Therapeutic effects on spastic cerebral palsy in children Acupuncture and massage at the Shu and He acupoints versus routine acupoints

BACKGROUND： Based on clinical findings and syndromes, it has been previously shown that therapeutic methods for cerebral palsy can be greatly improved by selecting fewer, but more accurate acupoints. Therefore, greater therapeutic efficacy for cerebral palsy could be obtained by selecting the five Shu acupoints, which are located at the qi-intersecting point of the twelve meridians below the elbow and knee. OBJECTIVE： To treat children with spastic cerebral palsy using acupuncture and massage at the Shu and He points through a combination of rehabilitative training, and to compare the effects with routine acupuncture and massage. DESIGN： A randomized controlled clinical trial. SETTING： Rehabilitation Center for Cerebral Palsy, Department of Pediatrics, Affiliated Hospital of Liaoning University of Traditional Chinese Medicine. PARTICIPANTS： Sixty children with spastic cerebral palsy were selected from the Rehabilitation Center for Cerebral Palsy, Department of Pediatrics, Affiliated Hospital of Liaoning University of Traditional Chinese Medicine from May 2003 to February 2006. There were 38 boys and 22 girls, aged 10 months to 4 years old, muscle strength ranging from grade I to grade IV. The children were randomly divided into a treatment group （n =30） and a control group （n =30）. Informed consent for the therapeutic program was obtained from the relatives of all enrolled children. The study was approved by the Hospital＇s Ethical Committee. METHODS： All children were given exercise and occupational therapy based on standard treatments. （1） In the control group, the children were additionally treated with routine acupuncture and massage during the one-month basic rehabilitative training. The acupuncture needles were manipulated alternately at the acupoints of Jianyu, Shousanli, Binao, Hegu, Huantiao, Xuanzhong, and Biguan. They were treated once per day, 6 days a week, followed by one day of rest. The children＇s limbs were first massaged by pressing, stretching, rolling, and kneading. Then, the same acupuncture points were pressed with the thumb for 30 minutes each time, once a day, 6 days a week, followed by one day of rest. The treatment continued for 1 month. （2） In the treatment group, the children were administered acupuncture and massage at the Shu and He points during the one-month basic rehabilitative treatment. For acupuncture of the upper limbs, the following acupoints were used： Sanjian and Quchi of the Large Intestine Meridian of Hand-Yangming, and Houxi and Xiaohai of the Small Intestine Meridian of Hand-Taiyang. The acupoints were acupunctured alternately every other day. For acupuncture of the lower limbs, the following acupoints were used; Zulinqi and Yanglingquan of the Gall bladder Meridian of Foot-Shaoyang, Taibai and Yinlingquan of the Spleen Meridian of Foot-Taiyang, or Xiangu and Zusanli of the Stomach Meridian of Foot-Yangming. The acupoints were acupunctured alternately every other day. Three needles were for the medial malleolus and three needles for the lateral malleolus. They were treated once a day, 6 days a week, followed by one day of rest. The children＇s limbs were first massaged by means of pressing, stretching, rolling, and kneading. The same acupuncture points were then pressed with the thumb for 0.5-1 minute at each point, 30 minutes each time, once a day, 6 days a week, followed by one day of rest. MAIN OUTCOME MEASURES： Therapeutic efficacy was evaluated using gross motor function measurements, as well as activity of daily living scale before and after treatment. RESULTS： All 60 enrolled children with spastic cerebral palsy were included in the final analysis of results. （1） Comparison of gross motor function scores： The gross motor function score after treatment was significantly higher in both the treatment group and control group than before treatment （t = -3.86 and -8.882, respectively, P 〈 0.05）. The scores in the treatment group were significantly higher than the control group scores （t = -7.166, P 〈 0.01）. （2） Changes in activity of daily living scores： The scores for activity of daily living in the treatment group was significantly higher after treatment than before treatment （t = -3.933, P 〈 0.01）, and was also significantly higher than the control group （t = -0.671, P 〈 0.05）. CONCLUSION： Acupuncture and massage at the Shu and He acupoints can significantly ameliorate motor function deficits and movement disabilities in children with spastic cerebral palsy. The therapeutic efficacy at these acupoints is better than routine acupuncture and massage.

