肌内效贴扎技术结合Vojta疗法对学龄前脑瘫患儿康复的影响

The Effect of intramuscular Patch Technique combined with Vojta Therapy on the Rehabilitation of preschool Children with cerebral Palsy

目的探讨肌内效贴技术联合Vojta诱导疗法对学龄前脑瘫患儿康复效果的影响。方法选取南阳市卧龙区妇幼保健院自2019年8月至2020年7月收治的90例学龄前脑瘫患儿作为研究对象,按照随机数字表法分为研究组(45例,肌内效贴扎技术联合Vojta疗法康复)、对照组(45例,Vojta疗法康复)。观察患儿手功能分级评分、运动功能、生活能力、运动速度、最长声时、呼吸频率。结果入组时,研究组、对照组脑瘫儿童的手功能分级(MACS)评分、粗大运动功能评分(GMFM-88)、日常生活活动能力(ADL)比较,差异无统计学意义(P>0.05);入组3个月、入组6个月后,两组患儿各项评分显著增加,研究组增加幅度显著大于对照组,差异有统计学意义(P<0.05);两组患儿干预后躯干稳定控制指标比较,研究组患儿前后位移、左右位移、前后平均运动速度、左右平均运动速度四项指标数据结果分别为(1.12±0.01)mm、(1.25±0.11)mm、(3.09±1.20)mm/s、(5.26±1.22)mm/s,比较之下均优于对照组,差异有统计学意义(P<0.05)。干预前,两组患儿最长声时与呼吸频率比较,差异无统计学意义(P>0.05);干预后,研究组最长声时长于对照组,呼吸频率低于对照组,差异有统计学意义(P<0.05)。结论在学龄前脑瘫患儿康复中,采用肌内效贴技术联合Vojta疗法,有助于促进患儿粗大运动、精细运动恢复,改善呼吸功能,对患儿自理能力的提高有显著价值。

Objective To explore the effect of intramuscular patch technology combined with Vojta induction therapy on the rehabilitation of preschool children with cerebral palsy.Methods A total of 90 preschool children with cerebral palsy admitted to the Wolong District Maternal and Child Health Hospital in Nanyang City from August 2019 to July 2020 were selected as the research subjects.They were divided into a study group(45 cases,treated with intramuscular patch technique combined with Vojta therapy for rehabilitation)and a control group(45 cases,treated with Vojta therapy for rehabilitation)using a random number table method.The hand function grading score,motor function,life ability,motor speed,longest sound duration,and respiratory rate of the child were observed.Results At the time of enrollment,there was no statistically significant difference in the manual ability classification system(MACS)score,gross motor function score(GMFM-88),and activity of daily living(ADL)between the study group and the control group of children with cerebral palsy(P>0.05);After 3 months of enrollment and 6 months of enrollment,the scores of the two groups of children significantly increased,and the increase in the study group was significantly greater than that in the control group,with a statistically significant difference(P<0.05);Comparison of trunk stability control indicators between two groups of children after intervention,the data results of the four indicators of anterior and posterior displacement,left and right displacement,average anterior and posterior motor speed,and average left and right motor speed in the study group were(1.12±0.01)mm,(1.25±0.11)mm,(3.09±1.20)mm/s,and(5.26±1.22)mm/s,respectively,compared with the control group,the results were all better,and the difference was statistically significant(P<0.05).Before intervention,there was no statistically significant difference in the longest sound duration and respiratory rate between the two groups of children(P>0.05);After intervention,the longest sound duration in the study group was longer than that in the control group,and the respiratory rate was lower than that in the control group,with a statistically significant difference(P<0.05).Conclusion In the rehabilitation of preschool children with cerebral palsy,the use of intramuscular patch technology combined with Vojta therapy can help promote the recovery of gross and fine motor function,improve respiratory function,and have significant value in improving children's self-care ability.