Department of Pediatric Neurorehabilitation, Xinyu Maternal and Child Health Care Hospital, Xinyu, Jiangxi, China.
Medicine (Baltimore). 2024 Oct 18;103(42):e40078. doi: 10.1097/MD.0000000000040078.
This paper has a purpose to explore the effects of home posture control combined with goal-activity-exercise-environment therapy on motor function in children with severe cerebral palsy (CP). Data of 80 children with severe CP treated from January 2022 to December 2023 were collected. They were divided into experimental group (EG) and control group according to different treatment methods, with 40 people in each group. The controlled group (CG) obtained routine treating means, including occupational therapy, electromyographic biofeedback therapy, and other treatment items. The EG received a combination of home posture control and goal-activity-exercise-environment therapy on the basis of conventional treatment. Meanwhile, parents received professional training to manage their children's posture and received reinforcement training through goal-activity-exercise-environment therapy. The Gross motor function measure-88, Peabody developmental motor scale-fine motor, pediatric balance scale, Fugl-Meyer assessment and other scales were used to evaluate the motor function, balance ability, daily living activity ability, and developmental level of patients. After 3 months of treatment, the Gross motor function measure-88 scores of these 2 groups were 70.96 ± 18.29 and 57.42 ± 21.41, respectively. The Peabody developmental motor scale-fine motor scores were 76.48 ± 14.42 and 59.77 ± 14.89, respectively. The balance ability index, upper limb motor function index, daily living activity ability, and developmental level of the EG were significantly higher than the CG's, and the P-values were all <.05. The combination of home posture control and GAME therapy can significantly improve the motor function and daily living activities of children with severe CP. This helps to maintain the normal growth and development of the child, and has certain clinical value.
本文旨在探讨家庭姿势控制结合目标-活动-锻炼-环境疗法对严重脑瘫（CP）患儿运动功能的影响。收集了 2022 年 1 月至 2023 年 12 月期间 80 名严重 CP 患儿的数据。根据不同的治疗方法，将他们分为实验组（EG）和对照组（CG），每组 40 人。对照组（CG）采用常规治疗方法，包括作业治疗、肌电图生物反馈治疗等治疗项目。实验组（EG）在常规治疗的基础上，采用家庭姿势控制和目标-活动-锻炼-环境疗法。同时，对家长进行专业培训，管理孩子的姿势，并通过目标-活动-锻炼-环境疗法进行强化训练。采用粗大运动功能测量-88、Peabody 发育运动量表精细运动、小儿平衡量表、Fugl-Meyer 评估等量表评估患者的运动功能、平衡能力、日常生活活动能力和发育水平。治疗 3 个月后，两组患者的粗大运动功能测量-88 评分分别为 70.96±18.29 和 57.42±21.41，Peabody 发育运动量表精细运动评分分别为 76.48±14.42 和 59.77±14.89。实验组的平衡能力指数、上肢运动功能指数、日常生活活动能力和发育水平均明显高于 CG，P 值均<.05。家庭姿势控制与 GAME 疗法相结合能显著改善严重 CP 患儿的运动功能和日常生活活动能力，有助于维持患儿的正常生长发育，具有一定的临床价值。
