捏脊加梅花针叩刺联合柔韧训练治疗智障青少年注意缺失疗效观察

Chiropractic plus plum-blossom needling combined with flexibility training on attention deficit in mentally-retarded adolescents

目的:观察捏脊加梅花针叩刺联合柔韧训练治疗智障青少年注意缺失的临床疗效。方法:将30例轻度智障青少年随机分为医学康复+柔韧训练组(10例,脱落2例)、柔韧训练组(10例,脱落1例)和对照组(10例)。柔韧训练组进行柔韧训练,隔日1次,每周3次,共12周;在柔韧训练组基础上,医学康复+柔韧训练组行捏脊加梅花针叩刺(百会、四神聪)治疗,隔日1次,每周3次,共12周;对照组不进行任何有针对性的体育训练及医学康复。采用Tobii Pro Spectrum眼动仪测试各组患儿治疗前后注意集中(T)、注意广度(M)、注意转移(γ%)和注意分配(η)。结果:治疗后,医学康复+柔韧训练组和柔韧训练组T、M均较治疗前升高(P<0.01,P<0.05),医学康复+柔韧训练组γ%较治疗前升高(P<0.05);医学康复+柔韧训练组和柔韧训练组T、M、γ%升高幅度大于对照组(P<0.01),医学康复+柔韧训练组T、γ%升高幅度大于柔韧训练组(P<0.05)。结论:捏脊加梅花针叩刺联合柔韧训练能改善智障青少年的注意缺失。

Objective To observe the clinical efficacy of chiropractic plus plum-blossom needling combined with flexibility training for attention deficit in mentally-retarded adolescents.Methods Thirty adolescents with mild mental retardation were randomly divided into a medical rehabilitation plus flexibility training group(10 cases,2 cases dropped off),a flexibility training group(10 cases,1 case dropped off)and a control group(10 cases).The patients in the flexibility training group received flexibility training,once every other day,3 times a week for 12 weeks.The patients in the medical rehabilitation plus flexibility training group received chiropractic and plum-blossom needling at Baihui(GV 20)and Sishencong(EX-HN 1)on the basis of the treatment in the flexibility training group,once every other day,3 times a week for 12 weeks.The patients in the control group did not receive any targeted physical training and medical rehabilitation.Tobii Pro Spectrum eye movement instrument was used to test the attention concentration(T),attention span(M),attention transfer(γ%)and attention distribution(η).Results Compared before treatment,T and M in the medical rehabilitation plus flexibility training group and the flexibility training group were increased after treatment(P<0.01,P<0.05),andγ%in the medical rehabilitation plus flexibility training group was increased after treatment(P<0.05).The increasing range of T,M andγ%in the medical rehabilitation plus flexibility training group and the flexibility training group was greater than that in the control group(P<0.01),and the increasing range of T andγ%in the medical rehabilitation plus flexibility training group was greater than that in the flexibility training group(P<0.05).Conclusion The chiropractic plus plum blossom needling combined with flexibility training can improve the attention deficit in mentally-retarded adolescents.