Chinese General Practice ›› 2022, Vol. 25 ›› Issue (07): 867-873.DOI: 10.12114/j.issn.1007-9572.2021.00.310
Special Issue: 儿科最新文章合集
• Original Research·Clinical Practice and Improvement • Previous Articles Next Articles
Effect of Vestibular Training with Regular Rehabilitation on the Overall Development of Children with Global Developmental Delay and Hypotonia: a Randomized Controlled Trial
1.Rehabilitation Center,the Second Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin 150001,China
2.Graduate School of Heilongjiang University of Chinese Medicine,Harbin 150040,China
*Corresponding author:WANG Yan,Chief physician,Professor,Master supervisor;E-mail:swallow-1113@163.com
Received:
2021-07-22
Revised:
2021-09-05
Published:
2022-03-05
Online:
2022-03-02
通讯作者:
王艳
基金资助:
CLC Number:
WANG Yan, WUYUN Tana, XIANG Dongliang, ZHAO Mingyue, YUAN Yiming.
Effect of Vestibular Training with Regular Rehabilitation on the Overall Development of Children with Global Developmental Delay and Hypotonia: a Randomized Controlled Trial [J]. Chinese General Practice, 2022, 25(07): 867-873.
组别 | 例数 | 性别(男/女) | 月龄〔n(%)〕 | |
---|---|---|---|---|
12~18个月 | 19~24个月 | |||
对照组 | 30 | 14/16 | 18(60.0) | 12(40.0) |
观察组 | 30 | 17/13 | 14(46.7) | 16(53.3) |
χ2值 | 0.601 | 1.071 | ||
P值 | 0.438 | 0.301 |
Table 1 Comparison of general information of children with global developmental delay and hypotonia in two groups
组别 | 例数 | 性别(男/女) | 月龄〔n(%)〕 | |
---|---|---|---|---|
12~18个月 | 19~24个月 | |||
对照组 | 30 | 14/16 | 18(60.0) | 12(40.0) |
观察组 | 30 | 17/13 | 14(46.7) | 16(53.3) |
χ2值 | 0.601 | 1.071 | ||
P值 | 0.438 | 0.301 |
组别 | 例数 | A运动 | B个人与社会 | C语言 | D手眼协调 | E视觉表现 | |||||
---|---|---|---|---|---|---|---|---|---|---|---|
干预前 | 干预后 | 干预前 | 干预后 | 干预前 | 干预后 | 干预前 | 干预后 | 干预前 | 干预后 | ||
对照组 | 30 | 24.42±8.30 | 33.08±9.25a | 27.00±7.58 | 35.83±8.21a | 25.25±6.77 | 37.33±10.15a | 24.33±7.22 | 38.67±9.28a | 24.67±7.65 | 38.00±8.57a |
观察组 | 30 | 25.58±5.46 | 53.83±7.03a | 24.00±6.52 | 54.00±7.00a | 23.33±4.22 | 53.17±6.50a | 24.25±5.54 | 54.33±8.28a | 22.75±7.41 | 53.33±6.61a |
t值 | -0.608 | -9.778 | 1.643 | -9.225 | 1.316 | -7.197 | 0.050 | -6.901 | 0.986 | -7.760 | |
P值 | 0.546 | <0.001 | 0.106 | <0.001 | 0.193 | <0.001 | 0.960 | <0.001 | 0.328 | <0.001 |
Table 2 Comparison of normative percentages of five subscales of GMDS between two groups of children with global developmental delay and hypotonia before and after treatment
组别 | 例数 | A运动 | B个人与社会 | C语言 | D手眼协调 | E视觉表现 | |||||
---|---|---|---|---|---|---|---|---|---|---|---|
干预前 | 干预后 | 干预前 | 干预后 | 干预前 | 干预后 | 干预前 | 干预后 | 干预前 | 干预后 | ||
对照组 | 30 | 24.42±8.30 | 33.08±9.25a | 27.00±7.58 | 35.83±8.21a | 25.25±6.77 | 37.33±10.15a | 24.33±7.22 | 38.67±9.28a | 24.67±7.65 | 38.00±8.57a |
