《中国康复理论与实践》

《中国康复理论与实践》

• 临床研究 • 上一篇    下一篇

肌内效贴结合悬吊训练对痉挛型偏瘫患儿运动功能的效果①

任素伟，林春，孟兆祥，王继兵，尹正录，陈波   

  1. 江苏省苏北人民医院康复医学科，江苏扬州市225001。
  • 出版日期:2016-11-25 发布日期:2016-12-05

Effects of Kinesio Taping Combining with Sling Exercise on Motor Function for Children with Spastic Hemiplegia

REN Su-wei, LIN Chun, MENG Zhao-xiang, WANG Ji-bing, YIN Zheng-lu, CHEN Bo   

  1. Department of Rehabilitation, Northern Jiangsu People's Hospital, Yangzhou, Jiangsu 225001, China
  • Published:2016-11-25 Online:2016-12-05

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摘要： 目的探讨肌内效贴结合悬吊训练对痉挛型偏瘫患儿运动功能的影响。方法2014 年10 月~2016 年4 月，60 例痉挛型偏瘫脑瘫患儿随机分为常规组(n=20)、悬吊组(n=20)和观察组(n=20)，分别接受常规康复、常规康复+悬吊训练、常规康复+悬吊训练+肌内效贴。治疗前及治疗3 个月后，采用Mallet 评分、改良Ashworth 量表、Peabody 精细运动发育量表、粗大运动功能测试量表(GMFM)-C区对患儿进行评估。结果治疗后，各组Mallet 评分、Peabody 精细运动发育量表评分、GMFM-C区评分均提高(t>2.074, P<0.05)，观察组效果最佳(F>10.032, P<0.001)。观察组治疗后改良Ashworth 量表评分显著降低(t=4.767, P<0.001)，且在三组中最低(F=4.262, P<0.05)。结论肌内效贴结合悬吊训练可更有效改善痉挛型偏瘫患儿上肢功能，促进精细运动功能发育，改善粗大运动功能。

关键词: 脑性瘫痪, 痉挛型偏瘫, 肌内效贴, 悬吊训练, 精细运动, 粗大运动, 儿童

Abstract: Objective To observe the effect of Kinesio taping combining with sling exercise therapy (SET) on the motor function for children with spastic hemiplegia. Methods From October, 2014 to April, 2016, 60 children with spastic hemiplegia of cerebral palsy were randomly divided into control group (n=20), SET group (n=20) and observation group (n=20), who accepted routine rehabilitation, routine rehabilitation+SET and routine rehabilitation+SET+Kinesio taping, respectively. They were assessed with Mallet Score, modified Ashworth Scale (MAS), Peabody Developmental Motor Scale-fine motor (PDMS-2FM) and Gross Motor Function Measure (GMFM)-C zone before and three months after treatment. Results The Mallet Score and the scores of PDMS-2FM and GMFM-C improved in all the groups after treatment (t>2.074, P<0.05), and improved the most in the observation group (F>10.032, P<0.001). The score of MAS decreased in the observation group after treatment (t=4.767, P<0.001), and was the least among these groups (F=4.262, P<0.05). Conclusion Kinesio taping combining with SET can improve the motion in the children with spastic hemiplegia, and promote the development of both fine and gross motor function.

Key words: cerebral palsy, spastic hemiplegia, Kinesio taping, sling exercise therapy, fine motor function, gross motor function, children