肌内效贴治疗对产伤性上干型臂丛神经损伤患儿运动功能发育的影响

关键词：肌内效贴  臂丛神经损伤  粗大运动功能测试量表  Peabody运动发育量表  儿童

Keywords:kinesio taping  brachial plexus injury  gross motor function measure  peabody developmental motor scale  children

摘要：

      摘要 目的:观察肌内效贴治疗对产伤性上干型臂丛神经损伤患儿运动功能发育的影响。 方法:选取产伤性上干型臂丛神经损伤患儿20例，随机分成两组：对照组（n=10）进行感觉输入及常规康复训练，观察组（n=10）在对照组的基础上辅以肌内效贴治疗。治疗前和治疗6个月后对患儿进行下列评估：A、Mallet 评分； B、臂丛功能综合评价；C、GMFM-A区评估；D、Peabody精细运动发育量表评估。 结果:两组治疗后，A、B、C、D项评估结果均优于本组治疗前，差异均有显著性意义（P<0.05）。两组治疗前，各项评估的组间差异均无显著性意义，治疗后，观察组A、B、C、D项评估结果均优于对照组，差异均有显著性意义（t=2.172, 2.295，2.305，5.936；P=0.044,0.034，0.036，0.000）。 结论：肌内效贴治疗可改善产伤性上干型臂丛神经损伤患儿上肢功能，并有助于患儿粗大、精细运动功能的发育。

Abstract:

      Abstract Objective：To investigate the influence of kinesio taping on the development of motor function in children with Erb-Duehenne brachial plexus injury caused by birth trauma. Method: Twenty children with Erb-Duehenne brachial plexus injury caused by birth trauma were randomly divided into normal group, observation group, with 20 cases in each group The following assessment were performed before and 6 months after the treatment: A.Mallet, B.comprehensive evaluation on the function of brachial plexus, C.gross motor function measure(GMFM)-A zone,D.peabody developmental motor scale about fine motor(PDMS- 2 FM). Result: The assessments of A, B, C, D were superior to those before the treatment for each group with statistically significant differences(P<0.05). Before the treatment, each assessment between the two groups had no statistical significance. After the treatment, the assessments of A, B, C, D in observation group were superior to those in the control group, and each difference had statistical significance（t=2.172, 2.295,2.305,5.936；P=0.044,0.034,0.036,0.000）. Conclusion: The treatment of kinesio taping could improve the function of upper limb of children with Erb-Duehenne brachial plexus injury, which results in the growth of gross and fine motor function.