMFM-88 D区评分低于观察组（P <0.05）。对照组与观察组治疗前GMFM-88 E区的评分均低于治疗后（P <0.05）。对照组治疗后GMFM-88 E区评分低于观察组（P <0.05）。对照组与观察组治疗前BBS的评分均低于治疗后（P <0.05）。对照组治疗后BBS评分低于观察组（P <0.05）。观察组有效率高于对照组（P <0.05）。结论 认知与运动双重任务导向训练能显著提高痉挛型脑瘫儿童步行与平衡功能，值得临床推广。

Abstract:

Objective To observe the effects of cognitive-motor dual-task-oriented training on walking, balance function, and overall efficacy in children with spastic cerebral palsy, aiming to explore more effective training strategies to further improve their functional outcomes.Methods Sixty children with spastic cerebral palsy treated at the Pediatric Rehabilitation Department of the Acupuncture and Tuina Rehabilitation Center, the Hunan University of Traditional Chinese Medicine, from January 2024 to October 2024, were enrolled. The children were randomly assigned into a control group (n = 30) and an observation group (n = 30) using a random number table. Both groups underwent interventions for 12 weeks. Changes in Gross Motor Function Measure-88 (GMFM-88) dimensions D and E scores and Berg Balance Scale (BBS) scores before and after treatment, and overall efficacy were compared between the groups.Results Both the control and observation groups showed significant improvements in GMFM-88 dimensions D and E scores after treatment compared with baseline (P < 0.05). Post-treatment, the GMFM-88 dimensions D and E scores in the observation group were significantly higher than those in the control group (P < 0.05). Similarly, BBS scores increased significantly in both groups after treatment (P < 0.05), with post-treatment scores in the observation group exceeding those in the control group (P < 0.05). The overall effective rate was higher in the observation group than in the control group (P < 0.05).Conclusion Cognitive-motor dual-task-oriented training can significantly improve walking and balance function in children with spastic cerebral palsy and is worthy of clinical promotion.