上田疗法对痉挛性脑瘫患儿粗大运动功能的影响

Influence of Ueda therapy on gross motor function of children with spastic cerebral palsy

目的探讨运用上田疗法治疗痉挛性脑瘫患儿的效果。方法选取2013年2月~2014年5月收治的痉挛性脑瘫患儿66例,按随机数字表法分为两组,对照组34例给予常规药物治疗和康复,干预组32例在对照组基础上实施上田疗法,治疗3个月后观察两组患者临床疗效及粗大运动功能评估（GMFM）评分情况。结果治疗3个月后两组临床疗效比较差异有统计学意义（P〈0.05）,干预组的临床疗效优于对照组。治疗前两组5个功能区GMFM评分比较差异无统计学意义（P〉0.05）,治疗3个月后两组5个功能区GMFM评分均显著升高（P〈0.01）,干预组升高程度更明显（P〈0.01）。结论上田疗法治疗能明显改善痉挛性脑瘫患儿肌张力。

Objective To explore the efficacy of Ueda therapy in the treatment of children with spastic cerebral palsy. Methods 66 patients with spastic cerebral palsy admitted to hospital from February,2013 to May,2014 were randomly di- vided intervention group（32 cases） and control group（ 34 cases）.The control group were given routine drug treatment and re- habilitation,and based on which the intervention group were added Ueda therapy.After 3 months of treatment,clinical effects and Gross Motor Function Measure （GMFM） scores of both groups were observed. Results After 3 months of treatment, difference of clinical effects of the two groups was statistically significant（ P〈0.05 ）, and that of the intervention group was sig- nificantly better than that of the control group.No statistically significant difference was found in GMFM scores in 5 functional areas between groups before treatment（P〉0.05） .After 3 months of treatment,however, GMFM scores in 5 functional areas of the two groups all significantly increased（ P〈0.01 ）,and those of the intervention group increased more significantly （P〈 O. Ol ） .Conclusion Ueda therapy can significantly improve muscle tension of children with spastic cerebral palsy.