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《Journal of Applied Clinical Pediatrics》 2010-13
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Curative Effect of Conductive Education on Gross Motor Function and Activities of Daily Living in Children with Cerebral Palsy

RUI Fang,WU De,TANG Jiu-lai,YANG Li,WEI Wei,DUAN Jun,NI Kun (Department of Neurological Rehabilitation Center of Pediatrics,the First Affiliated Hospital of Anhui Medical University,Hefei 230022,Anhui Province,China)  
Objective To study the rehabilitation effects of conductive education on gross motor function and activities of daily living(ADL) in children with cerebral palsy(CP).Methods The first stay 233 children with CP over 12 months old were administered with conductive education combined with Bobath therapy as study group(n=94) and control group was administered with Bobath therapy only(n=139).Gross motor function measure 88(GMFM-88) and ADL were applied for assessment before and after treatment.Results Before treatment,the scores of GMFM-88 had no significant difference between study group and control group(t=0.610,P0.05),and the differences of pre-and post-treatment were more remarkable in study group than that in control group (t=2.277,P0.05).In 1-3 years old,the difference pre-treatment and post-treatment were more remarkable in study group than that in control group(P0.05).The scores of GMFM-88 after treatment obviously increased compared with those before treatment in 2 groups(t=25.301,18.348,Pa0.01).Before treatment,there was no significant difference between the 2 groups in scores of ADL (t=1.968,P0.05).After treatment,the scores increased in both groups(t=11.585,15.249,Pa0.01),and the differences between pre-and post-treatment were more remarkable in study group than those in control group (t=7.593,P0.01).There was a significant difference of pre-treatment and post-treatment between study group and control group in several age-group(Pa0.01).Conclusions Both conductive education combined with Bobath therapy and single Bobath therapy can improve gross motor function and ADL in children with CP,but conductive education combined with Bobath therapy is more effective than single Bobath therapy.
【Fund】: 安徽省国际科技合作计划项目(06088019)
【CateGory Index】: R742.3
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