推拿结合牵张康复治疗先天性肌性斜颈的临床疗效分析

Clinical Analysis of Distraction Rehabilitation Treatment of Congenital Muscular Torticollis with Massage

目的观察推拿结合牵张康复治疗对先天性肌性斜颈(CMT)的临床疗效。方法 60例CMT患儿随机分为治疗组和对照组,每组30例。治疗组采用推拿结合牵张康复治疗,对照组仅用牵张康复治疗,观察治疗前后胸锁乳突肌孪缩变化程度及临床疗效。结果与对照组比较,治疗组治疗前后胸锁乳突肌长度、临床有效性较对照组,差异有统计学意义(P<0.05),且临床有效性差异与胸锁乳突肌长度变化有关。结论推拿结合牵张康复是治疗先天性肌性斜颈的有效方法之一,值得临床推广应用。

Objective To observe the effect of rehabilitation therapy lock distraction length and effect of papillary muscle of congenital muscular torticollis chest. Methods 60 cases of CMT were randomly divided into treatment group and control group,30 cases each group. Treatment group were treated with massage combined with distractionrehabilitation therapy,the control group only used the distraction therapy were observed before and after treatment,the sternocleidomastoid muscle contracture extent,and clinical effectiveness. Results The treatment group compared with the control group,the treatment group before and after treatment of sternocleidomastoid muscle length,clinical efficacy than the control groups were statistically different（P〈0.05）,and the clinical effectiveness of differences and changes in muscle length related sternoclavicular mastoid. Conclusion Combined with massage stretch rehabilitation treatment,effect on congenital muscular torticollis treatment is better than merely distraction therapy.