广西医学

目的探讨绳带疗法联合感觉统合训练治疗感觉统合失调（SID）患儿的效果。方法选取60例SID患儿作为研究对象，采用随机数字表法将其分为常规组及绳带组，每组30例。常规组采用常规感觉统合治疗，绳带组在常规感觉统合治疗基础上加用绳带疗法，疗程均为2个月。比较两组治疗前后的儿童感觉统合评定量表得分、Conners儿童行为问卷得分及Berg平衡量表得分。结果治疗2个月后，两组儿童感觉统合评定量表的前庭功能维度得分、本体感维度得分、学习能力维度得分、总分及Berg平衡量表总分高于治疗前，且绳带组的上述得分高于常规组，绳带组儿童感觉统合评定量表的触觉防御维度得分高于治疗前及常规组（P<0.05）。治疗2个月后，两组Conners儿童行为问卷的学习问题因子得分、冲动-多动因子得分、焦虑因子得分低于治疗前，绳带组的品行问题因子得分、身心障碍因子得分、多动指数因子得分低于治疗前，且绳带组的学习问题因子得分、身心障碍因子得分、焦虑因子得分及多动指数因子得分低于常规组（P<0.05）。结论绳带疗法联合感觉统合训练可改善SID患儿的感觉统合能力、行为问题及平衡功能。

Objective To investigate the effect of rope band therapy combined with sensory integration training for the treatment of children with sensory integration dysfunction (SID). Methods A total of 60 SID children were selected as the research subjects, and they were divided into conventional group or rope band group using the random number table method, with 30 cases in each group. The conventional group received conventional sensory integration therapy, based on which the rope band group received additionally rope band therapy. The course of treatment was 2 months for both groups. The scores of the Children Sensory Integration Rating Scale, the Conners Children Behavioral Questionnaire, and the Berg Balance Scale were compared between the two groups before and after treatment. Results After 2 months of treatment, the vestibular function dimension score, proprioception dimension score, learning ability dimension score, and total score of the Children Sensory Integration Rating Scale, as well as the total score of the Berg Balance Scale, were higher than those before treatment in both groups, and the above indicator scores in the rope band group were higher than those in the conventional group; furthermore, the tactile defensiveness dimension score of Children Sensory Integration Rating Scale in the rope band group was higher than that before treatment and that in the conventional group (P<0.05). After 2 months of treatment, the scores of the learning problems factor, impulsivity⁃hyperactivity factor, and anxiety factor of Conners Children Behavioral Questionnaire were lower than those before treatment in both groups, and the scores of conduct problems factor, psychosomatic disorders factor, and hyperactivity index factor of Conners Children Behavioral Questionnaire in the rope band group were also lower than those before treatment; furthermore, the scores of the learning problems factor, psychosomatic disorders factor, anxiety factor, and hyperactivity index factor of Conners Children Behavioral Questionnaire in the rope band group were lower than those in the conventional group (P<0.05). Conclusion Rope band therapy combined with sensory integration training can improve sensory integration ability, behavioral problems, and balance function in SID children.