感官集成与Masgutova神经感官运动反射集成计划对双脑儿童控制原始反射和粗运动能力
Mustafa A Mohamed1, Manal Salah El-Dein2,3, Sahar M Nour El-Deen4
1Head of Pediatrics Physical Therapy Department, Al Tawfiq Hospital, Health Insurance, Cairo Branch, Egypt.
概括
马斯古托娃的神经传感运动反射集成 (MNRI) 和感官集成 (SI) 项目都有效地治疗了患有性脑 (CP) 的儿童保留的原始反射. 两种方法都没有显示出改善运动功能或反射控制的显著差异.
科学领域:
- 儿科物理治疗 儿科物理治疗
- 神经康复疗法 神经康复疗法
- 发育儿科 发育儿科
背景情况:
- 保持原始反射与异常的肌肉度,体位控制不佳和儿童缺乏协调有关.
- 这些保留的反射可以显著影响毛细运动功能和发育.
研究的目的:
- 为了比较Masgutova神经传感运动反射集成 (MNRI) 程序与感官集成 (SI) 程序的有效性.
- 确定哪种治疗方法在整合患有性脑的儿童保留的原始反射中更有效.
主要方法:
- 40名患有性双性脑的儿童 (3-6岁) 被随机分配到MNRI组 (n=20) 或SI组 (n=20).
- 两组人都接受了标准化的物理治疗方案,包括拉伸,强化和运动里程碑促进三个月.
- 儿童在干预前后使用总运动功能测量 (GMFM-88) 和皮博迪发育运动量表-2 (PDMS-2) 反射子测试进行了评估.
主要成果:
- 这两组在治疗后的GMFM得分和原始反射控制中都出现了统计学上显著的改善,与治疗前的值相比.
- 在治疗后的结果中,MNRI和SI组之间没有统计学上显著的差异.
结论:
- 无论是MNRI和SI程序都在治疗患有性脑的儿童中同样有效,这些儿童保留了原始的反射和延迟的毛细运动功能.
- 物理治疗师可以利用这两种方法来解决儿科CP的这些特定挑战.
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