悬吊技术结合针刺治疗对痉挛型脑瘫患儿粗大运动功能和日常生活活动能力的影响

Effect of suspension technique combined with acupuncture treatment on the gross motor function and activities of daily living in children with spastic cerebral palsy

目的探讨悬吊技术结合针刺治疗对痉挛型脑瘫患儿粗大运动功能(GMF)和日常生活活动能力(ADL)的影响,为临床应用提供理论依据。方法对2018年1月-2019年12月期间在安徽省儿童医院收治的476例痉挛性脑瘫患儿中随机选取84例作为研究对象,采用随机数字法分为对照组28例、针刺组28例和实验组28例。对照组给予常规康复训练,针刺组在此基础上配合针刺治疗,实验组在针刺组基础上予以悬吊技术治疗。治疗前和治疗后分别采用粗大运动功能评估量表(GMFM-88)中C区、D区、E区及脑瘫儿童日常生活活动能力(ADL)评估量表对3组患儿粗大运动功能和日常生活活动能力进行评定。结果三组治疗前后组内比较,每组指标均优于治疗前(P<0.05);治疗后,三组间GMFM-C、GMFM-D、GMFM-E、ADL评分组间比较,差异均有统计学意义(H=14.044、16.874、13.246、14.590,P<0.05),且实验组各项评分均优于对照组和针刺组,效果显著(P<0.05)。结论悬吊技术结合针刺治疗可以进一步促进痉挛型脑瘫患儿粗大运动功能水平及日常生活活动能力的提高。

Objective To analyze the effect of suspension technique combined with acupuncture on gross motor function and activities of daily living(ADL)in children with spastic cerebral palsy,and to provide theoretical basis for clinical application.Methods A total of 84 children with spastic cerebral palsy were enrolled in this study from 476 children admitted to Anhui Children′s Hospital from January 2018 to December 2019.The random number method was used to divide the participants into control group(n=28),acupuncture group(n=28)and experimental group(n=28).The control group was given routine rehabilitation training,the acupuncture group received acupuncture treatment additionally,and the experimental group was given suspension technique treatment based on the acupuncture group.Before and after treatment,the gross motor function of the children was evaluated in C,D and E domains of the Gross Motor Function Measure(GMFM-88)scale,the cerebral palsy children′s Activities of Daily Living(ADL)scale was used to assess children′s ADL.Results The indicators of each group after treatment were better than those before treatment among three groups(P<0.05).The GMFM-C,GMFM-D,GMFM-E,ADL scores among the three groups were different after treatment(H=14.044,16.874,13.246,14.590,P<0.05),and the scores of experimental group were better than those of the control group(P<0.05).Conclusion Suspension technique combined with acupuncture can further promote the improvement of gross motor function and activities of daily living in children with spastic cerebral palsy.