颈部背伸训练对先天性肌性斜颈康复结局的影响

Effect of Neck Back Extension Training on Rehabilitation Outcomes of Congenital Muscular Torticollis

目的:探讨颈部背伸训练对先天性肌性斜颈康复结局的影响。方法:选择2022年1月-2023年6月厦门市妇幼保健院收治的76例先天性肌性斜颈患儿作为研究对象,以随机数表法将患儿分为对照组与研究组,各38例。对照组应用常规康复治疗,研究组在常规康复治疗基础上应用颈部背伸训练。比较两组临床疗效、体格检查指标(颈部向健侧侧屈角度、颈部向患侧旋转角度、头部偏斜角度、两侧胸锁乳突肌厚度比值)、颈部肌肉功能[颈部肌肉功能量表(MFS)评分]。结果:研究组临床总有效率为94.74%,高于对照组的65.79%,差异有统计学意义(P<0.05);干预3个月、6个月,两组颈部向健侧侧屈角度、颈部向患侧旋转角度及颈部MFS评分升高,头部偏斜角度、两侧胸锁乳突肌厚度比值降低,且研究组改善较对照组显著,差异有统计学意义(P<0.05)。结论:先天性肌性斜颈患儿在常规康复治疗基础上应用颈部背伸训练临床疗效显著,可有效改善体格检查指标、颈部肌肉功能。

Objective:To explore the effect of neck back extension training on rehabilitation outcomes of congenital muscular torticollis.Method:A total of 76 children with congenital muscular torticollis who admitted to Xiamen Maternal and Child Health Hospital from January 2022 to June 2023 were selected as the research objects,the children were divided into the control group and the study group by random number table method,with 38 cases in each group.The control group was treated with routine rehabilitation therapy,and the study group was treated with neck back extension training on the basis of routine rehabilitation therapy.The clinical efficacy,physical examination indexes(neck lateral flexion angle to the healthy side,neck rotation angle to the affected side,head deflection angle,bilateral sternocleidomastoid muscle thickness ratio)and neck muscle function[neck muscle function scale(NMFS)score]were compared between two groups.Result:The total clinical effective rate of the study group was 94.74%,which was higher than 65.79%of the control group,the difference was statistically significant(P<0.05);at 3 months and 6 months of intervention,the neck lateral flexion angle to the healthy side,neck rotation angle to the affected side and the neck MFS scores of two groups were increased,the head deflection angle and bilateral sternocleidomastoid muscle thickness ratio were decreased,and the improvements of the study group were more significant than those of the control group,the differences were statistically significant(P<0.05).Conclusion:The application of neck back extension training on the basis of routine rehabilitation therapy in children with congenital muscular torticollis has a significant clinical effect,which can effectively improve physical examination indexes and neck muscle function.