推拿联合肌肉牵伸技术治疗先天性斜颈临床观察

Massage Combined with Muscle Stretching Technique in the Treatment of Congenital Muscular Torticollis

目的探讨推拿联合肌肉牵伸技术治疗先天性斜颈的临床效果。方法选取2021年1月—2021年12月于吉安市妇幼保健院康复科治疗先天性斜颈患儿60例,采用随机数字表法分为试验组(30例)和对照组(30例)。试验组患儿采用推拿联合肌肉牵伸技术治疗,对照组采用单纯肌肉牵伸治疗,治疗12周。分别观察两组患儿的临床疗效,胸锁乳突肌包块厚度、挛缩长度,颈部旋转和侧屈情况。结果试验组患儿总有效率为93.33%(28/30),显著高于对照组的66.67%(20/30),差异具有统计学意义(P<0.05);试验组胸锁乳突肌包块厚度小于对照组、挛缩长度短于对照组,差异具有统计学意义(P<0.05);治疗后试验组颈部旋转和侧屈活动幅度均优于对照组(P<0.05)。结论与单纯肌肉牵伸疗法相比,推拿联合肌肉牵伸技术疗法能缩小患儿胸锁乳突肌包块厚度和挛缩长度,提高患儿颈部活动幅度,预后较好,可在临床上借鉴使用。

Objective To investigate the clinical efficacy of massage combined with muscle stretching technique in the treatment of congenital muscular torticollis.Methods Sixty patients with congenital muscular torticollis were selected and treated in Ji’an Maternal and Child Health Hospital from January 2021 to December 2021.Sixty patients were divided into experimental group of 30 cases and control group of 30 cases by using the random number table method.Patients in the experimental group were treated with massage combined with muscle traction technology,while patients in the control group were treated with muscle traction alone for 12 weeks.The clinical effect,thickness of sternocleidomastoid muscle mass,length of contracture,neck rotation and lateral flexion of the patients in the two groups were observed.Results The total effective rate of experimental group was 93.33%(28/30),which was significantly higher than that of control group(66.67%,20/30),and the difference was statistically significant(P<0.05).The thickness of sterno-cleidomastoid muscle mass in experimental groups was smaller than that in control group,and the contracture length was shorter,with statistical significance(P<0.05).After treatment,the range of cervical rotation and lateral flexion in experimental group was better than that in control group(P<0.05).Conclusion Compared with muscle stretching therapy,massage combined with muscle stretching technique can reduce the thickness of the sternocleidomastoid muscle mass and the length of contracture,improve the range of neck movement,and the prognosis is good,which can be used for reference in clinical practice.