中国康复2026，Vol.41Issue(3)：152-158,7.DOI:10.3870/zgkf.2026.03.005
膈肌训练对脑瘫患儿膈肌功能及运动功能的影响
Impact of diaphragm training on diaphragm function and motor function in children with cerebral palsy
摘要
Abstract
Objective:To explore the effects of diaphragm training,core stability training,and conventional exer-cise on improving diaphragm function and motor function in children with cerebral palsy.Methods:A total of 80 children with cerebral palsy were recruited and divided into three groups:conventional exercise group,core stability training group,and diaphragm training group.All three groups received conventional exercise;additionally,the core group received supplementary core stability training,and the diaphragm group received supplementary dia-phragm training.Clinical outcomes were assessed using the following indicators:diaphragm function indicators:dia-phragm thickness(Tdi),diaphragm thickening fraction(DTF),and diaphragmatic excursion(DE);motor function indicator:scores in zones D and E of the Gross Motor Function Measure(GMFM-88);balance and mobility indica-tors:Pediatric Balance Scale(PBS),Timed Up and Go Test(TUGT),and 10 Meter Walk Test(10MWT).Re-sults:After 12 weeks of treatment:For diaphragm function,the inspiratory Tdi,expiratory Tdi,DTF,and DE in the diaphragm group and core group were significantly improved as compared with pre-treatment(P＜0.05),the in-spiratory Tdi,DTF,and DE in the diaphragm group were higher than those in the core group and conventional group(P＜0.05),and the DTF and DE in the core group were higher than those in the conventional group(P＜0.05).For motor function(GMFM),scores in zones D and E were significantly increased in all three groups as compared with pre-treatment(P＜0.05).Scores in zones D and E of the core group were higher than those of the conventional group(P＜0.05),and the score in zone E of the diaphragmatic group was higher than that of the con-ventional group(P＜0.05).For balance and mobility:in terms of PBS scores,the diaphragm group and core group showed significant increases as compared with pre-treatment(P＜0.05),and their scores were higher than those of the conventional group(P＜0.05);re-garding TUGT duration,all three groups showed sig-nificant reduction as compared with pre-treatment(P＜0.05),with the duration in the order of diaphragm group＜coregroup＜conventional group(P＜0.05);for 10MWT(comfortable/maximum speed),all three groups showed significant improvement as compared with pre-treatment(P＜0.05),with the speed in the order of dia-phragm group＞core group＞conventional group(P＜0.05).Conclusion:Diaphragmatic training has a better effect on improving diaphragm function and mobility(walking speed and transfer function)in children with cerebral palsy.Diaphragmatic training is similar to core stability training in improving balance function.In clinical practice,single training or combined intervention can be selected according to the children's needs.关键词
膈肌训练/核心稳定训练/脑瘫患儿/膈肌功能/运动功能Key words
diaphragm training/core stability training/cerebral palsy/diaphragm function/motor function分类
医药卫生引用本文复制引用
石中嫣,施嘉英,熊文君,刘晓秀,谭权汉,计艳妹,张丽花,黄少昂..膈肌训练对脑瘫患儿膈肌功能及运动功能的影响[J].中国康复,2026,41(3):152-158,7.基金项目
广东省医学科学技术研究基金项目(A2024002) （A2024002）
