捏脊疗法对肌张力低下型脑瘫患儿运动功能康复的影响

发布时间：2018-01-19 10:38

本文关键词： 捏脊疗法肌张力低下脑性瘫痪粗大运动功能甲襞微循环　出处：《长春中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的:观察捏脊疗法在促进肌张力低下型脑瘫患儿运动功能康复中的临床疗效及对微循环的影响作用关系。探索具有中医特色的综合康复手段。方法:(1)临床对照观察:将符合纳入标准的60例患儿,运用随机数字表法分为治疗组和对照组,每组各30例。根据患儿的运动功能制定康复计划,治疗组加用捏脊疗法;对照组采用单纯康复训练。各项治疗每日1次,每周治疗6次,30次为1疗程,治疗3个疗程。于治疗3个疗程后对两组患儿的运动功能及肌力进行评定。(2)临床试验:纳入张力低下型脑性瘫痪患儿40例,采用数字表法随机分为四组,每组10例。分别进行捏脊3遍、5遍、7遍、9遍操作。采用田牛氏微循环加权积分法对各组捏脊前5min和捏脊后1min、5min、10min、20min、30min的甲襞微循环状态进行综合定量分析。结果:(1)粗大运动功能改善:两组治疗后粗大运动功能积分均有显著提高且治疗组的积分差值大于对照组(p0.05)。(2)肌力增长:两组治疗后患儿的肌力均有增长且治疗组明显优于对照组(p0.05),表明捏脊疗法对促进肌张力低下型脑瘫患儿肌力增长具有优势作用。(3)临床疗效:治疗组共计30例,其中有效28例,无效2例,总有效率为93.3%;对照组共计30例,其中有效22例,无效8例,总有效率73.3%。(4)各组捏脊后患儿甲襞微循环积分均显著下降,随时间积累,效果逐渐减弱,但较捏脊前仍有改善。捏脊7遍与9遍组的微循环改善的影响持续时间优于捏脊3遍与5遍组。结论:捏脊疗法对改善肌张力低下型脑瘫患儿的微循环灌注状态具有即时和延时作用;一定范围内治疗量的增加对微循环的延时效应具有提高作用。该疗法对增加患儿肌力、促进粗大运动功能发育均有较明显且确切的疗效,是提高本病临床疗效的行之有效的治疗方法。
[Abstract]:Objective: to observe the clinical effect of chiropractic therapy in the rehabilitation of motor function in children with hypotonia and its influence on microcirculation. Clinical controlled observation: 60 children who met the inclusion criteria were selected. The treatment group and control group were divided into treatment group and control group with 30 cases in each group. According to the motor function of the children, the rehabilitation plan was formulated, and the treatment group was treated with chiropractic therapy. The control group was treated with simple rehabilitation training. Each treatment was treated once a day and 30 times a week as a course of treatment. After 3 courses of treatment, 40 children with hypotonic cerebral palsy were included in the clinical trial. The patients were randomly divided into four groups with 10 cases in each group. Nine times of operation were performed. Five minutes before and one minute after chiropractic pinching and 10 minutes and 20 minutes after chiropractic pinching in each group were performed by using Tian Niu's microcirculation weighted integration method. The microcirculation status of nailfold in 30 min was analyzed quantitatively. Results: 1). Improvement of coarse motor function: after treatment, the scores of gross motor function in both groups were significantly improved, and the difference of scores in the treatment group was higher than that in the control group (p 0.05. Muscle strength increase: after treatment, the muscle strength of the two groups increased and the treatment group was significantly better than the control group (P 0.05). The results showed that chiropractic therapy had superior effect on promoting muscle strength growth in children with hypotonia cerebral palsy.) there were 30 cases in the treatment group, among which 28 cases were effective and 2 cases were ineffective. The total effective rate was 93. 3%. In the control group, 22 cases were effective, 8 cases were ineffective. The total effective rate was 73.3%. The duration of microcirculation improvement was better in the group of 7 times and 9 times than that in the group of 3 times and 5 times. Conclusion:. Chiropractic therapy has an immediate and delayed effect on improving microcirculation perfusion in children with hypotonia cerebral palsy. In a certain range, the increase of the amount of treatment on the delay effect of microcirculation has an enhanced effect. This therapy has obvious and definite effect on increasing muscle strength and promoting the development of coarse motor function in children. It is an effective method to improve the clinical effect of this disease.
【学位授予单位】：长春中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R244.1

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