上海针灸杂志2024，Vol.43Issue(10)：1128-1133,6.DOI:10.13460/j.issn.1005-0957.2024.10.1128
针刺核心肌群联合康复训练治疗脑瘫的疗效观察及对运动能力和平衡能力的影响
Observation on the efficacy of acupuncture at core muscle group plus rehabilitation training for cerebral palsy and its effect on motor ability and balance ability
摘要
Abstract
Objective To observe the clinical efficacy of acupuncture at core muscle group plus rehabilitation training for cerebral palsy in children and its effect on motor ability and balance ability in the patients.Method One hundred and sixteen children with cerebral palsy were allocated,using the random number table,to an observation group and a control group,with 58 cases in each group.The control group received conventional rehabilitation training and the observation group received acupuncture at core muscle group in addition.The clinical therapeutic effects and the incidences of adverse reactions were compared between the two groups.Motor ability(the gross motor function rating scale-88,the Peabody fine motor development scale and the Fugl-Meyer motor function rating scale scores),balance ability(anterior and posterior trunk standard deviation,left and right trunk standard deviation and total trunk standard deviation)and surface electromyographic signals(integrated myoelectric values for the adductor,tibialis anterior and gastrocnemius)were observed in the two groups before and after treatment.Result The total efficacy rate was 92.9%in the observation group,which was significantly higher than 80.4%in the control group with a statistically significant difference(P＜0.05).After treatment,the gross motor function rating scale-88(except E region),the Peabody fine motor development scale and the Fugl-Meyer motor function rating scale scores increased in the two groups compared with before(P＜0.05)and the scores were higher in the observation group than those in the control group(P＜0.05).After treatment,anterior and posterior trunk standard deviation,total trunk standard deviation and left and right trunk standard deviation decreased in the two groups compared with before(P＜0.05)and were lower in the observation group than those in the control group(P＜0.05).After treatment,integrated myoelectric values for the adductor,gastrocnemius and tibialis anterior under passive activity decreased in the two groups compared with before(P＜0.05)and were lower in the observation group than those in the control group(P＜0.05).Conclusion Acupuncture at core muscle group plus rehabilitation training can improve motor and balance abilities and surface electromyographic signals in children with cerebral palsy.It is clinically more effective than rehabilitation training alone.关键词
针刺疗法/康复训练/核心肌群/脑瘫/五迟/五软/儿童/运动能力Key words
Acupuncture therapy/Rehabilitation training/Core muscle group/Cerebral palsy/Five retardation/Five flaccidity/Children/Motor ability分类
医药卫生引用本文复制引用
王强力,吴梦婷,郑贺彬,林定艺..针刺核心肌群联合康复训练治疗脑瘫的疗效观察及对运动能力和平衡能力的影响[J].上海针灸杂志,2024,43(10):1128-1133,6.基金项目
温州市基础性科研项目(Y20220256) （Y20220256）
