作业治疗对提高脑瘫患儿接受普通教育的适应性观察OA

Objective:To observe the effect of occupational therapy on adaptability of preschool children with cerebral palsy receiving general educa-tion.Methods:60 children with cerebral palsy were randomly divided into control group(n=30)and observation group(n=30),the control group re-ceived general pre-school education(Kindergarten),and the observation group received occupational therapy on the basis of the control group.Be-fore treatment,3 months and 6 months after treatment,the fine motor function assessment scale(FMFM)and the social adaptability scale for infants and junior middle school students(S-M)were used to evaluate the preschool education adaptation of children with cerebral palsy from seven aspects:fine motor ability of upper limbs,independent living,motor ability,operation ability,communication ability,participating in collective activities and self-management.At the same time,the feasibility of occupational therapy on improving the adaptive behavior of preschool children with cerebral palsy was evaluated.Results:After 3 and 6 months of treatment,the total score and every subarea of FMFM in the two groups were significantly in-creased(P<0.05),and the improvement in observation group was superior to that in control group(P<0.05).The total score of S-M,independent liv-ing,operation ability,participation in group activities and self-management were significantly increased in the two groups at 3 and 6 months after treatment(P<0.05),and there were significant differences in the scores of motor ability and communication ability between the two groups before treatment and 3 and 6 months after treatment(P<0.05),but there were no significant differences in the scores of motor ability and communication ability between the two groups(P>0.05).Conclusion:Early general education is beneficial to the improvement of adaptive behavior of preschool chil-dren with cerebral palsy,and occupational therapy is more effective,which is worthy of clinical application.