摘要
目的观察中西医结合治疗对先天性肌性斜颈患儿的效果。方法回顾性选择2017年10月至2019年9月在本院进行治疗的先天性肌性斜颈患儿80例,根据治疗方案分为治疗组1(n=40)和治疗组2(n=40)。治疗组1进行综合物理疗法,包括被动牵伸、头控训练、姿势矫正和家庭康复。治疗组2在此基础上增加中医推拿手法。比较两组治疗前及治疗6个月后仰卧中立位、颈部旋转和拉伸时双侧胸锁乳突肌的表面肌电信号均方根值(RMS),颈部被动旋转与侧屈的活动度以及头部偏离中线向患侧歪斜的角度。结果治疗前,两组中立位、颈部旋转和拉伸时,患侧胸锁乳突肌RMS均低于健侧(P<0.01),颈部向健侧侧屈、向患侧旋转的活动度明显小于对侧(P<0.01),但两组间均无显著性差异(P>0.05)。治疗后,两组各体位下,患侧胸锁乳突肌RMS,颈部向患侧旋转、向健侧侧屈的活动度均较治疗前明显改善(|t|>3.290,P<0.01),且治疗组2均优于治疗组1(t>2.401,P<0.05)。治疗后,两组头部偏离中线向患侧歪斜的角度均显著减小(t>15.075,P<0.001),且治疗组2显著小于治疗组1(t=-4.971,P<0.001)。结论中医推拿结合综合物理疗法治疗婴儿先天性肌性斜颈优于单纯综合物理疗法。
Objective To study the efficacy of integrative medicine on congenital muscular torticollis.Methods From October,2017 to September,2019,80 children with congenital muscular torticollis were divided into group 1(n=40)and group 2(n=40)according to different treatment schemes.Group 1 received comprehensive physiotherapy,including passive stretching,head control training,posture correction and family rehabilitation.Group 2 received Tuina in addition.Before and six months after treatment,the root mean square(RMS)of surface electromyography of bilateral sternocleidomastoid muscles in supine neutral position,neck rotation and stretch,and the range of motion of passive neck rotation and lateral flexion,and the angle of head deviation from the midline to the affected side were compared.Results Before treatment,the RMS of sternocleidomastoid muscle in each position was lower in the affected side than in the healthy side(P<0.01),and the range of motion of neck when lateral flexion to the healthy side and rotation to the affected side was less than that of the other side(P<0.01)in both groups;however,no significant difference was found between two groups(P>0.05).After treatment,the RMS of EMG of sternocleidomastoid muscle in each position,and the range of motion of neck when lateral flexion to the healthy side and rotation to the affected side improved(|t|>3.290,P<0.01)in both groups,and were better in group 2 than in group 1(t>2.401,P<0.05);the angle of head deviation from the midline to the affected side significantly decreaed(t>15.075,P<0.001)in both groups,and was significantly less in group 2 than in group 1(t=-4.971,P<0.001).Conclusion Integrative medicine is effective on infant with congenital muscular torticollis,which is superior to comprehensive physiotherapy only.
作者
杨晓颜
周璇
毛琳
陈荣霞
靳梦蝶
夏义玲
王姗姗
汪德轩
杜青
YANG Xiao-yan;ZHOU Xuan;MAO Lin;CHEN Rong-xia;JIN Meng-die;XIA Yi-ling;WANG Shan-shan;WANG De-xuan;DU Qing(Department of Rehabilitation Medicine,Xinhua Hospital Affiliated to Medical College of Shanghai Jiaotong University,Shanghai 200092,China;Outpatient Department of the 51st Retired Cadre Retreat,Beijing 100142,China;Chongming Branch of Xinhua Hospital Affiliated to Medical College of Shanghai Jiaotong University,Shanghai 202150,China)
出处
《中国康复理论与实践》
CSCD
北大核心
2020年第8期897-902,共6页
Chinese Journal of Rehabilitation Theory and Practice
基金
上海市进一步加快中医药事业发展三年行动计划(2018年-2020年)(No.ZY(2018-2020)-FWTX-8006)
崇明区医学重点专科项目。
关键词
先天性肌性斜颈
推拿
表面肌电图
congenital muscular torticollis
Tuina
surface electromyography
