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头针运动疗法结合康复治疗对痉挛型脑瘫患者关节活动度及日常生活活动能力的影响

张彩侠 高晶 何璐娜

上海针灸杂志2016,Vol.35Issue(6):674-676,3.
上海针灸杂志2016,Vol.35Issue(6):674-676,3.DOI:10.13460/j.issn.1005-0957.2016.06.0674

头针运动疗法结合康复治疗对痉挛型脑瘫患者关节活动度及日常生活活动能力的影响

Effect of Kinesiotherapy-combined Scalp Acupuncture plus Rehabilitation on the Joint Range of Motion and Activities of Daily Life in Spastic Cerebral Palsy

张彩侠 1高晶 1何璐娜1

作者信息

  • 1. 扬州大学医学院附属淮安市妇幼保健院,淮安 223002
  • 折叠

摘要

Abstract

Objective To observe the effect of kinesiotherapy-combined scalp acupuncture plus rehabilitation on the joint range of motion (ROM) and activities of daily life (ADL) in kids with spastic cerebral palsy. Method Fifty-one eligible patients with spastic cerebral palsy were divided into a treatment group of 23 cases and a control group of 28 cases by the random number table. The control group received conventional rehabilitation, whereas the treatment group received kinesiotherapy-combined scalp acupuncture in addition to the rehabilitation therapy. Before and after treatment, a joint protractor was used to measure the passive ROM of ankle, knee, and hip joints; the Modified Ashworth Scale was used to evaluate the muscular tension of the adductor muscles of lower limbs, hamstring muscles, and gastrocnemius; the scale for ADL was adopted to evaluate the ADL. Result The joint ROM was significantly improved by different degrees in the treatment group after intervention (P<0.05), and the popliteal angle and dorsal flexion of foot in the treatment group were significantly different from that in the control group (P<0.05). In the treatment group, the muscular tension of hamstring muscles and gastrocnemius after treatment was significantly different from that before treatment (P<0.05); the change of the muscular tension of gastrocnemius in the treatment group after intervention was significantly different from that in the control group (P<0.05); the change of ADL in the treatment group after intervention was significantly different from that in the control group (P<0.05). Conclusion Kinesiotherapy-combined scalp acupuncture plus conventional rehabilitation can markedly improve the ROM and ADL in patients with spastic cerebral palsy.

关键词

头针/运动疗法/脑性瘫痪/关节活动度/ADL/肌张力

Key words

Scalp acupuncture/Kinesiotherapy/Cerebral palsy/Range of motion/ADL/Muscle tonus

分类

医药卫生

引用本文复制引用

张彩侠,高晶,何璐娜..头针运动疗法结合康复治疗对痉挛型脑瘫患者关节活动度及日常生活活动能力的影响[J].上海针灸杂志,2016,35(6):674-676,3.

基金项目

国家自然科学基金项目(81303035) (81303035)

上海针灸杂志

OACSTPCD

1005-0957

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