肌内效贴扎技术结合常规康复治疗对痉挛型脑瘫患儿下肢运动功能、平衡功能及效果的影响

Effect of Intramuscular Binding Technique Combined with Conventional Rehabilitation on Motor Function,Balance Function and Effect of Lower Limbs in Children with Spastic Cerebral Palsy

目的:探究痉挛型脑瘫患儿运用肌内效贴扎技术结合常规康复治疗对其下肢运动功能、平衡功能及效果的影响。方法:选择2021年4月─2022年4月泉州市妇幼保健院·儿童医院收治的痉挛型脑瘫患儿74例,利用随机数表法分为两组,各37例。对照组采用常规康复治疗,试验组采用肌内效贴扎技术结合常规康复治疗。比较两组治疗情况。结果:治疗前两组粗大动作功能量表D区(GMFM-D)评分、粗大动作功能量表E区(GMFM-E)评分比较,差异均无统计学意义(P>0.05);治疗后,试验组GMFM-D评分、GMFM-E评分高于对照组,差异有统计学意义(P<0.05)。治疗前两组平衡功能评分比较,差异无统计学意义(P>0.05);治疗后,试验组平衡功能评分高于对照组,差异有统计学意义(P<0.05)。治疗前两组跟耳试验、足背屈角、股角比较,差异无统计学意义(P>0.05);治疗后,试验组跟耳试验、足背屈角、股角均大于对照组,差异有统计学意义(P<0.05)。治疗前两组步速、步长比较,差异无统计学意义(P>0.05);治疗后,试验组步速、步长均高于对照组,差异有统计学意义(P<0.05)。试验组总有效率为94.6%,高于对照组的73.0%,差异有统计学意义(P<0.05)。结论:对痉挛型脑瘫患儿实施常规康复治疗联合肌内效贴扎技术,可以改善患儿的下肢运动功能与平衡功能,对提升疗效具有重要作用。

Objective:To explore the effects of intramuscular binding technique combined with conventional rehabilitation on motor function,balance function and effect of lower limbs in children with spastic cerebral palsy.Method:A total of 74 children with spastic cerebral palsy admitted to Quanzhou Maternal and Child Health Hospital·Children's Hospital from April 2021 to April 2022 were selected and divided into two groups by random number table method,with 37 cases in each group.The control group was treated with conventional rehabilitation treatment,and the experimental group was treated with intramuscular binding technique combined with conventional rehabilitation treatment.The treatment situation of the two groups was compared.Result:Before treatment,there were no significant differences in gross motor function measure D(GMFM-D)area score and gross motor function measure E(GMFM-E)area score between the two groups(P>0.05).After treatment,GMFM-D score and GMFM-E score of experimental group were higher than those of control group,the differences were statistically significant(P<0.05).Before treatment,there was no significant difference in balance function scores between the two groups(P>0.05).After treatment,the balance function score of the experimental group was higher than that of the control group,the difference was statistically significant(P<0.05).Before treatment,there were no significant differences in heel ear test,dorsiflexion angle and femoral angle between the two groups(P>0.05).After treatment,the heel ear test,dorsiflexion angle and femoral angle of the experimental group were greater than those of the control group,the differences were statistically significant(P<0.05).Before treatment,there were no significant differences in step speed and step length between the two groups(P>0.05).After treatment,the step speed and step length of the experimental group were higher than those of the control group,the differences were statistically significant(P<0.05).The total effective rate of the experimental group was 94.6%,which was higher than 73.0%of the control group,the difference was statistically significant(P<0.05).Conclusion:For children with spastic cerebral palsy,conventional rehabilitation treatment combined with intramuscular binding technique can improve the lower extremity motor function and balance function,which plays an important role in improving the therapeutic effect.