摘要
目的:探讨针刺核心肌群对痉挛型脑瘫患儿躯干控制的影响。方法:选取坐位平衡障碍的痉挛型脑瘫患儿30例,按照简单随机法分为康复组和针刺组各15例,康复组采用针对坐位平衡障碍的康复治疗,针刺组在康复治疗的基础上进行针刺核心肌群,治疗6个月后采用Pro-kin 254平衡训练检测仪检测躯干控制能力及粗大运动功能测试量表88项(GMFM-88)测评中坐位(B区)的评分。结果:(1)针刺组治疗后躯干控制各指标均优于治疗前(P<0.05),康复组治疗后重心摆动轨迹长度优于治疗前(P<0.05),针刺组躯干平均压力中心(COP)前后方向标准差、COP左右方向标准差、前后方向平均运动速度、左右方向平均运动速度、重心移动椭圆面积的治疗前后差值优于康复组(P<0.05)。(2)2组治疗后GMFM-88项坐位评分均高于治疗前(P<0.05),针刺组GMFM-88项坐位评分的治疗前后差值高于康复组(P<0.05)。结论:针刺核心肌群能够改善痉挛型脑瘫患儿坐位躯干控制能力,同时将运动医学理论引入到针刺治疗中,为改善痉挛型脑瘫患儿运动障碍开拓了一个针刺部位选择的新思路。
Objective：To investigate the effects of core muscle acupuncture on the trunk stability control in children with spastic cerebral palsy. Methods： Thirty cases of spastic cerebral palsy children with sitting disequilibrium were selected and divided into equal two groups by simple randomization. The patients of rehabilitation group were taken regular rehabilitation protocol for sitting disequi- librium, while the patients of acupuncture group were taken core muscle acupuncture combined with the same regular rehabilitation protocol mentioned above. The Pro-kin 254 equilibrium training detector was applied to detect the scores of the trunk control ability af- ter six months therapeutic course, along with those in sitting position （region B） among the 88 items in the gross motor function measure （GMFM-88）. Results： 1 ） All indicators of trunk stability control in the acupuncture group were superior after treatment compared to those before treatment （P〈 0.05 ）; the swinging path length of the center of gravity in the rehabilitation group were better after treat- ment than that before treatment （P〈 0.05 ）; and the differences in the deviations of the center of pressure （COP） in the anterior-poste- rior and left-right directions, the average speeds of movement in the anterior-posterior and left-right directions, along with the ellipse area formed by the shifting of the center of gravity before and after treatment in the acupuncture group were superior to those in the rehabilitation group （P〈0.05）. 2 ） The GMFM-88 scores in sitting position in both groups were better after treatment than those before （P〈0.05）; and the differences in the GMFM-88 scores in sitting position before and after treatment were better in the acupuncture group than that in the rehabilitation group （P〈0.05）. Conclusion：Core muscle acupuncture could improve the trunk control in sitting position in children with spastic cerebral palsy; in addition, the introduction of the sport medicine theories int
作者
张洁
黄卿
李世斌
陈素巧
丁文芳
林栋
ZHANG Jie HUANG Qing LI Shibin CHEN Suqiao DING Wenfan LIN Dong(The Affiliated People＇s Hospital of Fujian University of Traditional Chinese Medicine, Fuzhou, Fujian 350004, China College of A cup uneture and Moxib ustion, Fujian University of Traditional Chinese Medicine, Fuzhou, Fujian 350122, China)
出处
《康复学报》
2017年第3期14-17,22,共5页
Rehabilitation Medicine
基金
国家自然科学基金项目(81273672)
福建省卫生厅中医药科研项目(wzzh201303)
关键词
痉挛型脑瘫
躯干控制能力
核心肌群
针刺
spastic cerebral palsy, trunk control stability, core muscles, acupuncture