观察组 | 30 | 25.58±5.46 | 53.83±7.03a | 24.00±6.52 | 54.00±7.00a | 23.33±4.22 | 53.17±6.50a | 24.25±5.54 | 54.33±8.28a | 22.75±7.41 | 53.33±6.61a |
t值 | -0.608 | -9.778 | 1.643 | -9.225 | 1.316 | -7.197 | 0.050 | -6.901 | 0.986 | -7.760 | |
P值 | 0.546 | <0.001 | 0.106 | <0.001 | 0.193 | <0.001 | 0.960 | <0.001 | 0.328 | <0.001 |
组别 | 例数 | AQ | BQ | CQ | DQ | EQ | GQ | ||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
干预前 | 干预后 | 干预前 | 干预后 | 干预前 | 干预后 | 干预前 | 干预后 | 干预前 | 干预后 | 干预前 | 干预后 | ||
对照组 | 30 | 81.34±6.19 | 87.95±5.55a | 79.37±6.20 | 86.08±6.39a | 82.55±4.86 | 90.19±5.84a | 81.89±6.37 | 90.09±5.08a | 82.59±5.12 | 90.52±5.18a | 82.71±3.13 | 89.84±3.31a |
观察组 | 30 | 80.99±5.24 | 99.71±4.29a | 81.66±4.63 | 99.74±4.94a | 81.11±4.54 | 99.00±4.12a | 82.62±4.85 | 99.35±4.75a | 80.33±5.09 | 99.05±3.44a | 81.49±1.96 | 99.37±1.76a |
t值 | 0.241 | -9.182 | -1.616 | -9.268 | 1.182 | -6.756 | -0.498 | -7.286 | 1.712 | -7.527 | 1.801 | -13.951 | |
P值 | 0.811 | <0.001 | 0.111 | <0.001 | 0.242 | <0.001 | 0.620 | <0.001 | 0.092 | <0.001 | 0.077 | <0.001 |
Table 3 Comparison of five developmental quotient subscales of GMDS between two groups of children with global developmental delay and hypotonia before and after treatment
组别 | 例数 | AQ | BQ | CQ | DQ | EQ | GQ | ||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
干预前 | 干预后 | 干预前 | 干预后 | 干预前 | 干预后 | 干预前 | 干预后 | 干预前 | 干预后 | 干预前 | 干预后 | ||
对照组 | 30 | 81.34±6.19 | 87.95±5.55a | 79.37±6.20 | 86.08±6.39a | 82.55±4.86 | 90.19±5.84a | 81.89±6.37 | 90.09±5.08a | 82.59±5.12 | 90.52±5.18a | 82.71±3.13 | 89.84±3.31a |
观察组 | 30 | 80.99±5.24 | 99.71±4.29a | 81.66±4.63 | 99.74±4.94a | 81.11±4.54 | 99.00±4.12a | 82.62±4.85 | 99.35±4.75a | 80.33±5.09 | 99.05±3.44a | 81.49±1.96 | 99.37±1.76a |
t值 | 0.241 | -9.182 | -1.616 | -9.268 | 1.182 | -6.756 | -0.498 | -7.286 | 1.712 | -7.527 | 1.801 | -13.951 | |
P值 | 0.811 | <0.001 | 0.111 | <0.001 | 0.242 | <0.001 | 0.620 | <0.001 | 0.092 | <0.001 | 0.077 | <0.001 |
组别 | 例数 | 肌张力评分〔M(QR),分〕 | 肌张力改善情况〔n(%)〕 | |||
---|---|---|---|---|---|---|
干预前 | 干预后 | 显效 | 有效 | 无效 | ||
对照组 | 30 | 1.00(1.00) | 2.00(1.00)a | 9(30.0) | 8(26.7) | 13(43.3) |
观察组 | 30 | 1.00(2.00) | 3.00(1.00)a | 17(56.7) | 9(30.0) | 4(13.3) |
Z值 | -1.728 | -2.347 | 7.285 | |||
P值 | 0.084 | 0.019 | 0.026 |
Table 4 Comparison of pre- and post-intervention muscle tone levels between two groups of children with global developmental delay and hypotonia
组别 | 例数 | 肌张力评分〔M(QR),分〕 | 肌张力改善情况〔n(%)〕 | |||
---|---|---|---|---|---|---|
干预前 | 干预后 | 显效 | 有效 | 无效 | ||
对照组 | 30 | 1.00(1.00) | 2.00(1.00)a | 9(30.0) | 8(26.7) | 13(43.3) |
观察组 | 30 | 1.00(2.00) | 3.00(1.00)a | 17(56.7) | 9(30.0) | 4(13.3) |
Z值 | -1.728 | -2.347 | 7.285 | |||
P值 | 0.084 | 0.019 | 0.026 |
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