Clinical observation on spleen-invigorating and qi-benefiting pediatric massage for treating recurrent respiratory tract infection in children with cerebral palsy due to qi deficiency of spleen and lung

Objective:To observe the clinical efficacy of spleen-invigorating and qi-benefiting pediatric massage(tuina)for treating recurrent respiratory tract infection in children with cerebral palsy due to qi deficiency of spleen and lung.Methods:A total of 70 children with cerebral palsy who suffered from recurrent respiratory tract infection due to qi deficiency of spleen and lung were randomized into an observation group and a control group by the random number table method,with 35 cases in each group.Both groups were treated with conventional rehabilitation training,while the observation group was given additional spleen-invigorating and qi-benefiting pediatric massage,and the control group additionally took oral Yu Ping Feng granule.The clinical efficacy was evaluated by the total effective rate,traditional Chinese medicine(TCM)symptom score,and serum levels of immunoglobulin(Ig)A,IgM and IgG.Results:The difference in total effective rate between the two groups after treatment was statistically significant(P<0.05).After treatment,the TCM symptom scores in both groups decreased to varying degrees than those before treatment,and the intra-group differences were statistically significant(all P<0.01);the differences in the scores of various TCM symptoms between the two groups were statistically significant(all P<0.05).After treatment,the levels of IgA,IgM and IgG of the children in both groups increased to varying degrees,and the intra-group differences were statistically significant(all P<0.05).The between-group differences in the IgA,IgM and IgG levels after treatment were statistically significant(all P<0.05).Conclusion:Spleen-invigorating and qi-benefiting pediatric massage can effectively treat recurrent respiratory tract infection due to qi deficiency of spleen and lung in children with cerebral palsy,relieve the clinical symptoms and improve immune function,and thus is worthy of clinical promotion and application.

Effect of acupuncture and tuina plus rehabilitative therapy on lower limb motor dysfunction in infants with spastic cerebral palsy

Objective： To observe the effect of acupuncture, tuina plus rehabilitative therapy on lower limb motor dysfunction in infants with spastic cerebral palsy. Methods： A total of 60 infants with spastic cerebral palsy were randomly divided into a treatment group and a control group by random digital table, 30 cases in each group. The treatment group was treated with acupuncture, tuina therapy plus rehabilitative therapy of Western medicine. The control group was simply treated with rehabilitative therapy of Western medicine, as same as that for the treatment group. The assessment was respectively given to the sick infants before the treatment and after the treatment of six months, to evaluate lying and rolling scores in dimension A, to evaluate sitting score in dimension B, to evaluate crawling and kneeling scores in dimension C, and evaluate standing score in dimension D in the gross motor functions and determine the muscle tone of the gastrocnemius muscle by modified Ashworth scale （MAS）. Results： The differences were not statistically significant in comparison of the gross motor functions and the muscle tone of the gastrocnemius muscle between the two groups of sick infants before the treatment （P〉O.OS）; after the treatment of six months, the above items were obviously improved in the two groups （P〈O.01）, better in the treatment group than in the control group, with the statistical significance in the differences between the groups （P〈O.01）. Conclusion： Acupuncture, tuina plus rehabilitative therapy of Western medicine are remarkable in the therapeutic effects in the treatment of motor disorders of the lower limbs in the sick infants with spastic cerebral palsy. This therapeutic method is safe, simple and convenient and needs to be clinically popularized and applied.

Clinical Observation on Treatment of Spastic Cerebral Palsy with Tuina plus Music Therapy

Objective： To observe the effect of tuina plus music therapy on range of motion of ankle joints and muscle spasm of lower limbs in children with spastic cerebral palsy. Method： All of 286 cases that conformed to the diagnostic criteria of infantile cerebral palsy were treated with 7 types of tuina manipulations respectively to unblock the Governor Vessel, reinforce the kidney and strengthen the spleen, pinch along the spine, stimulate specific foot-reflex area and different spinal segments, accelerate recovery of muscle strength and increase joint range of motion, 25-30 min each treatment, once or twice a day, 30 d constitute a course of treatment. After this, the efficacy on femoral medial adduction and dorsiflexion angle and composite spasticity score （CSS） was evaluated. Result： The statistical analysis showed significant differences in dorsiflexion and femoral medial adduction angle and CCS scores （P〈0.01） after the treatments. Conclusion： Tuina plus music therapy can lubricate the joints, relax contraction of tendons, alleviate muscle spasm and improve scissors and toe-walking gaits, thereby benefiting the gross motor function of infants in sitting, kneeling, standing and walking.

