推拿结合运动疗法对脑性瘫痪儿童运动功能的影响

Effect of massage combined with exercise therapy on motor function of children with cerebral palsy

目的探讨推拿结合运动疗法对脑性瘫痪儿童运动功能的影响。方法选取2020年6月至2022年6月郑州大学附属儿童医院收治的脑性瘫痪患儿74例,按随机数字表法分为试验组(37例)和对照组(37例)。对照组中,男25例、女12例,年龄3~11(6.76±1.32)岁,予以运动疗法治疗;试验组中,男24例、女13例,年龄2~10(6.64±1.23)岁,在对照组的基础上联合推拿治疗。对比两组疗效,综合痉挛量表(CSS)、Gesell发育商量表(DQ)、运动功能[粗大运动功能量表(GMFM)、精细运动功能量表(FMFM)]、平衡量表(BBS)评分及10 m步行时间。采用χ^(2)、t检验进行统计学分析。结果试验组总有效率为94.59%(35/37),高于对照组的78.38%(29/37),两组比较,差异有统计学意义(P<0.05)。治疗后,试验组CSS评分为(6.23±1.38)分、DQ评分为(90.46±3.41)分、GMFM评分为(143.84±12.25)分、FMFM评分为(95.03±8.44)分、BBS评分为(40.11±2.43)分、10 m步行时间为(52.57±3.22)s,对照组分别为(9.52±2.05)分、(82.08±3.64)分、(118.48±10.98)分、(78.58±6.67)分、(30.55±3.12)分、(65.18±5.19)s,试验组CSS评分低于对照组(P<0.05),DQ、GMFM、FMFM、BBS评分均高于对照组(均P<0.05),10 m步行时间少于对照组(P<0.05)。结论对脑性瘫痪患儿进行推拿结合运动疗法治疗,可提高疗效,改善患儿痉挛症状及运动功能,提高其智力功能、平衡力和行走速度。

Objective To explore the effect of massage combined with exercise therapy on motor function of children with cerebral palsy.Methods Seventy-four children with cerebral palsy treated in Children's Hospital Affiliated to Zhengzhou University from June 2020 to June 2022 were selected,and were divided into an experimental group and a control group by the random number table method,with 37 cases in each group.There were 25 boys and 12 girls in the control group;they were 3-11(6.76±1.32)years old.There were 24 boys and 13 girls in the experimental group;they were 2-10(6.64±1.23)years old.The control group took exercise therapy,and the experimental group exercise therapy and massage.The curative effects,scores of Comprehensive Spastic Scale(CSS)and Gesell Development Quotient(DQ),motor function[Gross Motor Function Scale(GMFM)and Fine Motor Function Scale(FMFM)],and score of Balance Scale(BBS),and 10 m walking times were compared between the two groups.χ^(2) and t tests were applied.Results The total effective rate of the experimental group was higher than that of the control group[94.59%(35/37)vs.78.38%(29/37)],with a statistical difference between these two groups(P<0.05).After the treatment,the scores of CSS,DQ,GMFM,FMFM,and BBS and 10 m walking time in the experimental group were better than those in the control group[(6.23±1.38)vs.(9.52±2.05),(90.46±3.41)vs.(82.08±3.64),(143.84±12.25)vs.(118.48±10.98),(95.03±8.44)vs.(78.58±6.67),(40.11±2.43)vs.(30.55±3.12),and(52.57±3.22)s vs.(65.18±5.19)s;all P<0.05].Conclusion Massage combined with exercise therapy for children with cerebral palsy can improve the curative effect and their spastic symptoms,intellectual function,motor function,balance,and walking speed.