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肌内效贴辅助作业疗法改善脑瘫痉挛型偏瘫患儿前臂旋前的效果观察 被引量:6

Observation on the effect of intramuscular effect sticker assisted occupational therapy on improving the pronation of forearm in children with cerebral palsy spastic hemiplegia
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摘要 目的 探讨脑瘫痉挛型偏瘫患儿实施肌内效贴辅助作业疗法对前臂旋前的改善效果.方法 选取2017年1月至2018年12月本院神经科脑瘫痉挛型偏瘫80例患儿纳入研究,用计算机进行随机数表分组,分为基础组与辅助组,各40例.基础组运用作业疗法,辅助组实施肌内效贴辅助作业疗法,分析患儿肌张力及上肢运动功能恢复状况.结果 辅助组干预6个月后上肢肌张力分布状况优于基础组(P<0.05).辅助组干预6个月后PDI、GMFM、PDMS-FM、手功能、前臂旋后角度高于基础组,差异有统计学意义(P<0.05).结论 脑瘫痉挛型偏瘫患儿实施肌内效贴辅助作业疗法可促进肌张力恢复,改善前臂旋前及上肢功能. Objective To explore the effect of intramuscular effect sticking assistant occupational therapy on the improvement of pronation of forearm in children with spastic hemiplegia of cerebral palsy.Methods 80 children with spastic hemiplegia in neurology department from January 2017 to December 2018 in our hospital were included in the study.They were randomly divided into basic group and auxiliary group,with 40 cases in each group.The basic group was treated with occupational therapy,the auxiliary group was treated with intramuscular effect sticking assistant occupational therapy,and the recovery of muscle tension and upper limb motor function was analyzed.Results After 6 months of intervention,the distribution of upper limb muscle tension in the auxiliary group was better than that in the basic group(P<0.05).After 6 months of intervention,PDI,GMFM,PDMS-FM,hand function,forearm supination angle in the auxiliary group were significantly higher than those in the basic group(P<0.05).Conclusion Intramuscular effect sticking assistant occupational therapy can promote the recovery of muscle tension and improve the function of forearm pronation and upper limb in children with spastic hemiplegia.
作者 李艳梅 Li Yanmei(Department of Operational Therapy,Rehabilitation Treatment Center,Shenyang Children's Hospital,Shenyang,Liaoning,110032,China)
出处 《当代医学》 2020年第20期37-39,共3页 Contemporary Medicine
关键词 脑瘫痉挛型偏瘫 肌内效贴 作业疗法 前臂旋前 运动功能 Cerebral palsy spastic hemiplegia Intramuscular patch Occupational therapy Forearm pronation Motor function
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