Observation on Therapeutic Effects of Pinching Spine plus Acupoint Sticking Therapy for Infantile Cerebral Palsy with Spleen Deficiency Pattern

Objective： To observe the clinical effect of pinching spine plus acupolnt StlCKlng merapy for infantile cerebral palsy （ICP） with spleen deficiency pattern. Methods： Seventy children of ICP with spleen deficiency pattern were randomly divided into a treatment group and a control group. Those in the treatment group were given the comprehensive rehabilitation therapy plus pinching spine and acupoint sticking therapy. Those in the control group were just given the comprehensive rehabilitation therapy. The treatment was given once every day, 20-day as one course, and totally for three courses. Results： The total effective rate of the clinical symptoms was 77.1% in the treatment group and 39.9% in the control groups. The total effective rate of rehabilitation effects was 74.3% in the treatment group and 48.6% in the control group. The effective rate was obviously better in the treatment group than that in the control group, with statistical differences （P〈0.05）. Conclusion： Pinching spine plus acupoint sticking therapy is remarkable in the therapeutic effects for ICP with spleen deficiency pattern, and needs to be popularized clinically.

Therapeutic efficacy of acupuncture plus Tuina for spastic cerebral palsy and discussion of its mechanism

Objective To discuss the effects of acupuncture plus Tuina(Chinese therapeutic massage)in intervening the mental development,motor function,cerebral hemodynamics,and muscle tone in kids with spastic cerebral palsy(CP).Methods A retrospective analysis was conducted on 87 kids with spastic CP.They were divided into a control group and an observation group based on their original treatment plan.Kids in the control group received symptomatic treatment,motor development therapy,and Tuina treatment.The observation group was additionally given acupuncture treatment.One month was taken as a treatment course.After six courses,the efficacy,change in muscle tone,mental development,gross motor function,fine motor function,and the systolic velocity(Vs),mean velocity(Vm),and pulsatility index(PI)of the anterior cerebral artery(ACA),middle cerebral artery(MCA),and posterior cerebral artery(PCA)were compared between the two groups.Results After treatment,the muscle tone score dropped in both groups(P<0.05)and was significantly lower in the observation group than in the control group(P<0.05).The observation group achieved more significant efficacy than the control group(P<0.05).After the intervention,the mental development index(MDI),psychomotor development index(PDI),gross motor function measure(GMFM)score,and fine motor function measure(FMFM)score all increased in both groups(P<0.05)and were notably higher in the observation group than in the control group(P<0.05).After treatment,the Vs and Vm of the ACA,MCA,and PCA were markedly higher in the observation group than in the control group(P<0.05),and the observation group was significantly lower than the control group comparing the PI of the ACA,MCA,and PCA(P<0.05).Conclusion Based on the symptomatic treatment and motor development therapy,Tuina and acupuncture treatment can effectively treat spastic CP children,manifesting as reducing muscle tone,boosting mental development,and improving motor function and cerebral hemodynamics.

Clinical observation on Nie-pinching spine manipulation combined with point therapy for cerebral palsy in children with spleen deficiency

Objective： To observe the clinical effect of Nie-pinching spine coupled with point application and injection for cerebral palsy （CP） in children with spleen deficiency. Methods： A total of 70 CP children with spleen deficiency were randomly allocated into a treatment group （n=35） and a control group （n=35）. Children in the treatment group were treated with comprehensive rehabilitation training, Nie-pinching spine, point application and point injection, whereas children in the control group were treated with comprehensive rehabilitation training and oral administration of multi-enzyme tablets. One course of treatment made up of 20 d. There was a 20-day interval between two courses. The cases were treated for a total of 3 courses. Then the therapeutic efficacies were evaluated using scores of spleen-deficiency symptoms and gross motor function measure （GMFM）. Results： After 3 courses of treatment, the total effective rates for spleen-deficiency symptoms and rehabilitation were 85.7% and 77.1% respectively in the treatment group, versus 51.4% and 57.1% respectively in the control group, showing statistical differences （both P〈0.05）. Conclusion： In addition to comprehensive rehabilitation training, Nie-pinching spine combined with point application and injection obtained better effects than oral administration of multi-enzyme tablets.

