上海针灸杂志2016，Vol.35Issue(10)：1190-1193,4.DOI:10.13460/j.issn.1005-0957.2016.10.1190
互动式头针对痉挛型脑瘫患者步态时空参数的影响
Effect of Interactive Scalp Acupuncture on the Temporal and Spatial Parameters of Gait in Spastic Cerebral Palsy
摘要
Abstract
Objective To study the effect of scalp acupuncture plus facilitation technique on the temporal and spatial parameters of gait in spastic cerebral palsy. Method Thirty eligible patients with spastic cerebral palsy were randomized into a treatment group and a control group based on the inter-group balance in age, palsy type, and the Gross Motor Function Classification System (GMFCS), 15 cases in each group. The treatment group was intervened by scalp acupuncture, together with the facilitation technique during the retaining of the needles; the control group was also by scalp acupuncture and facilitation techniques but with over 1 h interval between the two methods. The treatment was given once a day, totally for 3 months. The walking, running, and jumping items (E category) of the Gross Motor Function Measure-66 (GMFM-66), temporal and spatial parameters of gait, and vertical ground reaction force during stance were compared before and after the treatment. Result There were no significant inter-group differences in comparing the rates of E category of the GMFM-66 before the treatment (P>0.05), the rates were significantly changed after the treatment in both groups (P<0.05), and there were significant differences in comparing the rates between the two groups after the intervention (P<0.05);after the intervention, the step length, walking speed, and step frequency were increased significantly in both groups (P<0.05), while the double-stance phase was decreased significantly, and swing phase was increased significantly (P<0.05); after the intervention, the step length, walking speed, and step frequency of the treatment group were significantly better than that of the control group (P<0.05). Conclusion Acupuncture plus facilitation technique can mitigate the spasticity in spastic cerebral palsy, improve the gross motor function, especially the function of standing and walking, enhance the activities, and benefit the improvement of the step length, step width, and walk speed.关键词
头针/脑性瘫痪/肌痉挛/粗大运动功能分级/步态/时空参数Key words
Scalp acupuncture/Cerebral palsy/Spasm/Gross Motor Function Classification System/Gait/Temporal and spatial parameters分类
医药卫生引用本文复制引用
汤同健,黄光法,罗军鹏,孙克兴,邓仁才,姜淑云,沈敏,陆静珏,黄金容,俞艳,周永祥..互动式头针对痉挛型脑瘫患者步态时空参数的影响[J].上海针灸杂志,2016,35(10):1190-1193,4.基金项目
上海市科委上海市自然科学基金项目(13ZR1431800) （13ZR1431800）
上海市卫计委基金项目(20134243) （20134243）
上海市中医药发展办公室基金项目(ZYSNXD-CC-BZH) （ZYSNXD-CC-BZH）
上海市科委医学引导类(中、西医)科技支撑项目(16401934400) （中、西医）
