摘要
目的:探讨运动机能贴布结合运动训练对脑瘫患儿足外翻的临床疗效。方法:于2018年1月—2019年4月在黑龙江中医药大学附属第二医院康复中心进行治疗的2~6岁脑瘫伴有足外翻患儿中,选取符合纳入标准的60例按照随机数字表法分为治疗组和对照组各30例。对照组给予常规治疗(运动疗法、针灸治疗、推拿治疗);治疗组在常规治疗的基础上配合运动机能贴布治疗,贴扎24 h后取下,间隔24 h再贴。2组疗程均为12周。在治疗前后分别对2组采用足印图三线法进行足外翻程度分级和立姿跟骨休息位(RCSP)角度评定。结果:2组治疗前足外翻程度和RCSP角度比较,差异无统计学意义(P>0.05)。与治疗前比较,治疗组治疗后足外翻程度有所改善,差异具有统计学意义(P<0.05);且治疗组治疗后足外翻改善程度优于对照组,差异具有统计学意义(P<0.05);对照组治疗后RCSP角度为(-5.48±1.04)°,治疗组RCSP角度为(-4.83±0.32)°,2组治疗前后RCSP角度进行组内比较,差异均有统计学意义(P<0.001),提示2组RCSP角度治疗后均有所改善;且治疗组治疗后RCSP角度改善情况优于对照组,差异具有统计学意义(P<0.01)。结论:运动机能贴布结合运动训练治疗能够改善脑瘫患儿的足外翻状况。
Objective:To investigate the clinical effect of kinesiology taping combined with exercise training in children with foot valgus caused by cerebral palsy.Methods:The children aged 2 to 6 years old with foot valgus caused by cerebral palsy who were treated in the rehabilitation center of the Second Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine from January 2018 to April 2019 were selected as the research subjects,and 60 cases met the inclusion criteria were selected and were divided into control group and treatment group according to the random number table method,with 30 cases in each group.The control group was given conventional treatment(exercise therapy,acupuncture treatment,massage therapy);the treatment group was given kinesiology taping on the basis of conventional treatment and the patch was removed after 24 hours,followed by another patch at an interval of 24 hours.Both groups were treated 12 weeks.Before and after treatment,the children in both groups were respectively evaluated by footprint map three-line method for foot valgus degree and relaxed calcaneal stance position(RCSP)angle measurement.Results:There was no significant difference between the two groups in terms of foot valgus degree and angle of RCSP before treatment(P>0.05).After 12 weeks'treatment,the foot valgus degree in the treatment group was improved,and the difference was statistically significant compared with before treatment(P<0.05).After treatment the foot valgus degree in the treatment group was better than that in the control group,and the difference was statistically significant(P<0.05).After treatment angle of RCSP in the control group was(-5.48±1.04)°,and angle of RCSP in the treatment group was(-4.83±0.32)°,which was statistically significant compared with before treatment in each group respectively(P<0.001),suggesting that angle of RCSP was improved in both groups.After treatment,the angle of RCSP in the treatment group better than that in the control group,the difference was statistically
作者
郑淞尹
王艳
项栋良
乌云塔娜
杨海凤
李爽
王琰
陈慧杰
ZHENG Songyin;WANG Yan;XIANG Dongliang;WU Yuntana;YANG Haifeng;LI Shuang;WANG Yan;CHEN Huijie(Heilongjiang University of Traditional Chinese Medicine,Harbin,Heilongjiang 150040,China;The Second Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine,Harbin,Heilongjiang 150001,China)
出处
《康复学报》
CSCD
2020年第3期230-234,共5页
Rehabilitation Medicine
基金
黑龙江省中医药学会青年中医药科技创新计划项目(ZHY19-043)。
关键词
脑瘫
足外翻
运动机能贴布
运动训练
cerebral palsy
foot valgus
kinesiology taping
exercise training