Therapeutic Observation on Treatment of Infantile Cerebral Palsy with Integrative Chinese-Western Medicine： A Clinical Report of 104 Cases

Abstract Objective： To study the therapeutic effects of combined treatment with Chinese and western medicine in children with cerebral palsy （CP）. Methods： 104 CP children were treated mainly with physiotherapy and acupuncture, together with occupational therapy, sensory integration and electrical stimulation. Gross Motor Function Measure （GMFM） was used to assess the effects of treatment. Results： After treatment for 3.29＋0.80 months, the majority of CP children improved their IQ and limb symptoms, with decreased abnormal posture, increased muscle strength and improved motor developmental function. GMFM88 and GMFM66 scores had significantly increased after treatment. Conclusions： Combined treatment with Chinese and Western Medicine has confirmed effects on CP children.

针刺丘墟透照海联合运动发育推拿法治疗小儿痉挛性脑瘫临床研究

目的:观察针刺丘墟透照海联合运动发育推拿法对小儿痉挛性脑瘫患者运动发育及肌张力的影响。方法:选取痉挛性脑瘫患儿90例作为研究对象,采用随机数字表法分为对照组和观察组各45例。2组均采用运动发育推拿法,观察组加用针刺丘墟透照海治疗。评价2组临床疗效,比较2组治疗前后运动发育、肌张力、运动功能、日常生活活动能力、F波波幅、刺激阈值。结果:观察组总有效率为88.89%,高于对照组71.11%,差异有统计学意义(P<0.05)。治疗后,2组Peabody运动发育量表(PDMS-2)评分、粗大运动功能(GMFM88)量表评分、日常生活活动能力评分均高于治疗前(P<0.05),且观察组各项评分均高于对照组(P<0.05)。治疗后,2组改良Ashworth痉挛量表评分均低于治疗前(P<0.05),且观察组低于对照组(P<0.05)。治疗后,2组F波波幅低于治疗前,刺激阈值高于治疗前(P<0.05);且观察组F波波幅低于对照组,刺激阈值高于对照组(P<0.05)。结论:针刺丘墟透照海联合运动发育推拿法治疗小儿痉挛性脑瘫效果明显,可有效改善运动发育,降低肌张力,提高日常生活活动能力。

醒脑通督针刺联合推拿治疗小儿脑瘫的效果

目的:观察醒脑通督针刺联合推拿治疗小儿脑瘫的效果。方法:选取2022年2月至2023年2月该院收治的70例脑瘫患儿进行前瞻性研究,按照随机数字表法将其分为研究组与对照组各35例。对照组采用中医推拿治疗,研究组在对照组基础上联合醒脑通督针刺疗法。比较两组临床疗效,治疗前后日常生活能力[儿童生活质量量表脑瘫模块(PedsQL-CP)]评分、运动功能[粗大运动功能评估量表(GMFM)]评分、脑血流动力学指标[大脑前动脉(ACA)、基底动脉(BA)血流速度]水平及改良Ashworth痉挛量表分级。结果:研究组治疗总有效率为94.29%(33/35),高于对照组的77.14%(27/35),差异有统计学意义(P<0.05);治疗后,研究组PedsQL-CP、GMFM评分及ACA、BA血流速度均高于对照组,改良Ashworth痉挛量表分级低于对照组,差异有统计学意义(P<0.05)。结论:醒脑通督针刺联合推拿治疗小儿脑瘫效果显著,能够提高患儿运动功能和日常生活能力,改善脑血流动力学指标水平,减轻肢体痉挛程度,效果优于单用推拿治疗。

