鼓圈音乐治疗对痉挛型偏瘫脑瘫患儿上肢的影响OACSTPCD

Objective:To observe the effect of drum circle music therapy on upper limb function in children with spastic hemiplegic cerebral palsy(SHCP).Methods:Totally,70 children with SHCP were randomly divided into two groups,with 35 cases in each group.The control group received routine rehabilitation treatment,while the ob-servation group received drum circle music therapy on the basis of the control group.Before and 6 months after treatment,the modified Ashworth Muscle Tension Scale(MAS),wrist dorsiflexion angle(AROM),Fine Motor Function Assessment Scale(FMFM),and Carroll Dual Upper Limb Function Assessment Scale(UEFT)were used to evaluate changes in upper limb function and improvement in daily social participation from four aspects:upper limb muscle tensid,joint range of motion,fine motor ability,and functional ability of healthy and affected hands.Results:After treatment,both groups showed significant improvement in MAS scores compared to before treatment(P＜0.01),and the observation group was significantly better than the control group(P＜0.05).The AROM ac-tivity,FMFM,and UEFT scores in the two groups were significantly improved compared to before treatment(P＜0.01),and those in the observation group was significantly higher than in the control group(P＜0.01,0.05).Con-clusion:Drum circle music therapy has improved upper limb function and social participation in children with SHCP,and is worthy of clinical promotion and application.