肌内效贴结合康复训练法治疗小儿脑性瘫痪所致膝关节运动控制障碍的效果探究

Study on the effect of intramuscular effect patch combined with rehabilitation training on knee joint motor control disorders caused by cerebral palsy in children

目的:探究用肌内效贴结合康复训练法治疗小儿脑性瘫痪所致膝关节运动控制障碍的效果。方法:将在福建中医药大学附属第三人民医院就诊的60例脑性瘫痪所致膝关节运动控制障碍患儿随机分为肌内效贴组和对照组,每组30例患儿。对两组患儿均进行常规的康复治疗。在此基础上,为肌内效贴组患儿采用肌内效贴结合康复训练法进行治疗,为对照组患儿单纯采用康复训练法(同时使用安慰贴)进行治疗,然后对比两组患儿的膝关节过伸角度、粗大运动功能评估量表(GMFM)的评分。结果:治疗前,两组患儿的GMFM评分、膝关节过伸角度相比,差异无统计学意义(P>0.05)。治疗后,两组患儿的GMFM评分均较治疗前明显提高,其膝关节过伸角度均较治疗前明显减小,差异有统计学意义(P<0.05);肌内效贴组患儿的GMFM评分高于对照组患儿,其膝关节过伸角度小于对照组患儿,差异有统计学意义(P<0.05)。结论:用肌内效贴结合康复训练法治疗小儿脑性瘫痪所致膝关节运动控制障碍的效果较好,能有效地改善患儿的膝关节运动控制功能。

Objective:To explore the effect of intramuscular effect patch combined with rehabilitation training on knee joint motor control disorders caused by cerebral palsy in children.Methods:a total of 60 children with knee motor control disorders caused by cerebral palsy in the Third People’s Hospital affiliated to Fujian University of Traditional Chinese Medicine were randomly divided into two groups:intra muscle patch group and control group,with 30 children in each group.Routine rehabilitation was performed in both groups.On this basis,the children in the intramuscular effect patch group were treated with intramuscular effect patch combined with rehabilitation training method,and the children in the control group were treated with rehabilitation training method(using comfort patch at the same time).Then,the knee hyperextension Angle and GMFM score of the two groups were compared.Results:Before treatment,there were no significant differences in GMFM score and knee hyperextension Angle between the two groups(P>0.05).After treatment,the GMFM score of 2 groups was significantly improved compared with before treatment,and the knee hyperextension Angle was significantly decreased compared with before treatment,with statistical significance(P<0.05).The GMFM score of the intramuscular effect patch group was higher than that of the control group,and the knee hyperextension Angle was lower than that of the control group,with statistical significance(P<0.05).Conclusion:The treatment of knee joint motor control disorders caused by cerebral palsy in children with intramuscular effect patch combined with rehabilitation training has a better effect,and can effectively improve the knee joint motor control function.