苑爱云,侯梅,王淑婷,等.目标-活动-丰富运动干预对轻、中度发育障碍婴儿运动功能的影响[J].中华物理医学与康复杂志,2020,42(9):808-811 |
目标-活动-丰富运动干预对轻、中度发育障碍婴儿运动功能的影响 |
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DOI:10.3760/cma.j.issn.0254-1424.2020.09.009 |
中文关键词: 发育障碍 目标-活动-丰富运动 运动功能 |
英文关键词: Developmental disorders Goals-activity-motor enrichment Motor function, Infants |
基金项目:山东省医药卫生科技发展计划项目(2015WS0352);青岛市卫生科技计划(2015-WJZD091);青岛市医药科研指导计划项目(2016-WJZD084);青岛市医疗卫生优秀人才培养项目(2020.1-2022.12) |
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中文摘要: |
目的 探讨目标-活动-丰富运动(GAME)方案对轻、中度发育障碍婴儿运动功能的影响。 方法 采用随机、单盲、对照试验,将符合纳入标准的3~12月龄轻、中度发育障碍患儿108例采用随机数字表法随机分为观察组和对照组,每组患儿54例,2组再按月龄各分为≤6月龄组和>6月龄组。2组患儿均接受每日1次,每次30 min,每周5 d的常规康复干预和每日60 min的家庭干预,总疗程8周。观察组增加GAME方案进行干预,对照组则增加传统的神经发育学疗法(NDT)进行干预。于治疗前和治疗8周后(治疗后),采用Alberta婴儿运动量表(AIMS)对2组患儿进行运动功能评估。 结果 治疗后,2组患儿各体位AIMS评分和总分均显著优于组内治疗前,差异均有统计学意义(P<0.05),且观察组患儿治疗后仰卧位、俯卧位、坐位的AIMS评分和AIMS总分均显著优于对照组治疗后,差异均有统计学意义(P<0.05)。治疗后,观察组2个亚组的各体位评分增加值组间比较,差异均无统计学意义(P>0.05),但观察组≤6月龄组患儿的AIMS总分增加值为(16.77±1.78)分,显著高于>6月龄组,差异有统计学意义(P<0.05)。 结论 与传统的NDT方案相比,GAME方案可更好地提高轻中度发育障碍婴儿的运动功能,且较小年龄组的患儿进步较快。 |
英文摘要: |
Objective To explore the effect of goals-activity-motor enrichment (GAME) intervention on the motor function of infants with a mild or moderate developmental disorder. Methods Randomized, single-blind, controlled trials were applied. Totally 108 infants with mild-to-moderate developmental delay, aged 0 to 12 months, were randomly divided into an observation group and a control group, each of 54. Both groups were further divided into two subgroups, a less-than-6-month-old subgroup and a not-less-than-6-month-old subgroup. All of the children received 30 minutes of routine rehabilitation training five days a week and a 60-minute family intervention every day. In addition, the control group was given traditional neuro-developmental treatment (NDT) while the observation group was provided with an intervention based on the GAME program. Before and after 8 weeks of treatment, both groups were evaluated using the Alberta infant motor scale (AMIS). Results After the intervention, both groups′ average total scores and average scores in the different positions were significantly better than before the intervention. The average AIMS scores of the observation group supine, prone and seated, as well as their average total score were significantly higher than those of the control group after the intervention. There were no significant differences in the AIMS score increases in the different positions between the two subgroups. However, the increase in average total AIMS score of the less-than-6-month-old subgroup was significantly greater than that of the older subgroup. Conclusion The GAME protocol can improve the motor function of infants with mild to moderate developmental disorders more effectively than a traditional NDT program. The effect is greater with younger infants. |
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