Effects of goal-directed training on motor function in children with severe cerebral palsy
10.3969/j.issn.1001-1242.2024.03.005
- VernacularTitle:基于目标导向性训练对重度脑性瘫痪儿童运动功能的影响
- Author:
Deping WU
1
;
Zhicheng LIU
;
Jie GAO
Author Information
1. 安徽医科大学第一附属医院儿科,小儿神经康复中心,安徽省合肥市,230022
- Keywords:
cerebral palsy;
goal directed training;
motor function
- From:
Chinese Journal of Rehabilitation Medicine
2024;39(3):334-339,346
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of goal directed training(GDT)on motor function of children with severe ce-rebral palsy and to provide evidence for clinical application. Method:A prospective case-control study was conducted with 80 children with severe cerebral palsy,random-ly divided into the study group(n=40)and the control group(n=40).The study group received GDT,while the control group received Neurodevelopment therapy(NDT).The children of the two groups were evaluated by supine and prone position(area A)and sitting position(area B)of 88 items of the gross motor function measure(GMFM-88),visual tracking(area A)and upper limb joint activity(area B)of fine motor function measure(FMFM),level of sitting scale(LSS)and activity daily living scale(ADL)before and at 6-month,12-month after the treatment. Result:After 6 months of treatment,there was no significant difference in GMFM-88 area A and B score,LSS score,FMFM area A and B score and ADL score between the study group and the control group(P＞0.05),whereas after 12 months of treatment,the scores of the research group were significantly higher than those of the control group(P＜0.05).As treatment duration increased,the scores of both groups increased.Group classification,time and the interaction between time and group had significant effects on GMFM-A,GMFM-B,LSS and FMFM-B scores.Time and interaction between time and group had significant effects on FMFM-A and ADL scores. Conclusion:GDT can improve gross motor function,sitting ability,fine motor function,and the activities of daily living in children with severe cerebral palsy.
