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鼓圈音乐治疗对痉挛型偏瘫脑瘫患儿上肢的影响

杨阳 刘合增 李志林 赵勇 李诺 徐磊 刘晓佩 张紫瑶

中国康复2024,Vol.39Issue(6):340-343,4.
中国康复2024,Vol.39Issue(6):340-343,4.DOI:10.3870/zgkf.2024.06.004

鼓圈音乐治疗对痉挛型偏瘫脑瘫患儿上肢的影响

Effect of drum ring music therapy on upper limbs of children with spastic hemiplegia cerebral palsy

杨阳 1刘合增 1李志林 1赵勇 1李诺 1徐磊 2刘晓佩 3张紫瑶4

作者信息

  • 1. 广州中医药大学附属南海妇产儿童医院儿童康复科,广东佛山 528200
  • 2. 深圳妇幼保健院(福强院区)儿童康复科,深圳 518028
  • 3. 佳木斯大学第三附属医院儿童康复科,黑龙江佳木斯 154003
  • 4. 宜宾妇幼保健院儿童康复科,四川宜宾 644099
  • 折叠

摘要

Abstract

Objective:To observe the effect of drum circle music therapy on upper limb function in children with spastic hemiplegic cerebral palsy(SHCP).Methods:Totally,70 children with SHCP were randomly divided into two groups,with 35 cases in each group.The control group received routine rehabilitation treatment,while the ob-servation group received drum circle music therapy on the basis of the control group.Before and 6 months after treatment,the modified Ashworth Muscle Tension Scale(MAS),wrist dorsiflexion angle(AROM),Fine Motor Function Assessment Scale(FMFM),and Carroll Dual Upper Limb Function Assessment Scale(UEFT)were used to evaluate changes in upper limb function and improvement in daily social participation from four aspects:upper limb muscle tensid,joint range of motion,fine motor ability,and functional ability of healthy and affected hands.Results:After treatment,both groups showed significant improvement in MAS scores compared to before treatment(P<0.01),and the observation group was significantly better than the control group(P<0.05).The AROM ac-tivity,FMFM,and UEFT scores in the two groups were significantly improved compared to before treatment(P<0.01),and those in the observation group was significantly higher than in the control group(P<0.01,0.05).Con-clusion:Drum circle music therapy has improved upper limb function and social participation in children with SHCP,and is worthy of clinical promotion and application.

关键词

痉挛型偏瘫脑瘫/音乐治疗/团体/上肢功能

Key words

spastic hemiplegia cerebral palsy/music therapy/group/upper limb function

分类

医药卫生

引用本文复制引用

杨阳,刘合增,李志林,赵勇,李诺,徐磊,刘晓佩,张紫瑶..鼓圈音乐治疗对痉挛型偏瘫脑瘫患儿上肢的影响[J].中国康复,2024,39(6):340-343,4.

基金项目

2022年佛山市卫生健康局医学科研课题项目(No:20220001) (No:20220001)

中国康复

OACSTPCD

1001-2001

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