KẾT QUẢ PHỤC HỒI CHỨC NĂNG VẬN ĐỘNG THÔ CỦA TRẺ BẠI NÃO THỂ CO CỨNG DƯỚI 6 TUỔI QUA CAN THIỆP KẾT HỢP TẠI BỆNH VIỆN VÀ TẠI NHÀ

Abstract

Objectives: Evaluate gross motor function rehabilitation outcome for children with spastic cerebral palsy under 6 years of age following a central-home combination model intervention. Subjects and methods: Controlled clinical trial, 42 children with spastic cerebral palsy ≤ 6 years old were examined and treated at the Department of Rehabilitation – Saint Paul Hospital from August 2021 to May 2022 divided into 2 groups: A control group of 21 children who were intervened under the previous traditional intervention program in the department; The intervention group consisted of 21 children who were given traditional intervention program with training for parents on cerebral palsy knowledge and practical guidelines for children; the results are compared before and after intervention. We evaluated gross motor function change by GMFM scale before the intervention, after 1 month, and after 3 months. Results: We compared total GMFM scores at 1 month and 3 months post-intervention in both groups compared to pre-intervention times. After 3 months of intervention, the improvement in GMFM score in the intervention group were significantly 2,83 points higher than the control group, this difference is clinically meaningful. Improvement of GMFM scores according to GMFCS II-IV in both the intervention and control groups were not different significantly with p > 0,05. Conclude: Combined intervention between rehabilitation in hospital and parental guidence at home for cerebral palsy improved significantly raw motor function in compared with rehabilitation in hospital alone.