摘要
目的:观察推拿按摩督脉及夹脊穴对脑瘫患儿核心控制能力的影响。方法:选择符合纳入标准的脑性瘫痪患儿72例,随机分为对照组(n=36)和治疗组(n=36),对照组采用常规综合康复方法治疗,治疗组在对照组的基础上加用推拿按摩督脉及夹脊穴的方法治疗。分别在治疗前、治疗12周时,运用粗大运动功能测试量表(GMFM-88)和表面肌电图(SEMG)对脑瘫患儿的粗大运动功能和核心肌群肌力进行评估。结果:最终治疗组完成35例,对照组完成33例。治疗后,两组脑瘫患儿GMFM评分较治疗前均有不同程度的改善(P<0.05),且治疗组脑瘫患儿GMFM总评分大于对照组分,差异均有显著性意义(P<0.05);治疗后,两组脑性瘫痪患儿在中立坐位、仰卧起坐位、后伸位这三种体位下,检测核心肌群表面肌电平均值较组内治疗前均有不同程度的提高(P<0.05),且治疗组脑性瘫痪患儿核心肌群表面肌电平均值均大于对照组,差异均有显著性意义(P<0.05)。结论:推拿按摩督脉及夹脊穴能够提高患儿自身的核心控制能力。
Objective: To observe the effects of naprapathy to governor vessel and jiaji point on core stability of children with cerebral palsy. Method: 72 children with cerebral palsy were randomly divided into control group (n=36) and treatment group (n=36). Control group was treated with routine comprehensive rehabilitation method, and the treatment group was treated with extra naprapathy to governor vessel and jiaji point, on the basis of routine comprehensive rehabilitation method. The gross motor function and core muscles and strength in children with cerebral palsy were evaluated by gross motor function measure (GMFM-88) and surface electromyography (SEMG) respectively before treatment and 12 weeks after treatment. Result: Finally, the ereament group completed 35 cases and the control group completed 33 cases. After treatment, the GMFM score of two groups had different degrees of improvement, compared with before treatment (P<0.05), and the GMFM score of treatment group was higher than that of control group with a significant difference (P<0.05). And the average value of SEMG in the core muscles was improved in different degrees in the two groups under the neutral sitting position, the supine sitting position and the posterior extension position (P<0.05). The average value of treatment group was higher than that of control group, with a significant difference (P<0.05).Conclusion: The results showed that naprapathy to governor vessel and jiaji point can improve the core stability of children with cerebral palsy.
作者
张建奎
姜娴荷
马丙祥
李华伟
冯刚
ZHANG Jiankui;JIANG Xianhe;MA Bingxiang(The First Affliated Hospital of Henan University of Chinese Medicine,450000)
出处
《中国康复医学杂志》
CAS
CSCD
北大核心
2019年第9期1038-1042,共5页
Chinese Journal of Rehabilitation Medicine
基金
河南省中医药科学研究专项普通课题(2015ZY02017)
关键词
脑性瘫痪
推拿按摩
督脉
夹脊穴
核心稳定性
cerebral palsy
naprapathy
governor vessel
jiaji point
core stability
