Bobath疗法联合悬吊技术对脑瘫患儿康复的影响OACSTPCD

Objective To explore the application value of Bobath therapy combined with the suspension technique in the rehabilitation treatment of children with cerebral palsy from the aspects of skeletal muscle development,gross motor function and limb balance.Methods A total of 98 children with cerebral palsy in Zigong Maternal and Child Health Hospital were selected from March 2021 to March 2023.According to the 1∶1 control principle,they were randomly divided into a control group and a study group using a computer random number table method,with 49 cases in each group.The control group was treated with Bobath therapy,and the study group was treated with Bobath therapy combined with suspension technology for 3 months.The therapeutic effects of the two groups were compared,as well as the gross motor function measurement scale(GMFM-88),leg skeletal muscle development[thickness of the anterior tibial muscle,medial gastrocnemius muscle,and soleus muscle(MT),muscle bundle length(FL)],Berg balance scale(BBS),cerebral artery blood flow[Mean blood flow velocity(Vm)in the anterior cerebral artery(ACA),middle cerebral artery(MCA)and posterior cerebral artery(PCA)],F-wave amplitude and stimulation threshold,daily living ability evaluation scale for children with cerebral palsy(ADL),and modified Ashworth spasticity scale(MAS)before treatment,at 1 month and 3 months after treatment.Results The total effective rate of the study group was 89.80%higher than that of the control group 73.47%(P<0.05).At the 1st and 3rd month of treatment,MT and FL of the anterior tibial muscle,medial gastrocnemius muscle and soleus muscle in 2 groups were higher than before treatment,and the study group was higher than the control group(P<0.05).At the 1st and 3rd month of treatment,GMFM-88,BBS and ADL scores in 2 groups were higher than before treatment,and those in study group were higher than those in control group(P<0.05).At the first and third month of treatment,Vm of ACA,MCA and PCA in 2 groups was higher than before treatment,and that in study group was higher than that in control group(P<0.05).At the first and third months of treatment,the F wave amplitude of the study group was lower than that of the control group,and the F wave stimulation threshold was higher than that of the control group(P<0.05).At the first and third month of treatment,MAS scores in the 2 groups were lower than before treatment,and those in the study group were lower than those in the control group(P<0.05).Conclusion The Bobath therapy combined with suspension technique has a definite effect on children with cerebral palsy,which can promote the development of skeletal muscle in the lower leg,restore gross motor function,improve balance ability,and improve cerebral artery blood flow.