摘要
目的分析推拿联合肌内效贴对痉挛型脑瘫患儿足部高肌张力的影响。方法60例痉挛型脑瘫患儿,随机分为对照组和观察组,各30例。对照组给予常规康复治疗,观察组给予推拿+肌内效贴进行治疗。比较两组足部肌张力相关指标、脑血流情况、下肢粗大运动功能评分、步速与步长情况、治疗效果及神经功能评分。结果治疗后,两组患儿左、右足背屈角角度及跟耳试验、股角优于治疗前,且观察组优于对照组(P<0.05)。治疗后,两组患儿大脑中动脉(MCA)、大脑前动脉(ACA)、大脑后动脉(PCA)血流速度及搏动指数(PI)优于治疗前,且观察组MCA、PCA血流速度及PI优于对照组(P<0.05);两组患儿ACA血流速度无差异(P>0.05)。治疗后,观察组粗大运动功能测定量表D区(GMFM-D)评分(32.72±8.56)分、粗大运动功能测定量表E区(GMFM-E)评分(43.68±8.45)分均高于对照组的(25.75±7.88)、(37.54±6.51)分(P<0.05)。治疗后,观察组步速(0.69±0.45)m/s及步长(19.24±2.55)cm优于对照组的(0.41±0.37)m/s、(15.31±1.42)cm(P<0.05)。观察组治疗总有效率100.00%高于对照组的86.67%(P<0.05)。治疗后,两组患儿行为能力、被动肌张力、主动肌张力、原始反射及一般反应评分均高于治疗前,且观察组高于对照组(P<0.05)。结论推拿联合肌内效贴治疗痉挛型脑瘫效果确切,可有效改善患儿足部高肌张力、脑血流、运动功能及神经功能,并提高步速与步长,值得推广。
Objective To analyze the effect of massage combined with Kinesio taping on high muscle tension of foot in children with spastic cerebral palsy.Methods 60 children with spastic cerebral palsy were randomly divided into a control group and an observation group,with 30 cases in each group.The control group was given routine rehabilitation treatment,and the observation group was given massage+Kinesio taping.The muscle tone related indicators,cerebral blood flow,gross motor function score of lower limbs,walking speed,stride length,therapeutic effect and nerve function score were compared between the two groups.Results After treatment,the angle of left and right foot dorsiflexion angle and heel-ear test and femoral angle in both groups were better than those before treatment,and the observation group was better than the control group(P<0.05).After treatment,the blood flow velocity of middle cerebral artery(MCA),anterior cerebral artery(ACA)and posterior cerebral artery(PCA)and pulsatility(PI)in both groups were better than those before treatment;the blood flow velocity of MCA and PCA and PI in the observation group were better than those in the control group(P<0.05).There was no difference in ACA blood flow velocity between the two groups(P>0.05).After treatment,the gross motor function measure-D(GMFM-D)score of the observation group was(32.72±8.56)points and the gross motor function measure-E(GMFM-E)score was(43.68±8.45)points,which were higher than(25.75±7.88)and(37.54±6.51)points in the control group(P<0.05).After treatment,the observation group had walking speed of(0.69±0.45)m/s and stride length of(19.24±2.55)cm,which were better than(0.41±0.37)m/s and(15.31±1.42)cm in the control group(P<0.05).The total effective rate of 100.00%in the observation group was higher than 86.67%in the control group(P<0.05).After treatment,the scores of behavioral ability,passive muscle tension,active muscle tension,primitive reflex and general response in both groups were higher than those before treatment,and the observation
作者
王秩序
黄新芳
施金丽
WANG Zhi-xu;HUANG Xin-fang;SHI Jin-li(Department of Rehabilitation,Quanzhou Children's Hospital,Quanzhou 362000,China)
出处
《中国现代药物应用》
2024年第11期23-27,共5页
Chinese Journal of Modern Drug Application
关键词
推拿
肌内效贴
痉挛型脑瘫
足部高肌张力
Massage
Kinesio taping
Spastic cerebral palsy
High muscle tension of foot
