摘要
目的探讨腰腹部按摩治疗痉挛型脑性瘫痪儿童对肌张力及关节活动度的影响。方法选取2017年1月—2019年12月期间南京医科大学附属儿童医院康复科收治的痉挛型脑性瘫痪儿童80例,随机抽签分两组,对照组与观察组各40例,对照组常规康复训练,观察组在对照组基础上腰腹部循经点穴按摩治疗,比较治疗前后患儿肌张力,采用改良Ashworth(Modified ASS,MAS)量表对其进行评估,比较治疗前后关节活动度评分,采用关节量角器测量患儿内收肌角、腘窝角及足背屈角。结果治疗前,两组患儿肌张力内收肌、腘绳肌、腓肠肌三个方面评分组间统计学对比分析显示无明显差异(P>0.05);治疗后,两组患儿肌张力内收肌、腘绳肌、腓肠肌评分组间统计学对比分析显示均得以下降,且观察组下降幅度显著大于对照组(P<0.05);治疗前,两组患儿关节活动度内收肌角、腘窝角、足背屈角三个方面评分组间统计学对比分析显示无明显差异(P>0.05);治疗后,两组患儿关节活动度内收肌角、腘窝角、足背屈角评分组间统计学对比分析显示均得以提升,且观察组提升幅度显著大于对照组(P<0.05)。结论腰腹部按摩治疗痉挛型脑性瘫痪儿童显著改善患儿内收肌、腘绳肌、腓肠肌肌张力及关节内收肌角、腘窝角、足背屈角活动度,具有积极推广价值。
Objective To investigate the effect of waist and abdomen massage on children with spastic cerebral palsy on muscle tone and joint mobility.Methods From January 2017 to December 2019,80 children with spastic cerebral palsy admitted to our hospital were randomly divided into 2 groups,40 cases in each of the control group and the observation group,and routine rehabilitation training in the control group.Group-based meridian acupoint massage therapy was used in the observation group.The muscle tone of the children before and after treatment was compared.The modified Ashworth(MAS)scale was used to evaluate it.The joint mobility scores before and after treatment were compared.The adductor angle,popliteal angle and dorsiflexion angle of the child were measured with a joint protractor.Results Before treatment,statistical analysis of the two groups of children’s muscle adductor muscle,hamstring muscle,gastrocnemius muscle showed no significant difference(P>0.05);after treatment,the two groups of children had muscle addiction statistical comparison analysis between muscle,hamstring and gastrocnemius muscles all showed a decrease,and the decrease in the observation group was significantly greater than that in the control group(P<0.05);before treatment,the statistical analysis of the two groups of children’s joint activity,adductor angle,popliteal angle,and dorsal flexion angle showed no significant difference(P>0.05);after treatment,the joint activity of the two groups of children statistical comparison analysis in the adductor muscle angle,popliteal fossa angle,and dorsal dorsiflexion angle scores showed an improvement,and the increase in the observation group was significantly greater than that in the control group(P<0.05).Conclusion The waist and abdomen massage treatment of spastic cerebral palsy children significantly improves the adductor muscle,hamstring muscle,gastrocnemius muscle tension,and adductor muscle angle,popliteal fossa angle,and dorsal flexion angle activity in children with positive promotion value.
作者
张美芳
朱敏
ZHANG Meifang;ZHU Min(Rehabilitation Center,Jiangsu Coastal Rehabilitation Hospital,Lianyungang Jiangsu222042,China;Department of Rehabilitation,Children's Hospital Affiliated to Nanjing Medical University,Nanjing Jiangsu 210008,China)
出处
《中国卫生标准管理》
2020年第24期110-113,共4页
China Health Standard Management
基金
国家自然科学基金(81401864)。
关键词
腰腹部按摩
痉挛型
脑性瘫痪
肌张力
关节活动度
临床疗效
waist and abdomen massage
spastic type
cerebral palsy
muscle tone
joint mobility
clinical efficacy
