目的 探讨悬吊疗法联合肌内效贴应用于痉挛型脑瘫儿童行走能力的治疗疗效,以期为脑瘫患儿的康复训练提供理论依据。方法 对2017年3－12月湘雅博爱康复医院收治的579例痉挛型脑瘫儿童中随机抽取90例作为研究对象,采用随机数字法分为常规组、肌贴组和实验组,每组30例。常规组行常规综合性康复治疗,肌贴组行常规康复和肌内效贴,实验组在肌贴组治疗方法的基础上加上悬吊疗法。采用临床痉挛指数(CSI)、Berg平衡量表(BBS)和粗大运动功能评定量表-E区(GMFM-E区)来评估治疗前和治疗后100 d三组的痉挛情况、平衡功能和和行走功能。结果 治疗100 d后,三组CSI评分均降低,BBS、GMFM-E区评分均增高(P＜0.001),实验组各项评分指标效果最佳,较肌贴组和常规组改善显著(P＜0.05)。结论 悬吊疗法联合肌内效贴可有效缓解痉挛型脑瘫儿童下肢痉挛,并提高平衡功能和步行能力。
Abstract
Objective To explore the therapy effect of sling exercise therapy combined with Kinesio taping on children′s walking ability in children with spastic cerebral palsy,so as to provide evidence for the rehabilitation training. Methods A total of 90 children with spastic cerebral palsy in Xiangya Boai Rehabilitation Hospital were enrolled in this study from March to December 2017,and were divided into routine group,muscle group and experiment group,with 30 cases in each group.Routine group was given general comprehensive rehabilitation therapy,muscle group received Kinesio taping additionally,and experimental group received sling exercise therapy based on muscle group.Clinical spasm index (CSI),Berg Balance Scale (BBS) and Gross Motor Function Measure E zone (GMFM-E) were used to assess muscle spasm situation,balance function and walking function before treatment and 100 days after treatment. Results After the treatment of 100 days,CSI score of three groups decreased,and the scores of BBS and GMFM-E both increased (P<0.001).The CSI score,BBS score and GMFM-E score of the experiment group improved obviously,better than those of the muscle group and routine group (P<0.01). Conclusion Sling exercise therapy combined with kinesio taping can effectively relieve muscle spasm of children with spastic cerebral palsy,and improve their balance ability and walking function.
关键词
痉挛型脑瘫 /
悬吊疗法 /
肌内效贴 /
肌张力 /
平衡 /
行走能力
Key words
spastic cerebral palsy /
sling exercise therapy /
kinesio taping /
muscle tension /
balance /
walking ability
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基金
国家临床重点专科建设项目([2013]544号)
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