王道全教授推拿按摩治疗小儿肌性斜颈

Professor WANG Dao-quan Massage Treatment of Children with Muscular Torticollis

王道全认为小儿肌性斜颈多因先天秉赋不足、胎儿营养失调、感染胎毒、产时外伤等,以出生时即出现头向患侧斜、前倾,颜面旋向健侧为临床特点,多数新生儿一出生两眼裂不对称,或患侧眼睛不睁,至10余天后睁眼,但也较健侧为小,颈部患侧有梭形肿物。据患儿胖瘦、虚实,灵活选用手法。体弱消瘦虚证患儿,手法宜轻、用补法,同时配合捏脊法等;体壮肥胖实证患儿,手法宜重、用泻法等。手法治疗以局部为主,施术以舒筋活血,软坚散结。日常生活中嘱患儿家属可经常在患侧胸锁乳突肌作被动牵拉伸展,经常采用与头面畸形相反方向的动作加以矫正,如喂奶、睡眠时枕垫或吸引患儿注意力使患儿旋转头部,主动拉伸颈项部肌肉等,以助颈部功能的恢复,对康复治愈大有裨益。

WANG Dao -quan think that children with muscular torticollis usually caused by lack of innate endowment, fetal malnutrition, infection Taidu,intrapartum trauma and so on. The clinical features are the head inclined to the affected side,lean forward, facial rotation to the contralateral at birth. The majority of newborns born to two Eye fissures asymmetry or the lpsilateral eye can not wide open until A few days later and the lpsi- lateral eye is smaller than the healthy side. There is fusiform mass on neck ipsilateral. According to the children fat or thin,the actual situation, choose tactics flexibly. The frail children~ practices should be light, using re- inforcing method in conjunction with Chiropractic. The strong children~ practices should be heavy, using Re- ducing method. Manual therapy mains to local to promote blood circulation and dissipate hard mass. In daily life, family members can stretch Ipsilateral sternocleidomastoid and use some movements in the opposite direc- tion of the deformity for correction. As sleeping with pillow or attracting children~ attention when breast - feeding to rotate the head and stretch the muscles Initiatively. All above is conducive to the recovery of neck function.