脑瘫患者躯干控制与上肢功能的相关性研究

P. Darji, S. Diwan
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摘要

脑瘫(CP)是一种始于儿童早期的普遍残疾,其特征是由中枢神经系统病变引起的一系列困难。CP患者可出现运动和继发性肌肉骨骼问题。躯干在姿势控制、平衡和上肢自由活动方面发挥着重要作用,但CP患者可能会受到精细运动活动等手工技能的挑战,也可能在维持躯干控制方面存在困难。目的探讨脑瘫患者躯干控制与上肢功能的关系。横断面研究选取SBB理疗学院、SVP医院和私人诊所的34名被试。研究对象年龄在6 - 15岁之间,被诊断为任何临床类型,性别不限,大运动功能分类系统水平为Ⅱ、Ⅲ、Ⅳ,并通过方便抽样排除上肢和脊柱近期创伤或手术(小于小于6个月)。征得同意后,由主治医师填写主干控制量表(Trunk Control Measurement scale, TCMS),由家长个人访谈填写ABILHAND儿童古吉拉特语版问卷。: 34名受试者的数据分析采用SPSS version 16和Microsoft excels 2019进行。对于筛选的数据,我们使用非参数Spearman相关性测试,显著性水平保持在5%。结果显示脑瘫患者躯干控制与上肢功能之间存在显著正相关(r 0.773 p 0.05)。研究表明,CP患者的躯干控制与上肢功能高度相关,因此在改善上肢功能的同时改善躯干控制在神经康复应用中具有重要意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Correlation between trunk control and upper extremity function in subjects with cerebral palsy
Cerebral Palsy (CP) is prevalent disability starting in early childhood characterized as a series of difficulties caused by Central Nervous System lesions. Motor and secondary musculoskeletal problems are seen in CP. The trunk plays an important role in the organization of postural control, balance and also provides free movement of upper limb but in subjects with CP may challenge by manual skills such as fine motor activities and may also have difficulty in maintaining trunk control. : Aim of the study was to assess and investigate the correlation between trunk control and upper limb function in subjects with cerebral palsy. Cross sectional study was conducted in which 34 Subjects from SBB College of physiotherapy, SVP hospital and private clinics were taken. Subjects diagnosed with any clinical type of either gender aged 6 to 15 years CP with Gross Motor Functional Classification System level Ⅱ, Ⅲ, Ⅳ, were included and recent trauma or surgery of upper extremity and spine (less ˂ 6 months) were excluded in the study by convenient sampling. After taken consent, Trunk Control Measurement scale (TCMS) were filled up by primary therapist and ABILHAND kids Gujarati version questionnaires were filled up by parents personal interview. : Data analysis for 34 subjects was done by using SPSS version 16 and Microsoft excels 2019. For data screened nonparametric Spearman correlation co˗ efficient test was used with level of significance kept at 5%. Results showed that there is strong positive correlation between trunk control and upper limb function (r ₌ 0.773 p ₌ 0.05) in subjects with cerebral palsy. Study concluded that Trunk Control is highly correlated with upper limb function in subjects with CP. Therefore, it is important in NeuroRehabilitation applications to improve upper limb function along with control of trunk.
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