《中国康复理论与实践》

《中国康复理论与实践》 ›› 2013, Vol. 19 ›› Issue (08): 771-774.

• 论文 • 上一篇    下一篇

五行体感音乐对痉挛型脑性瘫痪患儿肌张力的影响

刘振寰，张丽红，赵勇   

  1. 广州中医药大学附属南海妇产儿童医院小儿神经康复科，广东佛山市528200。
  • 收稿日期:2012-11-12 修回日期:2012-12-20 出版日期:2013-08-25 发布日期:2013-08-25

Effect of Vibroacoustic Therapy with Five Elements Music on Muscle Tone of Children with Cerebral Palsy

LIU Zhen-huan,ZHANG Li-hong, ZHAO Yong.   

  1. Department of Children Nerve Rehabilitation of Nanhai Maternity and Kid Hospital, Guangzhou University of TCM, Foshan 528200, Guangdong, China
  • Received:2012-11-12 Revised:2012-12-20 Published:2013-08-25 Online:2013-08-25

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摘要： 目的观察五行体感音乐对脑瘫患儿肌张力的影响。方法将90 例痉挛型脑瘫患儿分为常规治疗组、聆听组(常规治疗+聆听五行角音)、体感音乐组(常规治疗+五行体感音乐)，每组30 例，每次30 min，每天1 次，20 d 为1 个疗程，于1 个疗程前后分别评估患儿双下肢肌张力。结果治疗前三组患儿年龄、性别、关节活动度、肌张力均无显著性差异(P>0.05)。治疗后，聆听组及体感音乐组肌张力较治疗前降低(P<0.05)；体感音乐组下肢髋、膝、踝关节活动度较治疗前改善(P<0.05)。结论五行音乐聆听及体感音乐均可降低痉挛型脑瘫患儿下肢肌张力，五行体感音乐可有效改善下肢关节活动度。

关键词: 脑性瘫痪, 痉挛, 体感音乐, 肌张力, 关节活动度

Abstract: Objective To explore the effect of vibroacoustic therapy with Five Elements Music on muscle tone of children with cerebral palsy. Methods 90 children with spastic cerebral palsy were divided into three groups with 30 cases in each group, named conventional therapy group, listening group and vibroacoustic group. Conventional group was treated with physical therapy, massage and hydrotherapy by Chinese medicine. Listening group were treated by listening to the Jiao Music in addition to the conventional therapy. Vibroacoustic group was treated by vibroacoustic therapy based on the listening group. The listening group and vibroacoustic group were treated for 30 min a day for 20 d. The muscle tone and the range of motion (ROM) of hips, knees and ankle before and after treatment were assessed. Results There was no significant difference in age and gender, as well as the muscle tone in lower limbs and ROM of hips, knees and ankle among 3 groups before treatment (P>0.05). After treatment, the muscle tone decreased in the listening group and the vibroacoustic group (P<0.05).The ROM of hips, knees and ankle improved only in the vibroacoustic group (P<0.05). Conclusion Listening to the Jiao music of Five Elements and vibroacoustic therapy with Jiao music can decrease the muscle tone in lower limbs of children with spastic cerebral palsy. And vibroacoustic therapy with Five Elements Music can also improve the ROM of lower limbs the patients.

Key words: cerebral palsy, spasticity, vibroacoustic therapy, muscle tone, range of motion