目的 研究智能运动训练系统+综合康复训练对痉挛型脑瘫的影响。方法 选择2018年8月—2022年3月收治的痉挛型脑瘫患儿60例,按随机数字表法分为研究组和对照组,每组各30例。研究组开展智能运动训练系统+综合康复训练,对照组实施综合康复训练,测评两组总有效率,干预前后分别评价两组双下肢痉挛（Ashworth）、踝关节活动度（ROM）、粗大运动功能（GMFM）,统计两组干预前后的1 min步行距离、10 m步行时间,对比两组干预结果。结果 研究组总有效率90.00%高出对照组63.33%（P<0.05）。干预前两组Ashworth、ROM、GMFM比较无差异（P>0.05）,干预后研究组Ashworth低于对照组,但ROM、GMFM高出对照组（P<0.05）。干预前两组1 min步行距离、10 m步行时间比较无差异（P>0.05）,干预后研究组1 min步行距离长于对照组,但10 m步行时间短于对照组（P<0.05）。结论 智能运动训练系统+综合康复训练的效果更为显著,能够增强患者运动能力,促进踝关节活动度恢复,减轻下肢痉挛程度,值得推广。
Objective To study the impact of intelligent sports training system and comprehensive rehabilitation training on spastic cerebral palsy. Methods Sixty spastic cerebral palsy children treated from August 2018 to March 2022 were selected and according to random number table method, divided into a research group (n=30, intelligent sports training system and comprehensive rehabilitation training) and a control group (n=30, comprehensive rehabilitation training). The total effective rate and the before and after Ashworth Scale scores, ankle joint range of motion (ROM), Gross Motor Function Measure (GMFM) scores, 1 min walk distance and 10 m walking time were compared. Results The total effective rate in the research group (90.00%) was higher than that in the control group (63.33%) (P<0.05). Before training, the Ashworth Scale scores, ROM, and GMFM scores between the two groups were not significantly different (P>0.05); after training, the Ashworth Scale scores in the research group were lower than the scores in the control group, and the ROM and GMFM scores were higher (P<0.05). Before training, the 1 min walk distance and 10 m walking time between the two groups were not significantly different (P>0.05); after training, the 1 min walk distance in the research group was longer than that in the control group, and the 10 m walking time was shorter (P<0.05). Conclusion The intelligent sports training system and comprehensive rehabilitation training shows more effective results than comprehensive rehabilitation training alone, such as increasing children's athletic ability, promote ankle joint recovery, and reduce lower limb spasm degrees. It is worthy of promotion.
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