针灸推拿联合黄芪穴位注射对脑瘫患儿运动功能、脑血流的影响研究

目的分析针灸推拿联合黄芪穴位注射对脑性瘫痪(脑瘫,CP)患儿运动功能、脑血流的影响。方法100例CP患儿作为研究对象,按照随机数字表法分为常规组和治疗组,每组50例。常规组实施针灸推拿疗法,治疗组实施针灸推拿联合黄芪穴位注射疗法。比较两组患儿的临床治疗效果,治疗前后的粗大运动功能测试量表(GMFM)、脑瘫患儿精细运动能力测试量表(FMFM)评分及脑血流情况[大脑中动脉(MCA)、大脑前动脉(ACA)、大脑后动脉(PCA)的平均血流速度和血管搏动指数(PI)]。结果治疗组治疗总有效率96.00%显著高于常规组的82.00%,组间比较体现出差异性表现(P<0.05)。两组患儿治疗前GMFM、FMFM评分组间比较显示出相似性表现(P>0.05);治疗后,治疗组GMFM评分(199.76±21.22)分、FMFM评分(154.37±14.65)分相较于常规组的(176.56±20.34)、(141.43±13.48)分更高,组间比较均体现出差异性表现(P<0.05)。两组患儿治疗前MCA、ACA、PCA的平均血流速度和PI比较显示出相似性表现(P>0.05);治疗后,治疗组MCA、ACA、PCA的平均血流速度分别为(48.21±6.37)、(36.25±3.45)、(33.27±3.78)cm/s,高于常规组的(42.45±6.53)、(34.78±3.27)、(30.76±4.12)cm/s,PI(0.87±0.23)低于常规组的(1.23±0.45),组间比较均体现出差异性表现(P<0.05)。结论将针灸推拿与黄芪穴位注射联合应用在CP患儿治疗中,可以对患儿的粗大、精细运动功能进行改善,同时可以改善脑血流情况,使CP患儿的肌张力、姿势异常得到显著改善,起到不可替代的效果。

刘氏小儿推拿疗法治疗小儿脑瘫便秘的临床疗效观察

目的:观察刘氏小儿推拿疗法治疗小儿脑瘫便秘的临床疗效。方法:将20例脑瘫便秘患儿按Zelen′s设计模式分为观察组(12例)和对照组(8例,脱落1例)。观察组予以刘氏小儿推拿疗法,对照组予以乳果糖溶液口服,两组均治疗4周。比较两组患儿治疗前后Bristol粪便性状量表评分、直肠症状评分、中医证候评分。结果:治疗后,两组患儿Bristol粪便性状量表评分、直肠症状评分、中医证候评分均较治疗前改善,差异有统计学意义(P<0.05)。其中,观察组在中医证候“排便频次”评分和“腹痛腹胀”评分改善方面优于对照组,差异有统计学意义(P<0.05)。结论:刘氏小儿推拿疗法与乳果糖口服溶液均能改善脑瘫患儿便秘症状,刘氏小儿推拿疗法在改善患儿“排便频次”和减轻“腹痛腹胀”症状上较乳果糖口服溶液更优。

推拿联合肌内效贴对痉挛型脑瘫患儿足部高肌张力的影响分析

目的分析推拿联合肌内效贴对痉挛型脑瘫患儿足部高肌张力的影响。方法60例痉挛型脑瘫患儿,随机分为对照组和观察组,各30例。对照组给予常规康复治疗,观察组给予推拿+肌内效贴进行治疗。比较两组足部肌张力相关指标、脑血流情况、下肢粗大运动功能评分、步速与步长情况、治疗效果及神经功能评分。结果治疗后,两组患儿左、右足背屈角角度及跟耳试验、股角优于治疗前,且观察组优于对照组(P<0.05)。治疗后,两组患儿大脑中动脉(MCA)、大脑前动脉(ACA)、大脑后动脉(PCA)血流速度及搏动指数(PI)优于治疗前,且观察组MCA、PCA血流速度及PI优于对照组(P<0.05);两组患儿ACA血流速度无差异(P>0.05)。治疗后,观察组粗大运动功能测定量表D区(GMFM-D)评分(32.72±8.56)分、粗大运动功能测定量表E区(GMFM-E)评分(43.68±8.45)分均高于对照组的(25.75±7.88)、(37.54±6.51)分(P<0.05)。治疗后,观察组步速(0.69±0.45)m/s及步长(19.24±2.55)cm优于对照组的(0.41±0.37)m/s、(15.31±1.42)cm(P<0.05)。观察组治疗总有效率100.00%高于对照组的86.67%(P<0.05)。治疗后,两组患儿行为能力、被动肌张力、主动肌张力、原始反射及一般反应评分均高于治疗前,且观察组高于对照组(P<0.05)。结论推拿联合肌内效贴治疗痉挛型脑瘫效果确切,可有效改善患儿足部高肌张力、脑血流、运动功能及神经功能,并提高步速与步长,值得推广。

