Abstract: Background　Children with cerebral palsy (CP) often present with abnormal muscle tone and limitations in balance and walking function, which may further impair activities of daily living. Long-term home-based rehabilitation training may also increase caregiver burden. Conventional home-based rehabilitation still has limitations in training standardization, continuity, and timely feedback, indicating the need for more effective intervention approaches. Objective　To compare the effects of intelligent home-based rehabilitation training and conventional home-based rehabilitation training on functional recovery and caregiver burden in children with CP, and to provide evidence for optimizing home-based rehabilitation programs for children with CP. Methods　A total of 48 children with CP who received rehabilitation training at the Bayi Rehabilitation Center of Sichuan Province from June to October 2025 were enrolled and randomly assigned, using a random number table, to the intelligent home-based rehabilitation group (n=24) or the conventional home-based rehabilitation group (n=24). Both groups received training for 40 minutes per session, once daily, 6 days per week, for 12 consecutive weeks. Functional recovery was evaluated using the Modified Ashworth Scale (MAS), Berg Balance Scale (BBS), Gross Motor Function Measure-88 (GMFM-88) dimensions D and E scores, 6-minute walking distance measured by the 6-minute walk test (6MWT), gait parameters, and the Pediatric Evaluation of Disability Inventory (PEDI). Family-related outcomes were evaluated using home-based training adherence, the Chinese version of the 36-item Short-Form Health Survey (SF-36), and the Chinese version of the Zarit Caregiver Burden Interview (ZBI). Results　Before intervention, there were no significant differences between the two groups in general characteristics, MAS grade distribution, BBS scores, GMFM-88 dimensions D and E scores, 6MWT distance, gait parameters, PEDI scores, or caregiver-related outcomes (P>0.05). After intervention, compared with the conventional home-based rehabilitation group, the intelligent home-based rehabilitation group showed lower MAS grades, higher BBS scores, higher GMFM-88 dimensions D and E scores, longer 6MWT distance, higher gait speed and step length, higher PEDI self-care and mobility scores, and a lower percentage of stance phase (P<0.05). The intelligent home-based rehabilitation group also had a higher training completion rate, fewer training interruptions, higher SF-36 dimension scores in family caregivers, and lower ZBI total, personal burden, and role burden scores (P<0.05). In both groups, MAS grades, BBS scores, GMFM-88 dimensions D and E scores, 6MWT distance, gait parameters, and PEDI scores improved after intervention compared with before intervention, and SF-36 and ZBI scores in family caregivers also improved, with statistically significant differences (P<0.05). Conclusion　Compared with conventional home-based rehabilitation training, intelligent home-based rehabilitation training shows greater effects in improving functional recovery and reducing caregiver burden in children aged 6-9 years with CP classified as Gross Motor Function Classification System (GMFCS) levels Ⅰ-Ⅱ . This study provides preliminary evidence supporting the application of an intelligent home-based rehabilitation system in the rehabilitation of children with CP.

Key words: Cerebral palsy, Intelligent home-based rehabilitation, Recovery of function, Family caregiver burden, Pediatric rehabilitation

摘要： 背景　脑性瘫痪（CP）儿童常存在肌张力异常、平衡及步行功能受限，并进一步影响日常生活活动能力；长期家庭康复训练也易增加照护者负担。常规家庭康复在训练规范性、持续性和反馈及时性方面仍存在一定局限，亟须探索更有效的干预方式。目的　比较智能居家康复训练与常规家庭康复训练对CP儿童功能恢复及家庭照护者负担的影响，为优化CP儿童家庭康复模式提供依据。方法　选取2025年6—10月在四川省八一康复中心接受康复训练的CP儿童48例，采用随机数字表法分为智能居家康复组（24例）和常规家庭康复组（24例）。两组均40 min/次，1次/d，6 d/周，连续干预12周。采用改良Ashworth量表（MAS）、Berg平衡量表（BBS）、粗大运动功能量表-88（GMFM-88）D区和E区评分、6 min步行试验（6MWT）、步态参数及儿科残疾评定量表（PEDI）评价儿童功能恢复效果，并以家庭训练依从性、中文版健康调查简表（SF-36）和中文版Zarit照护者负担量表（ZBI）评价家庭相关结局。结果　干预前，两组一般资料、MAS等级分布、BBS评分、GMFM-88 D区和E区评分、6MWT距离、步态参数、PEDI评分及家庭照护者相关指标比较，差异均无统计学意义（P>0.05）。干预后，与常规家庭康复组相比，智能居家康复组患儿MAS等级更低，BBS评分、GMFM-88 D区和E区评分、6MWT距离、步速、步长及PEDI自理能力和移动能力评分更高，支撑期百分比更低（P<0.05）；智能居家康复组训练完成率更高、训练中断次数更少，家庭照护者SF-36各维度评分更高，ZBI总分、个人负担及角色负担评分更低（P<0.05）。两组患儿干预后MAS等级、BBS评分、GMFM-88 D区和E区评分、6MWT距离、步态参数及PEDI评分均较干预前改善，家庭照护者SF-36和ZBI评分亦较干预前改善，差异均有统计学意义（P<0.05）。结论　与常规家庭康复训练相比，智能居家康复训练对6~9岁、粗大运动功能分级系统Ⅰ~Ⅱ级CP儿童功能恢复及家庭照护负担的改善效果更显著。本研究为智能居家康复系统应用于CP患儿康复提供了初步支持证据。

关键词: 脑性瘫痪, 智能居家康复, 功能恢复, 家庭照护负担, 儿童康复