Department of Pediatrics.
Int J Rehabil Res. 2022 Jun 1;45(2):184-188. doi: 10.1097/MRR.0000000000000526. Epub 2022 Mar 29.
Our aim is to investigate the influence of crawling training on the cognitive function of patients with cerebral palsy. This study compared the clinical efficacy of crawling training on 36 patients with cerebral palsy (the experimental group) and 32 patients treated with normal movement training (the control group). We compared the crawling function (The Movement Function Scale for Infants with Cerebral Palsy), cognitive and language function (The Comprehensive Functional Rating Scale for Children with Disabilities), intelligence [IQ and DQ scores in the Chinese Wechsler Intelligence Scale for Children (C-WISC)], memory and attention (the attention/nondistraction factor in the C-WISC) changes of the children before and after treatment. The total treatment efficiency of the experimental group was significantly higher than that of the control group (94.44 vs. 71.87%, P = 0.012). The scores for crawling function, cognitive and language functions, intelligence quotient, development quotient and attention factor increased notably in both groups after treatment, and there was a statistical difference compared with the scores of each group before treatment (P < 0.05 for all). After treatment, the scores of the experimental group were significantly higher than those of the control group. Crawling training has good clinical efficacy for patients with cerebral palsy. It can improve patients' crawling, cognitive and language functions as well as their intelligence, memory and attention, and it has value for clinical application.
我们旨在探讨爬行训练对脑瘫患儿认知功能的影响。本研究比较了 36 例脑瘫患儿接受爬行训练(实验组)和 32 例接受常规运动训练(对照组)的临床疗效。我们比较了两组患儿治疗前后的爬行功能(脑瘫患儿运动功能量表)、认知和语言功能(残疾儿童综合功能评定量表)、智力[儿童韦氏智力量表(C-WISC)中的智商和发育商分数]、记忆和注意力(C-WISC 中的注意力/不分心因子)的变化。实验组的总治疗有效率明显高于对照组(94.44%比 71.87%,P=0.012)。两组患儿治疗后爬行功能、认知和语言功能、智商、发育商和注意力因子评分均明显升高,与治疗前各评分比较差异均有统计学意义(均 P<0.05)。治疗后实验组评分明显高于对照组。爬行训练对脑瘫患儿具有良好的临床疗效。它可以改善患者的爬行、认知和语言功能以及智力、记忆力和注意力,具有临床应用价值。