核心稳定性训练结合循经推拿对痉挛性脑瘫患儿肌张力和运动能力影响研究

Core Stability Training Combined with Circulation Massage in Children with Spastic Cerebral Palsy Studies on the Influence of Muscle Tone and Motor Ability

目的:探讨核心稳定性训练结合循经推拿,对痉挛性脑瘫患儿肌张力与运动能力的影响。方法:选取医院就诊的痉挛性脑瘫患儿100例,按随机数字表法分为观察组与对照组各50例。对照组采用循经推拿手法,观察组采用核心稳定性训练结合循经推拿。观察对比治疗前、治疗12周后两组的粗大运动功能量表(GMFM)、10m步行速度(10 MWT)、改良Ashworth痉挛评定量表(MAS)及Berg平衡量表(BBS)评分。结果:治疗后,两组GMFM、BBS评分明显高于治疗前(P<0.05),10 MWT、MAS参数明显优于治疗前(P<0.05)。且观察组GMFM、BBS评分明显高于对照组(P<0.05),10 MWT、MAS参数明显优于对照组(P<0.05)。结论:采用核心稳定性训练及循经推拿后可有效提高核心稳定性,从而改善运动能力及肌张力的能力,亦可提高10m步行速度参数与平衡能力。

Objective:To investigate the effect of core stability training combined with menstrual massage on muscle tension and motor ability of children with spastic cerebral palsy.Methods:A total of 100 children with spastic cerebral palsy admitted to hospital were selected and divided into observation group and control group according to random number table,with 50 patients in each group.The control group was treated with meridian massage while the observation group was treated with core stability training combined with meridian massage.The gross motor function scale(GMFM),10 meter walking speed(10 MWT),modified Ashworth spasticity rating scale(MAS)and Berg balance scale(BBS)scores of the two groups were observed and compared before and after 12 weeks of treatment.Results:After treatment,GMFM and BBS scores were significantly higher than those before treatment(P<0.05),and the parameters of 10 MWT and MAS were significantly better than those before treatment(P<0.05).The scores of GMFM and BBS in the observation group were significantly higher than those in the control group(P<0.05),and the parameters of 10 MWT and MAS were significantly better than those in the control group(P<0.05).Conclusion:Core stability training and menstrual massage can effectively improve core stability,thus improve the ability of motor and muscle tension,and also improve the 10 meter walking speed parameters and balance ability.