张鸿雁特色推拿手法治疗小儿肌性斜颈的临床经验

ZHANG Hong-yan’s Clinical Experience in the Treatment of Muscular Torticollis in Children

小儿肌性斜颈是儿童骨科常见疾病。张鸿雁提出"动静态触诊,精准治疗"原则,即根据患儿年龄、头颈偏斜等情况,结合静态和动态的触诊,找准受累的肌肉,从而采取有针对性的牵伸手法,以患侧局部为治疗重点,兼顾同侧头面及上下肢,手法除用按、揉、点、拿、捻、拨等外,重用牵伸手法,临床获得很好疗效。

Children muscular torticollis is a common orthopedic disease in children.ZHANG Hong-yan,proposes the principle of"dynamic and static palpation,precise treatment".Mrs.ZHANG pinpoints the affected muscles according to the age,the deviation of head-neck,etc.,and combining static palpation with dynamic palpation.Thereby the doctor can take pointed stretching.Therapy of children muscular torticollis focuses on the affected part as well as ipsilateral head and face,upper and lower limbs.Manual Therapy should focus on stretching in addition to pressing,kneading,pointing,twisting,pinching,drafting.It has obtained good curative effect in clinical.