摘要
目的：比较靳三针疗法结合MOTOmed智能运动训练与单纯MOTOmed智能运动训练对痉挛型脑性瘫痪患儿下肢功能的疗效差异。方法：将80例痉挛型脑性瘫痪患儿随机分为观察组和对照组,每组40例。观察组予靳三针疗法,穴取四神针、脑三针、智三针、颞三针、膝三针、足三针及承筋、承山等,然后进行MOTOmed智能运动训练,并辅以常规康复训练;对照组予MOTOmed智能运动训练配合常规康复训练。两组均每日治疗1次,20次为一疗程,疗程间休息3～5天,连续进行3个疗程后评估疗效。两组分别于治疗前后进行粗大运动功能（gross motor function measure,GMFM）评估及改良Ashworth量表（modified Ashworth scale,MAS）评估。结果：治疗3个疗程后,两组患儿GMFM评分均较治疗前明显提高（P〈0.01,P〈0.05）,观察组治疗后GMFM评分较对照组增加更明显（55.32±17.10vs 47.48±17.18,P〈0.05）;治疗后观察组的腓肠肌Ashworth痉挛分级疗效总有效率明显高于对照组[90.0%（36/40）vs（72.5%（29/40）,P〈0.05]。结论：靳三针疗法结合MOTOmed智能运动训练可明显改善痉挛型脑性瘫痪患儿下肢功能,疗效优于单纯MOTOmed智能运动训练。
Objective To compare the differences in the efficacy on lower limb motor function in children with spastic cerebral palsy between the combined therapeutic program of Jinthree-needle therapy and MOTOmed intelligent motor training and the simple MOTOmed.Methods Eighty children with spastic cerebral palsy were randomized into an observation group and a control group,40cases in each group.In the observation group,Jin three-needle therapy was used at four mind points,three brain points,three intelligent points,three temporal points,three knee points and three foot points,as well as Chengjin（BL 56）,Chengshen（BL 57）and the other.Additionally,MOTOmed was given in assistance with conventional rehabilitation training.In the control group,MOTOmed and the conventional rehabilitation training were adopted.In the two groups,the treatment was given once a day,20treatments made one session and there were 3to 5days at interval between the two sessions.The efficacy evaluation was performed after continuous 3sessions of treatment.The gross motor function measure（GMFM）and modified Ashworth scale（MAS）were applied for the evaluation before and after treatment in the two groups.Results After 3sessions of treatment,GMFM score was increased apparently as compared with that before treatment in the two groups（P〈0.01,P〈0.05）.After treatment,GMFM score in the observation group was increased more remarkably than that in the control group（55.32±17.10vs 47.48±17.18,P〈0.05）.After treatment,the total effective rate of gastrocnemius Ashworth spasm grade[90.0%（36/40）]in the observation group was better apparently than[72.5%（29/40）]in the control group（P〈0.05）.Conclusion The combined therapeutic program of Jinthree-needle therapy and MOTOmet intelligent motor training improves the lower limb motor function of the children with spastic cerebral palsy and its efficacy is better than simple MOTOmed.
出处
《中国针灸》
CAS
CSCD
北大核心
2014年第7期657-660,共4页
Chinese Acupuncture & Moxibustion
关键词
脑性瘫痪
靳三针疗法
MOTOmed智能运动训练
spastic cerebral palsy
Jin three-needle therapy
MOTOmed intelligent motor training
