上海针灸杂志Issue(9):829-832,4.DOI:10.13460/j.issn.1005-0957.2015.09.0829
头针配合MOTOmed虚拟情景训练对痉挛型脑瘫患者粗大运动功能及ADL的影响
Effect of Scalp Acupuncture plus MOTOmed Virtual Scene Training on Gross Motor Function and ADL in Patients with Spastic Cerebral Palsy
张彩侠 1高晶 1王丽娜 1何璐娜 1彭春艳1
作者信息
- 1. 扬州大学医学院附属淮安市妇幼保健院儿童康复中心,淮安 223002
- 折叠
摘要
Abstract
Objective To investigate the effect of scalp acupuncture plus MOTOmed virtual scene training on gross motor function and ADL in patients with spastic cerebral palsy. Methods Thirty patients with spastic cerebral palsy meeting the inclusion criteria were randomly allocated to a treatment group of 12 cases and a control group of 18 cases. The control group received routine rehabilitation therapy and the treatment group, scalp acupuncture plus MOTOmed virtual scene training in addition. Adductor, gastrocnemius and hamstring muscle tensions were determined using the Modified Ashworth Scale (MAS), gross motor function was measured using the Gross Motor Scale and the activities of daily living were assessed using the ADL in the two groups of patients before and after treatment. Results There were statistically significant pre-/post-treatment differences in adductor, gastrocnemius and hamstring muscle tensions in the treatment group (P<0.05). There was a statistically significant pre-/post-treatment difference in adductor muscle tension in the control group (P<0.05). There were statistically significant post-treatment differences in gastrocnemius and hamstring muscle tensions between the treatment and control groups (P<0.05). There were statistically significant pre-/post-treatment differences in the foot dorsiflexion angle and popliteal fossa angle in the treatment group (P<0.05). There was a statistically significant pre-/post-treatment difference in the posterior femoral angle in the control group (P<0.05). There were statistically significant post-treatment differences in the foot dorsiflexion angle and popliteal fossa angle between the treatment and control groups (P<0.05). There were statistically significant pre-/post-treatment differences in the GMFM score and the ADL score in the two groups (P<0.05). There were statistically significant post-treatment differences in the GMFM score and the ADL score between the treatment and control groups (P<0.05). Conclusions Scalp acupuncture plus MOTOmed virtual scene training is an effective way to treat spastic cerebral palsy. It can improve gross motor function and the ADL score in the patients.关键词
针刺疗法/头针/脑性瘫痪/MOTOmed虚拟情景训练/粗大运动功能/ADL/康复训练Key words
Acupuncture therapy/Scalp acupuncture/Cerebral palsy/MOTOmed virtual scene training/Gross motor function/ADL/Rehabilitation training分类
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张彩侠,高晶,王丽娜,何璐娜,彭春艳..头针配合MOTOmed虚拟情景训练对痉挛型脑瘫患者粗大运动功能及ADL的影响[J].上海针灸杂志,2015,(9):829-832,4.