痉挛型脑瘫患儿采用针灸推拿结合黄芪桂枝五物汤治疗的效果

目的探讨痉挛型脑瘫患儿采用针灸推拿结合黄芪桂枝五物汤治疗的效果及其对粗大运动功能评估量表(Gross Motor Function Measure,GMFM)评分的改善情况。方法选取2021年1月至2023年12月西安中医脑病医院收治的痉挛型脑瘫患儿96例,按信封随机法分成试验组(48例)、对照组(48例)。对照组中,男25例,女23例,月龄(13.42±2.17)个月,病程(4.53±1.17)个月。试验组中,男27例,女21例,月龄(13.65±2.19)个月,病程(4.41±1.29)个月。对照组在常规治疗基础上行针灸推拿治疗(1次/d,6次/周),试验组在对照组基础上行黄芪桂枝五物汤治疗(200 ml药液分早晚2次服用),均连续治疗12周。对比两组疗效及治疗前后GMFM评分、脑血流速度、痉挛指数等。采用t检验、χ^(2)检验。结果试验组总有效率95.83%(46/48)高于对照组83.33%(40/48)(P<0.05)。治疗后,两组各项GMFM评分均升高,且试验组卧位和翻身、站立位、爬和跪位、行走和跑跳维度的评分均高于对照组(均P<0.05)。治疗后,两组大脑中动脉(MDA)和大脑前动脉(ACA)血流速度均升高,各项痉挛指数均下降;且试验组MDA与ACA血流速度均高于对照组,肌张力、腱反射和阵挛维度的痉挛指数均低于对照组(均P<0.05)。结论在痉挛型脑瘫患儿的治疗中,针灸推拿结合黄芪桂枝五物汤的疗效显著,有助于调节脑血流速度,改善运动功能,促进痉挛指数降低。

针灸推拿联合康复训练治疗小儿脑瘫54例疗效观察

目的:观察针灸推拿联合康复训练治疗脑瘫患儿的疗效及对经颅多普勒超声(TCD)参数、动态肌电图的影响。方法:以收治的108例脑瘫患儿为研究对象,依据治疗方案分为对照组和观察组各54例。对照组采用康复训练治疗,观察组在对照组基础上增加针灸推拿治疗。比较两组临床疗效、相关评分[Ashworth痉挛评定量表(MAS)、粗大运动功能(GMFM)、Berg平衡量表、精细运动功能评定量表(FMFM)]变化、TCD参数[大脑中动脉(MCA)、脑动脉平均血流速度(Vm)、大脑后动脉(PCA)、血管搏动指数(PI)]水平、内收肌及腓肠肌平均肌电信号的均方根值(RMS)水平。结果:治疗后对观察MAS评分低于对照组,GMFM、Berg及FMFM评分高于对照组,差异有统计学意义(P<0.05);治疗后观察组PCA、Vm及MCA水平高于对照组,PI水平低于对照组,差异有统计学意义(P<0.05);治疗后观察组腓肠肌及内收肌RMS水平均低于对照组,差异有统计学意义(P<0.05);治疗后观察组临床总有效率(96.30%)高于对照组(85.19%),差异有统计学意义(P<0.05)。结论:针灸推拿联合康复训练治疗CP患儿疗效确切,可改善平衡功能,提升运动能力,缓解肌张力,促进脑部血液循环。

