Effects of Task-oriented Training Combined with Electromyographic Biofeedback on the Intelligence in Children with Cerebral Palsy

doi:10.12114/j.issn.1007-9572.2018.00.258

Abstract

Abstract: Background　The incidence of cerebral palsy（CP） in China is 2.48‰，with an increasing growth due to rising number of older mothers and environmental pollution.Children with CP are often accompanied by mental retardation，the incidence of which is 40%-65%.In clinical study of CP，task-oriented training and electromyographic biofeedback mainly focus on motor function，but few on intelligence．Objective　To explore the effects of task-oriented training combined with electromyographic biofeedback on the intelligence in children with CP．Methods　We enrolled 69 children with CP from Affiliated Hospital of Guilin Medical University from December 2013 to February 2017 and divided them into the control group （n=34） and observation group （n=35） by a random number table，receiving a 3-month task-oriented training，a 3-month task-oriented training combined with electromyographic biofeedback，respectively.The intelligence quotient （IQ） of both groups before and after intervention was assessed by the Chinese Binet-Simon Intelligence Handbook （CBIH，fourth edition） and Chinese Wechsler Young Children Scale of Intelligence （C-WYCSI）．Results　Except for 5 cases of dropouts and exclusion，the other 64 （including 31 from the control group and 33 from the observation group） who completed the intervention were included in the final analysis.Before intervention，the mean IQ scores assessed by CBIH and C-WYCSI were similar in both groups （P>0.05）．After intervention，they increased significantly in both groups （P<0.05）．Moreover，greater increases were found in the observation group rather than the control group （P<0.05）．Conclusion　Task-oriented training combined with electromyographic biofeedback can better improve the intelligence level in children with CP.

Key words: Cerebral palsy, Task oriented training, Biofeedback, Intelligence

摘要： 背景　我国脑性瘫痪发病率为2.48‰，由于高龄产妇增多和环境污染等因素，脑性瘫痪发病率呈上升趋势。脑性瘫痪患儿常伴随智力发育落后，其发生率为40%~65%。任务导向性训练及肌电生物反馈在脑性瘫痪的临床研究中，以针对运动功能为主，而针对智力方面的研究较为鲜见。目的　探讨任务导向性训练结合肌电生物反馈对脑性瘫痪患儿智力的影响。方法　选取2013年12月—2017年2月桂林医学院附属医院就诊的脑性瘫痪患儿69例为研究对象，采用随机数字表法分为对照组34例和观察组35例。对照组采用任务导向性训练；观察组采用任务导向性训练结合肌电生物反馈。两组治疗时间均为3个月。采用中国-比内智力测验手册及中国-韦氏幼儿智力量表测评两组患儿治疗前、后的智商（IQ）。结果　试验完成时，剔除及脱落病例5例，有效研究病例64例，其中对照组31例，观察组33例。治疗前，两组患儿中国-比内智力测验手册及中国-韦氏幼儿智力量表IQ比较，差异均无统计学意义（P>0.05）；治疗后，观察组患儿中国-比内智力测验手册及中国-韦氏幼儿智力量表IQ较对照组升高（P<0.05）；两组患儿治疗后中国-比内智力测验手册及中国-韦氏幼儿智力量表IQ较治疗前升高（P<0.05）。结论　任务导向性训练结合肌电生物反馈能更有效地提高脑性瘫痪患儿的智力水平。

关键词: 脑性瘫痪, 任务导向性训练, 生物反馈, 智力

CHEN Cai*,ZHOU Yuanjing,TANG Lingjian, et al. Effects of Task-oriented Training Combined with Electromyographic Biofeedback on the Intelligence in Children with Cerebral Palsy　[J]. Chinese General Practice, 2019, 22(11): 1355-1359. DOI: 10.12114/j.issn.1007-9572.2018.00.258.
陈才,周远京,唐羚健等. 任务导向性训练结合肌电生物反馈对脑性瘫痪患儿智力的影响研究[J]. 中国全科医学, 2019, 22(11): 1355-1359. DOI: 10.12114/j.issn.1007-9572.2018.00.258.

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