摘要
目的:探讨功能导向的"引带导督"推拿法结合运动训练对痉挛型脑瘫患儿肌张力及粗大运动功能的影响。方法:将符合纳入标准的160例痉挛型脑瘫儿童,根据年龄及粗大运动功能分级(GMFCS)组间均衡的原则,配对后随机分为观察组和对照组。观察组采用以旨在提高核心稳定性、促进脑功能重塑的收引带脉、点按腰部夹脊穴为主的推拿手法,联合抗重力姿势维持与运动训练。对照组采用常规运动疗法。每日治疗1次,每次40 min,每周治疗5 d,共观察3个月。在治疗前后分别采用改良Ashworth痉挛评定量表(MAS)、粗大运动功能评定量表(GMFM)量表进行疗效评定。结果:治疗前后两样本MAS组内比较,差异具有统计学意义(P<0.05)。治疗后两样本组间比较(P>0.05),差异无统计学意义;治疗前后,两样本GMFM量表百分比组内比较及治疗后组间比较(P<0.001),有极显著性差异。结论:"引带导督"推拿法治疗痉挛型脑瘫在提高粗大运动功能方面疗效优于传统运动疗法。
Objective:The aim was to evaluate the effect of Yindai Daodu massage which combines the traditional massage and exercise therapy in spastic children with cerebral palsy on motor functions.Methods:Totally 160 children were paired according to age and GMFCS at first,and then were randomized into the experimental group and the control group.Each child received the massage or the traditional massageonce a day,five times a week for three months.All of the children received the usual care.The primary outcome measures were MAS and GMFM,which were assessed before and after treatment.Results:A total of 159 children completed the trial.(1)No significant difference existed in MAS between the two groups(Z=0.800,P>0.05).However,compared to pre-treatment,both of them showed significant differenceafter treatment(P<0.05).(2)A significant effect of experiment group was found when compared to that of the control group(t=8.913,P<0.001),and both of the two treatments could improve the gross motor function(P<0.001).Conclusion:The Yindai Daodu massage influenced the development of gross motor function more than traditional treatment.
作者
方茜
王琳
徐纯鑫
周永祥
罗军鹏
余平波
米蕴慧
孙克兴
FANG Xi;WANG Lin;XU Chunxin;ZHOU Yongxiang;LUO Junpeng;YU Pingbo;MI Yunhui;SUN Kexing(Shanghai Children's Medical Center,Shanghai Jiao Tong University School of Medicine,Shanghai 200127,China;Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China;Shanghai Rehabilitation&Training Center for the Disabled,Shanghai 200125,China;Community Health Service Center in Quyang Road of Hongkou District,Shanghai 200437,China;Shanghai Jinhui Rehabilitation Hospital,Shanghai 200941,China;Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)
出处
《辽宁中医杂志》
CAS
2019年第12期2629-2631,共3页
Liaoning Journal of Traditional Chinese Medicine
基金
痉挛型脑瘫中医康复治疗方案规范化研究(16401934400)
中医优势病种培育项目—儿童脑瘫及高危(五迟、五软、五硬)[ZY(2018-2020)-ZYBZ-05]
0~3岁高危儿中医保健与康复预防管理模式研究(FYJKZY-EB2).
关键词
脑瘫
推拿
引带导督
粗大运动功能
cerebral palsy
massage
Yindai Daodu massage
gross motor function
作者简介
方茜(1992-),女,浙江人,康复治疗师,硕士,研究方向:儿童精神发育障碍性疾病的评估与治疗。;通讯作者:孙克兴(1968-),男,山东人,副教授,硕士研究生导师,博士,研究方向:儿童精神发育障碍性疾病的中西医结合临床与应用基础研究,E-mail:sunkexing@hotmail.com。
