摘要
目的观察"尖足三针"针刺治疗对改善痉挛型脑瘫患儿尖足畸形的临床疗效。方法 2016年1月至12月,本科就诊的120例1~6岁脑瘫患儿随机分为对照组(n=60)和观察组(n=60)。两组均采用常规康复治疗,观察组加用尖足三针针刺治疗。分别于治疗前、后采用粗大运动功能测试(GMFM)、足背屈角、表面肌电均方根值(RMS)进行评估。结果治疗后,观察组GMFM的B、C、D、E四个能区评分及总分显著高于治疗前(t>4.325,P<0.001),且明显高于对照组(t>2.711,P<0.01);观察组足背屈角显著减小(t=17.627,P<0.001),且显著小于对照组(t=15.416,P<0.001)。观察组治疗后踝关节主动跖屈、被动背屈时腓肠肌RMS均明显改善(t≥3.058,P<0.01),被动背屈时腓肠肌RMS优于对照组(t=-2.199,P<0.05)。结论尖足三针针刺治疗能有效地降低腓肠肌肌张力,且不降低腓肠肌肌力,有效改善脑瘫患儿足背屈能力,促进患儿获得站位运动功能。
Objective To explore the effect of Jian Zu San Zhen acupuncture on tip foot in children with spastic cerebral palsy.MethodsFrom January to December,2016,120children with spastic cerebral palsy aged one to six years were randomly divided into control group(n=60)and observation group(n=60).Both groups were treated with conventional rehabilitation,while the observation group added Jian ZuSan Zhen acupuncture.They were evaluated with Gross Motor Function Measure(GMFM),foot dorsiflexion angle and surface electromyography.Results After treatment,the scores of GMFM in B,C,D and E dimensions and the total score significantly increased in the observationgroup(t>4.325,P<0.001),and were higher than that of the control group(t>2.711,P<0.01);the foot dorsiflexion angle significantly decreasedin the observation group(t=17.627,P<0.001),and was significantly less than that of the control group(t=15.416,P<0.001).Theroot mean square(RMS)of surface electromyography of gastrocnemius muscle under active plantarflexion and passive dorsiflexion of anklejoint improved after treatment(t≥3.058,P<0.01),and was better in the observation group than in the control group(t=-2.199,P<0.05).Conclusion Jian Zu San Zhen acupuncture can effectively reduce the gastrocnemius muscle tension,and do not reduce the gastrocnemiusmuscle strength,which could also improve the ability of foot flexion,and facilitate to recover the function of standing and moving.
作者
李诺
赵勇
刘振寰
符文杰
梁碧琪
庞碧徽
LI Nuo;ZHAO Yong;LIU Zhen-huan;FU Wen-jie;LIANG Bi-qi;PANG Bi-hui(Nanhai Maternity and Children's Hospital, Guangzhou Traditional Chinese Medicine University, Foshan, Guangzhou 528200, China)
出处
《中国康复理论与实践》
CSCD
北大核心
2017年第10期1185-1189,共5页
Chinese Journal of Rehabilitation Theory and Practice
基金
2016年佛山市卫生局"医学类科研攻关项目"(No.20160194)
关键词
脑性瘫痪
痉挛
尖足三针
尖足
cerebral palsy
spasm
Jian Zu San Zhen
tip foot
