同济大学学报（医学版）2025，Vol.46Issue(5)：651-656,6.DOI:10.12289/j.issn.2097-4345.25147
康复机器人结合中医推拿对痉挛型脑瘫患儿运动功能的影响
Effect of rehabilitation robot combined with Traditional Chinese Medicine massage on the motor function in children with spastic cerebral palsy
摘要
Abstract
Objective To investigate the effects of lower limb rehabilitation robot training combined with Traditional Chinese Massage on the motor ability of children with spastic cerebral palsy during the walking stage.Method The clinical data of 44 children with spastic cerebral palsy were retrospectively studied.The children were divided into three groups based on their treatment plans.All children underwent routine rehabilitation treatments daily,five times per week,including stretching,biofeedback therapy,MOTO med,balance training,and gait training.Group A(n=14)received Traditional Chinese Massage alongside routine rehabilitation treatment;Group B(n=15)underwent rehabilitation robot training alongside routine rehabilitation treatment;Group C(n=15)received a combination of rehabilitation robots and Traditional Chinese Massage therapy alongside routine rehabilitation treatment.Initial and follow-up evaluations using the modified Tardieu scale(MTS),pediatric balance scale(PBS),and 6-minute walking distance(6MWD)were conducted before and three months post-treatment.Results The baseline MTS,PBS,and 6MWD scores showed no statistically significant differences among the three groups before the treatment.After three months of treatment,the MTS,PBS,and 6MWD scores exhibited significant improvements in the three groups when compared to those at baseline(all P＜0.01).Group C demonstrated significantly superior outcomes in reducing muscle tone,improving balance,and enhancing walking ability when compared to Groups A and B.Group B showed greater efficacy than Group A in improving knee R1 and ankle R1 on the MTS and in 6MWD(all P＜0.05),but no significant differences were observed between Groups A and B in knee R2,ankle R2 on the MTS,or PBS scores(P＞0.05).Conclusion The combination therapy integrating rehabilitation robot training and Traditional Chinese Medicine massage improves lower limb motor function more effectively in children with spastic cerebral palsy than either approach alone.关键词
康复机器人/中医推拿/痉挛型脑瘫Key words
rehabilitation robot/Traditional Chinese massage/spastic cerebral palsy分类
临床医学引用本文复制引用
杨晓颜,周璇,靳梦蝶,刘倩,郭海滨,付彬彬,杜青..康复机器人结合中医推拿对痉挛型脑瘫患儿运动功能的影响[J].同济大学学报（医学版）,2025,46(5):651-656,6.基金项目
上海市级医院诊疗技术推广及优化管理项目—市级医院康复医学科专科联盟资助(SHDC22023304) （SHDC22023304）
