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马丙祥,马 新,叶玉香,李华伟,张建奎.抑强扶弱推拿法治疗痉挛型脑性瘫痪的临床研究[J].中国康复医学杂志,2018,(11):1279~1283
抑强扶弱推拿法治疗痉挛型脑性瘫痪的临床研究    点此下载全文
马丙祥  马 新  叶玉香  李华伟  张建奎
河南中医药大学第一附属医院,河南郑州,450000
基金项目:河南中医学院第一附属医院临床研究支持项目(2013KJ14);河南省中医药研究专项课题(2017ZY2059)
DOI:
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摘要:
      摘要 目的:观察抑强扶弱推拿法治疗痉挛型脑性瘫痪的临床疗效。 方法:将符合纳入标准的89例痉挛型脑瘫患儿随机分为治疗组和对照组,其中治疗组46例,对照组43例,治疗组采用抑强扶弱推拿法,对照组予常规推拿法。两组均给予基本综合康复训练方案(运动疗法、作业疗法、物理疗法、中药熏蒸等)。治疗8周后,比较两组患儿总体疗效、粗大运动功能测试量表(GMFM)总百分比、肌张力及关节活动度变化情况。 结果:治疗组总有效率为90.7%,对照组总有效率为75.6%,治疗组优于对照组(P<0.05);两组治疗后均能提高患儿GMFM总百分比、缓解肌张力、改善关节活动度(P<0.05),但治疗组均较对照组改善显著(P<0.05)。 结论:两种推拿方法均能改善痉挛型脑瘫患儿的粗大运动功能、肌张力及关节活动度,但抑强扶弱推拿法较常规推拿法疗效更为显著,可作为一种有效的方法应用于临床。
关键词:痉挛型脑瘫  痉挛肌  拮抗肌  抑强扶弱推拿法
Clinical research of massage for relaxing spastic muscles and stimulating the antagonistic muscles on spastic cerebral palsy    Download Fulltext
The First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou, 450000
Fund Project:
Abstract:
      Abstract Objective: To observe the clinical efficacy on the massage for relaxing spastic muscles and stimulating the antagonistic muscles on spastic cerebral palsy. Method: Eighty-nine cases with spastic cerebral palsy conformed to the conclusion criteria were randomized into the treatment group(46 cases, treated with the massage for relaxing spastic muscles and stimulating the antagonistic muscles)and the control group(43 cases, treated with the conventional massage). Both groups are treated with basic comprehensive rehabilitation training programme (physical therapy, occupational therapy, physiotherapy and Chinese herbal fumigation etc). After 8 weeks of treatment, overall therapeutic effect,total percentage of Gross Motor Function Measurement(GMFM),muscle tension and range of motion were compared. Result: The total effective rate of 90.7% in the treatment group was superior to 75.6% in the control group(P<0.05), the total percentage of GMFM increased,muscle tension relieved,range of motion improved in both groups after treatment(P<0.05), but the indices above all improved more significantly in the treatment group than those in the control group(P<0.05). Conclusion: Both kinds of massage can improve the gross motor function, muscle tension and range of motion in children with spastic cerebral palsy, while the curative effect of the massage for relaxing spastic muscles and stimulating the antagonistic muscles was more significantly than the conventional massage, and can be applied to clinic.
Keywords:spastic cerebral palsy  spasmodic muscle  antagonistic muscle  the massage for relaxing spastic muscles and stimulating the antagonistic muscles
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