“脊背六法”在小儿脑性瘫痪康复临床应用机制浅析

作者在传统小儿捏脊手法的基础上,独创了一套脑性瘫痪患儿临床康复手法,即"脊背六法"。本文介绍此手法的推脊法、捏脊法、点脊法、叩脊法、拍脊法和收脊法6种手法。

躯体训练联合针灸推拿治疗儿童痉挛性脑瘫尖足疗效观察

目的:观察躯体训练联合针灸推拿疗法治疗小儿痉挛性瘫痪尖足的疗效。方法:69只尖足予以Bobath躯体训练法,针灸加用推拿疗法和不使用推拿疗法的24例对照组尖足比较。结果:治疗组疗效明显优于对照组(P<0.01),<1岁组显效率明显高于>1岁组。结论:推拿疗法佐治儿童痉挛性瘫痪尖足效果良好,应早期治疗。

中药熏洗改善痉挛型脑瘫肝强脾弱证患儿精细运动功能46例

目的:观察中药熏洗改善痉挛型脑瘫肝强脾弱证患儿精细运动功能的临床疗效。方法:将46例符合标准的患儿随机分成治疗组和对照组各23例,对照组采用针刺、推拿、运动训练治疗,治疗组在对照组治疗的基础上增加中药熏洗。疗程为1个月。入组前后分别进行精细运动功能评估。结果:治疗组精细运动功能改善情况明显优于对照组(P<0.05)。结论:中药熏洗可使肝脾双调,使肝主筋、脾主肌肉四肢的功能得健,从而改善脑瘫患儿运动功能。

穴位注射结合手法训练治疗小儿脑瘫临床观察

目的:观察穴位注射结合手法训练对小儿脑瘫的治疗效果,旨在提高对小儿脑瘫的疗效。方法:治疗组采用穴位注射加手法训练、脑细胞活化剂应用综合治疗方法,与单纯手法训练、脑细胞活化剂应用对照组相比较。结果:经3～4个疗程治疗,治疗组总有效率为92.3%,明显高于对照组的75.9%(P<0.05)。结论:穴位注射结合手法训练治疗小儿脑瘫疗效优于单纯手法训练。

痉挛型脑瘫的按摩速刺疗法

脑瘫即脑性瘫痪,是指出生前至出生后1个月多种原因所致的非进行性脑损伤,主要为中枢性运动障碍及姿势异常[1],脑瘫是儿科难治之症,目前还没有特效的治疗方法[2],婴儿期大脑发育的可塑性强,故本病发现越早,治疗越及时,症状改善越明显[3],治疗应采取综合措施（如针灸、按摩、

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.