补髓揉筋推拿手法治疗痉挛型脑瘫患儿30例临床观察

目的观察补髓柔筋推拿手法治疗痉挛型脑瘫的效果。方法60例痉挛型脑瘫患儿随机分为治疗组(30例)和对照组(30例)。两组均采用康复训练治疗,治疗组加用补髓柔筋推拿手法治疗,每周5次,3个月1个疗程。于治疗前和治疗1个疗程后分别采用粗大运动功能测试量表(GMFM66)和修订Ash-worth痉挛分级量表评定疗效。结果两组患儿治疗后与治疗前比较患儿的GMFM66项分值上升,差异有统计学意义(P<0·01)。且治疗组治疗后GMFM66项分值、粗大运动功能改善效果、修订Ashworth痉挛分级评定与对照组比较,差异亦有统计学意义(P<0·05)。结论补髓柔筋推拿手法治疗痉挛型脑瘫较单一康复训练治疗有更好疗效。

英文摘要:

ObjectiveTo observe the therapeutic effect of massage with manipulation of supplementing marrow and kneading tendon (SMKT) on spastic cerebral palsy (CP). MethodsA total of 60 children with CP were randomly assigned to the treatment group and the control group equally. All were treated with rehabilitation training, but massage with SMKT was carried out additionally for those in the treatment group, five times every week and 3 months as a therapeutic course. Clinical efficacy was assessed adopting the gross motor function measurement (GMFM-66) and the revised Ashworth scale (MAS) before and after treatment. ResultsAll children showed significant improvements in GMFM-66 after treatment. Compared with baseline, the improvement was statistically significant (P<0.01). Significant difference was also found between the 2 groups in MAS and in GMFM scores after treatment (P<0.05). ConclusionMassage with SMKT manipulation shows a better effect than rehabilitation training therapy alone in treating spastic CP.

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