神经肌肉关节促进训练对脑性瘫痪患儿智力及肢体功能的影响

摘要 目的：探讨神经肌肉关节促进训练对脑性瘫痪(cerebral palsy，CP，脑瘫)患儿智力及肢体功能的影响。方法：2016年12月到2018年12月选择在本院儿保科门诊就诊的脑瘫患儿134例，根据治疗方法分为观察组与对照组，各67例。对照组给予常规康复训练，观察组在对照组给予神经肌肉关节促进训练，两组康复观察3个月，记录智力及肢体功能变化情况。结果：观察组的总有效率为98.5 %，高于对照组的83.6 %(P<0.05)。两组康复后的粗大运动功能测试量表(gross motor function measure， GMFM)评分都高于康复前(P<0.05)，观察组高于对照组(P<0.05)。两组康复后的适应与语言行为评分都高于康复前(P<0.05)，观察组也高于对照组(P<0.05)。两组康复后的F波振幅高于康复前(P<0.05)，阈值低于康复前(P<0.05)，康复后观察组与对照组对比差异也都有统计学意义(P<0.05)。结论：神经肌肉关节促进训练在脑瘫患儿的应用能促进改善智力及肢体功能，重建患儿的肌电功能，从而提高治疗效果。

Effects of Neuromuscular Joint Promotion Training on Intelligence and Limb Function of Children with Cerebral Palsy

ABSTRACT Objective: To investigate the effect of neuromuscular joint promotion training on the intelligence and limb function of children with cerebral palsy (CP, cerebral palsy). Methods: From December 2016 to December 2018, 134 cases of children with cerebral palsy who were treated in the outpatient department of the Pediatric Care Department of our hospital were selected as. All the cases were divided into the observation group and control group with 67 cases each groups accorded to the treatment. The control group were given regular rehabilitation training, and the observation group were given neuromuscular joint promotion training in the control group. The two groups were observed for 3 months of rehabilitation, and the changes in intelligence and limb function were recorded. Results: The total effective rates of the observation group were 98.5 %, which were higher than 83.6 % of the control group(P<0.05). The GMFM scores of the two groups after rehabilitation were higher than those before recovery (P<0.05), and the observation group were higher than the control group (P<0.05). The adaptation and language behavior scores of the two groups after rehabilitation were higher than those before rehabilitation (P<0.05), and the observation group were also higher than the control group(P<0.05). The F wave amplitude of the two groups after rehabilitation were higher than that before rehabilitation(P<0.05), and the threshold were lower than before rehabilitation (P<0.05), the difference compared between the observation group and the control group after rehabilitation were also statistically significant (P<0.05). Conclusion: The application of neuromuscular joint promotion training in children with cerebral palsy can improve the intelligence and limb function, rebuild the children''s electromyographic function, and improve the therapeutic effect.