《中国康复理论与实践》

《中国康复理论与实践》 ›› 2013, Vol. 19 ›› Issue (10): 960-962.

• 论文 • 上一篇    下一篇

推拿对痉挛型脑性瘫痪患儿肌张力和运动功能的影响

刘璨，王跑球，刘跃琴，刘洪文，龙亚君   

  1. 湖南省儿童医院康复二科，湖南长沙市410007。
  • 收稿日期:2013-04-15 修回日期:2013-06-09 出版日期:2013-10-25 发布日期:2013-10-25
  • 通讯作者: 王跑球

Effect of Manipulation on Muscle Tension and Motor Function of Children with Spastic Cerebral Palsy

LIU Can, WANG Pao-qiu,LIU Yue-qin, et al.   

  1. Rehabilitation Center of Hunan Children's Hospital, Changsha 410007, Hunan, China
  • Received:2013-04-15 Revised:2013-06-09 Published:2013-10-25 Online:2013-10-25

PDF (PC)

被引次数

25

摘要： 目的探讨推拿对痉挛型脑瘫患儿肌张力和运动功能的影响。方法将80 例痉挛型脑瘫患儿分成两组，每组40 例，两组均进行运动、针灸、电疗、中药蒸气浴等康复治疗，观察组在运动治疗前和运动治疗中进行推拿治疗。治疗前后由专人用改良Ashworth 量表(MAS)和粗大运动功能测试(GMFM-88)对患儿肌张力和粗大运动功能行进评定。结果治疗3 个月后，两组MAS评分较治疗前显著降低(P<0.001)，且观察组显著低于对照组(P<0.001)；两组GMFM-88 评分较治疗前显著提高(P<0.001)，且观察组显著高于对照组(P<0.001)。结论推拿能进一步改善肌张力，提高脑瘫患儿粗大运动功能。

关键词: 痉挛, 脑性瘫痪, 推拿, 神经发育疗法, 改良Ashworth 量表, 粗大运动功能测试

Abstract: Objective To explore the effect of manipulation on muscle tension and motor function of children with spastic cerebral palsy.Methods 80 children with spastic cerebral palsy were divided into observation group and control group with 40 cases in each group.Both groups were treated with exercise, acupuncture, electrotherapy, Chinese medicine steam bath. The observation group received massage treatment before and during exercise treatment. Modified Ashworth Scale (MAS) and Gross Motor Function Measure-88 (GMFM-88) were used to evaluate the muscle tension and motor function. Results 3 months after treatment, the MAS score decreased and the score of GMFM-88 increased significantly in both groups (P<0.001), and the MAS score was lower, and the score of GMFM-88 was higher in the observation group than in the control group (P<0.001). Conclusion Manipulation can further improve the muscle tension and the motor function of children with spastic cerebral palsy.

Key words: spasm, cerebral palsy, manipulation, neurodevelopment treatment, modified Ashworth Scale, Gross Motor Function Measure-88