【摘要】 目的:探讨家长培训对痉挛型脑瘫患儿粗大运动功能的影响。方法:将痉挛型脑瘫患儿60例采用随机对照的方法分成两组,对照组(n=30)患儿常规康复训练,家长不接受培训,观察组(n=30)患儿常规康复训练同时家长接受培训。通过间接干预家长的方法,以期改变患儿ICF框架内的环境因素,从而更好地促进患儿粗大运动功能的提高。两组均接受康复治疗3个月。试验前后分别采用粗大运动功能量表(GMFM-88)和脑瘫患儿家长自评量表(CP-GMFQ)对两组患儿的粗大运动功能进行评估。结果:两组治疗3个月后患儿的粗大运动功能明显改善,GMFM和CP-GMFQ评分均优于治疗前(P<0.05),观察组优于对照组(P<0.05)。结论:常规康复训练结合家长培训有利于改善痉挛型脑瘫患儿的粗大运动功能。更多还原

【Abstract】 Objective: To explore the effects of parents training on gross motor function of children with spastic cerebral palsy. Methods: 60 children with spastic cerebral palsy were divided into 2 groups. In control group,children received routine rehabilitation,but their parents did not receive parents training( n = 30). In observation group,children received routine rehabilitation,and their parents received parents training( n = 30). To indirectly intervene parents is helpful to improve gross motor function by changing environmental factors in the framework of International Classification of Functioning,and Disability and Health( ICF). Both groups received 3monthes rehabilitation training. Before testament,they were assessed by Gross Motor Function Measure( GMFM) and Cerebral Palsy- Gross Motor Function Questionnaire( CP- GMFQ). Results: After the therapy,the scores of two groups improved significantly compared with those before therapy( P < 0. 05),especially in observation group( P < 0. 05).Conclusion: Routine rehabilitation training combined with parents training is effective in improving gross motor function of children with spastic cerebral palsy.更多还原