调肾通督健脑法推拿联合3D矫形鞋垫对痉挛型双瘫患儿下肢生物力学及三维步态时-空参数的影响

目的:观察调肾通督健脑法推拿联合3D矫形鞋垫对痉挛型双瘫患儿下肢生物力学及三维步态时-空参数的影响。方法:将162例痉挛型双瘫患儿按随机数字表法分为对照组、观察1组和观察2组各54例。对照组采用常规康复治疗,观察1组在对照组基础上加用3D矫形鞋垫,观察2组在观察1组基础上加用调肾通督健脑法推拿。治疗前和治疗8周后,对三组患儿进行Berg平衡量表(BBS)评分、粗大运动功能评定量表(GMFM)中的D功能区、E功能区评分和下肢生物力学评估[包括立姿跟骨休息位(RCSP)角度、腓肠肌平均肌电信号均方根值(RMS)和超声剪切波弹性成像(SWE)],检测三组患儿三维步态时-空参数(包括步行周期、步速、步长、单支撑时间及髋、膝、踝关节最大屈曲度)。结果:量表评分方面,观察2组GMFM的D功能区和E功能区评分均高于其他两组(P<0.05);观察2组BBS评分高于对照组(P<0.05)。生物力学方面,观察2组左、右侧RCSP角度、腓肠肌RMS以及SWE腓肠肌Emean值均低于其他两组(P<0.05)。三维步态时-空参数方面,观察2组步长以及髋关节、膝关节、踝关节最大屈曲度均大于其他两组(P<0.05),单支撑时间短于其他两组(P<0.05);步速高于对照组(P<0.05)。结论:调肾通督健脑法推拿联合3D矫形鞋垫可以通过纠正下肢力学分布、缓解痉挛改善痉挛型双瘫患儿的平衡功能和下肢运动功能。

小儿推拿在脑瘫患儿中的研究现状

小儿脑瘫是一种临床较为少见但后果极为严重的儿科疾病,除表现出脑白质损伤、脑部发育异常等脑损伤性病理改变外,还会表现出运动障碍、智力缺陷等临床症状,对小儿正常生长发育造成严重影响.小儿推拿是一项经典中医特色治疗技术,在小儿脑瘫的治疗中能针对该病原因、现象并结合小儿身体特点对症施治,在具体治疗过程中有改善临床症状、促进生长发育、提升生活质量等效果.近年来,小儿推拿技术处于不断发展的进程中,当前小儿推拿在脑瘫患儿中的应用既有传统经穴推拿法、特定穴位推拿法等独立技术,也可与针灸、中药等其他方案联合,对提升小儿推拿的治疗效果、拓展小儿推拿的使用范围均有积极意义,对提高小儿脑瘫的整体治疗效果亦有积极作用.本文即针对小儿推拿在脑瘫患儿中的应用现状和研究成果进行总结.

头针联合循经推拿治疗对小儿脑瘫肌张力高的临床疗效观察

探讨头针联合循经推拿治疗对小儿脑瘫肌张力高的临床疗效。选择2021年12月—2023年6月贵州中医药大学第二附属医院红岩医院收治的80例小儿脑瘫患儿作为研究对象,采用随机数字表法将患儿分为两组,每组各40例,对照组实施康复治疗,观察组在对照组基础上实施头针联合循经推拿治疗,比较两组患儿的临床疗效、肌张力、痉挛程度、运动功能。结果显示,观察组治疗总有效率为92.50%,明显高于对照组的75.00%(P<0.05);治疗后,观察组腱反射、肌张力、阵挛评分明显低于对照组(P<0.05);治疗后,观察组运动功能评分明显高于对照组(P<0.05)。研究发现,针对小儿脑瘫肌张力高患儿采取头针联合循经推拿治疗可降低患儿肌张力,减轻痉挛程度,促使患儿运动功能改善,治疗效果明显,值得推广应用。

电热砭石联合循经推拿法在脑瘫高危儿中的应用

目的观察电热砭石联合循经推拿法在脑瘫高危儿中的应用效果。方法选取2023年1月至12月在黑龙江省海员总医院治疗的78例脑瘫高危儿,按照随机数字表法分为对照组和观察组,每组各39例。对照组给予常规康复干预,观察组在对照组基础上给予电热砭石联合循经推拿法。比较两组干预前后的Alberta婴儿运动量表(AIMS)、改良Ashworth痉挛评定量表(MAS)评分。结果干预前,两组AIMS、MAS评分比较,差异无统计学意义(P>0.05)。干预后两组AIMS评分均升高,MAS评分均降低,且观察组的AIMS评分高于对照组,MAS评分低于对照组,差异有统计学意义(P<0.05)。结论电热砭石联合循经推拿法能提高脑瘫高危儿运动功能发育水平,改善肌肉痉挛。

醒脑开窍针刺治疗小儿脑性瘫痪临床研究

应用醒脑开窍针刺 (治疗组 )治疗小儿脑性瘫痪 12 0例 ,同时设传统针刺组 (对照组 ) 6 0例以比较疗效。结果表明 ,治疗组在改善患儿运动功能、提高智商、改善脑动脉血流速度、改善脑地形图等方面均有明显效果 ,其疗效优于对照组。