镜像反馈疗法结合任务导向训练在偏瘫型脑瘫患儿中的实践效果

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Abstract Objective To explore the practical effect of mirror feedback therapy combined with task-oriented training in children with hemiplegic cerebral palsy. Methods From June 2017 to June 2018, 170 children with hemiplegic cerebral palsy who were admitted to the Department of Children Rehabilitation of Hainan General Hospital for rehabilitation treatment were selected, according to the random number table method, they were divided into Group A (41 cases, conventional rehabilitation therapy), Group B (43 cases, conventional rehabilitation treatment + mirror feedback therapy), Group C (42 cases, conventional rehabilitation treatment + task-oriented training), and Group D (44 cases, conventional rehabilitation treatment + mirror feedback therapy combined with task-oriented training). Before and after treatment, balance function (Berg balance scale [BBS]), walking function status (step speed and step length), grip strength of affected limb, upper limb function (Carroll upper limb function assessment [UEFT]), Wee functional in dependence measure (WeeFIM) and rehabilitation efficacy of children were compared among the four groups. Results After treatment, the BBS score, step speed and step length of the four groups were all higher than those before treatment, and the differences were highly statistically significant (P < 0.01), and the BBS score, step speed and step length after treatment of Group D were larger than those among Group A, B and C, and Group B and Group C were larger than those of Group A, the differences were statistically significant (P < 0.05). After treatment, the grip strength, UEFT scores and WeeFIM scores of the affected limb were all improved in the four groups, and the differences were highly statistically significant (P < 0.01), the grip strength, UEFT scores and WeeFIM scores of the affected limb of Group D were larger than those among Group A, B and C, and Group B and Group C were larger than those of Group A, and the differences were statistically significant (P < 0.05). There were statistically significant differences in the curative effect and total effective rate among the four groups (P < 0.05), and the total effective rate of the Group D was higher than that of the Group A, and the difference was highly statistically significant (P < 0.01). Conclusion In children with hemiplegic cerebral palsy, mirror feedback therapy combined with task-based training can significantly improve balance function, limb motor function and independent ability, and enhance the rehabilitation effect.

Key words： Mirror feedback therapy Task-oriented training Hemiplegic cerebral palsy Effect

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	ZHAO Xiuying1 QUE Lishuang1 LIAO Feng2 LIN Bin1 WU Zhanbo1 PAN Wenjiao1

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ZHAO Xiuying1 QUE Lishuang1 LIAO Feng2 LIN Bin1 WU Zhanbo1 PAN Wenjiao1. Practical effect of mirror feedback therapy combined with task-oriented training in children with hemiplegic cerebral palsy[J]. 中国医药导报, 2020, 17(17): 101-104,108.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2020/V17/I17/101

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