ICF框架下精准视知觉训练联合视频反馈在脑瘫高危儿中的应用研究

A study on the application of precision visual perception training combined with video feedback under the ICF framework in high-risk infants with cerebral palsy

摘要

目的 探讨国际功能、残疾和健康分类(ICF)框架下精准视知觉训练联合视频反馈对脑瘫高危儿的影响。方法 纳入2023年4月至2024年4月在徐州医科大学附属徐州儿童医院就诊的脑瘫高危儿60例,按随机数字表法分为两组:对照组30例予以常规综合干预,治疗组30例在常规综合干预的基础上予以精准视知觉训练联合视频反馈.干预后3个月和6个月,采用Gesell发育诊断量表(GDDS)、粗大运动功能测试量表(GMFM)、精细运动功能评定量表(FMFM)进行康复训练后的疗效评估。结果 两组脑瘫高危儿干预3个月后的适应性能区GDDS评分和语言能区GDDS评分、GMFM总分、FMFM总分均较治疗前显著提高(对照组:t值分别为-13.852、-32.600、-25.104、-28.396,P<0.001;治疗组:t值分别为-12.500、-64.181、-41.827、-97.893,P<0.001);干预6个月后,两组以上评分较治疗3个月后亦显著提高(对照组:t值分别为-33.619、-39.198、-96.105、-114.237,P<0.001;治疗组:t值分别为-28.411、-62.629、-80.912、-203.747,P<0.001);与对照组相比,干预3个月、6个月后,治疗组患者以上评分提高幅度更大(3个月后:t值分别为7.036、13.677、15.956、32.809,P<0.001;6个月后:t值分别为9.269、19.297、17.623、29.343,P<0.001)。结论 ICF框架下精准视知觉训练联合视频反馈可促进脑瘫高危儿粗大运动功能、精细运动功能、语言和认知功能的全面发育,提高康复训练效果.

Abstract

Objective To investigate the effect of precise visual perception training combined with video feedback under the International Classification of Functioning, Disability and Health (ICF) framework on high-risk infants with cerebral palsy. Methods A total of 60 high-risk infants with cerebral palsy who were treated at Xuzhou Children's Hospital, affiliated with Xuzhou Medical University, between April 2023 and April 2024 were enrolled. Participants were randomly assigned to two groups using a random number table. 30 infants in the control group received routine comprehensive intervention, while 30 infants in the treatment group received precise visual perception training combined with video feedback in addition to the standard intervention. At 3 and 6 months post-intervention, developmental outcomes were assessed using the Gesell Developmental Diagnostic Scale (GDDS), the Gross Motor Function Measure (GMFM), and the Fine Motor Function Measure (FMFM). Results After 3 months of intervention, both groups showed significant improvements in GDDS adaptive and language domains, as well as in total GMFM and FMFM scores compared with baseline (control group: t=-13.852, -32.600, -25.104 and -28.396, respectively, P<0.001; treatment group: t=-12.500, -64.181, -41.827 and -97.893, respectively, P<0.001). Further improvements were observed in both groups after 6 months (control group: t=-33.619, -39.198, -96.105 and -114.237, respectively, P<0.001; treatment group: t=-28.411, -62.629, -80.912 and -203.747, respectively, P<0.001). The treatment group demonstrated significantly greater improvements in all measures compared with the control group at both time points (after 3 months: t=7.036, 13.677, 15.956 and 32.809, respectively, P<0.001; after 6 months: t=9.269, 19.297, 17.623 and 29.343, respectively, P<0.001). Conclusion Precise visual perception training combined with video feedback within the ICF framework can significantly enhance gross motor, fine motor, language, and cognitive development in high-risk infants with cerebral palsy, thereby improving the overall effectiveness of rehabilitation interventions.

关键词

脑瘫高危儿 / 视知觉训练 / 视频反馈 / 康复训练 / Gesell发育诊断量表 / 国际功能、残疾和健康分类

Key words

high-risk infants with cerebral palsy / visual perception training / video feedback / rehabilitation training / Gesell developmental diagnostic scale / International Classification of Functioning, Disability and Health (ICF)

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