发育医学电子杂志2026，Vol.14Issue(2)：89-94,6.DOI:10.3969/j.issn.2095-5340.2026.02.002
仿生训练联合功能性电刺激与常规康复训练对痉挛型脑性瘫痪患儿运动功能及下肢关节活动度的影响
Effects of bionic training combined with functional electrical stimulation and conventional rehabilitation training on motor function and lower limb joint mobility in children with spastic cerebral palsy
摘要
Abstract
Objective To investigate the effects of bionic training combined with functional electrical stimulation and conventional rehabilitation training on motor function and lower limb joint mobility in children with spastic cerebral palsy(SCP).Methods A prospective study was conducted to enroll 118 children with SCP who received treatment at Sichuan Provincial Maternity and Child Health Care Hospital from January 2019 to December 2023.Participants were randomly divided into the experimental group(n=59)and the control group(n=59)using a random number table method.The children of both groups were given conventional rehabilitation training,on the basis of which the control group received functional electrical stimulation,and the experimental group was additionally provided with bionic training on the basis of the control group's intervention.The gross motor function,fine motor function,lower limb joint mobility and family satisfaction of the two groups were compared before and after treatment.Statistical analysis was performed using the t-test,t'-test,χ2 test and Ridit test.Results After treatment,the scores of posture,locomotion and object manipulation in the Peabody Developmental Motor Scales,Second Edition-Gross Motor Quotient(PDMS-GM)in the experimental group were significantly higher than those in the control group[(20.85±3.68)points vs(18.01±2.39)points,(64.90±10.03)points vs(57.13±8.77)points,(17.28±3.46)points vs(14.34±2.91)points,all P<0.05].After treatment,the standard score of grip(SSG),standard score of Developmental Test of Visual-Motor Integration(VMI),and fine motor quotient(FMQ)in the experimental group were significantly higher than those in the control group[(5.42±0.71)points vs(4.87±0.60)points,(6.76±0.68)points vs(6.08±0.62)points,(77.61±5.06)points vs(73.18±4.72)points,all P<0.05].After treatment,the adductor angle was significantly larger and the dorsiflexion angle of the foot was significantly smaller in the experimental group than those in the control group[(97.43±7.12)° vs(91.18±6.28)°,(78.76±3.21)° vs(82.13±3.69)°,all P<0.05].Additionally,the family satisfaction rate in the experimental group was significantly higher than that in the control group[94.74%(54/57)vs 77.19%(44/57),P<0.05].Conclusion Bionic training combined with functional electrical stimulation can improve the gross motor function,fine motor function and lower limb joint mobility of children with SCP,as well as improve family saisfaction.关键词
仿生训练/功能性电刺激/痉挛型脑性瘫痪/儿童/运动功能/满意度Key words
Bionic training/Functional electrical stimulation/Spastic cerebral palsy/Children/Motor function/Satisfaction引用本文复制引用
代君茹,付跃馨,钟运寰,聂晶,李政峰..仿生训练联合功能性电刺激与常规康复训练对痉挛型脑性瘫痪患儿运动功能及下肢关节活动度的影响[J].发育医学电子杂志,2026,14(2):89-94,6.基金项目
四川省营养学会妇幼营养研究基金(SCNC-MCNR2023-02) （SCNC-MCNR2023-02）
