中国康复理论与实践2017，Vol.23Issue(10)：1185-1189,5.DOI:10.3969/j.issn.1006-9771.2017.10.013
"尖足三针"对痉挛型脑性瘫痪患儿尖足畸形的效果
Effect of Jian Zu San Zhen Acupuncture on Tip Foot in Children with Spastic Cerebral Palsy
摘要
Abstract
Objective To explore the effect of Jian Zu San Zhen acupuncture on tip foot in children with spastic cerebral palsy. Methods From January to December, 2016, 120 children with spastic cerebral palsy aged one to six years were randomly divided into control group (n=60) and observation group (n=60). Both groups were treated with conventional rehabilitation, while the observation group added Jian Zu San Zhen acupuncture. They were evaluated with Gross Motor Function Measure (GMFM), foot dorsiflexion angle and surface electromyog-raphy. Results After treatment, the scores of GMFM in B, C, D and E dimensions and the total score significantly increased in the observa-tion group (t>4.325, P<0.001), and were higher than that of the control group (t>2.711, P<0.01);the foot dorsiflexion angle significantly de-creased in the observation group (t=17.627, P<0.001), and was significantly less than that of the control group (t=15.416, P<0.001). The root mean square (RMS) of surface electromyography of gastrocnemius muscle under active plantarflexion and passive dorsiflexion of ankle joint improved after treatment (t≥3.058, P<0.01), and was better in the observation group than in the control group (t=-2.199, P<0.05). Conclusion Jian Zu San Zhen acupuncture can effectively reduce the gastrocnemius muscle tension, and do not reduce the gastrocnemius muscle strength, which could also improve the ability of foot flexion, and facilitate to recover the function of standing and moving.关键词
脑性瘫痪/痉挛/尖足三针/尖足Key words
cerebral palsy/spasm/Jian Zu San Zhen/tip foot分类
医药卫生引用本文复制引用
李诺,赵勇,刘振寰,符文杰,梁碧琪,庞碧徽.."尖足三针"对痉挛型脑性瘫痪患儿尖足畸形的效果[J].中国康复理论与实践,2017,23(10):1185-1189,5.基金项目
2016年佛山市卫生局"医学类科研攻关项目"(No.20160194). （No.20160194）
