Background: Infants with congenital muscular torticollis are born with an asymmetric range of motion and a muscular imbalance in the cervical spine, as a result of a shortening or excessive contraction of the sternocl...Background: Infants with congenital muscular torticollis are born with an asymmetric range of motion and a muscular imbalance in the cervical spine, as a result of a shortening or excessive contraction of the sternocleidomastoid muscle. Purpose: The study aimed to investigate passive range of motion (PROM) for rotation and lateral flexion, and muscle function of the cervical spine in children that had a history of CMT as infants. Study design: a prospective cohort study. Patient sample: 58 children at the age of 3.5 to 5 years that had been treated for CMT have infants participated in the study. Method: PROM was measured with protractors and muscle function was estimated with a modified Muscle Function Scale. Data from infancy were taken from earlier records. Result: PROM in rotation of the neck was mean 98.7° and PROM in lateral flexion of the neck was mean 69.1°. Symmetric PROM of the neck was found in 74% of the children for rotation and in 88% of the children for lateral flexion. Multiple regression showed that gender and PROM in rotation as infants had a significant impact on asymmetric PROM. Forty-five percent of the children had some degree of muscular imbalance in the lateral flexors of the neck. Conclusion: Possible risk factors for later asymmetric PROM are: gender, birth weight, gestation week and PROM in rotation as infants. These factors ought to be taken into consideration when developing guidelines for long-term follow-up.展开更多
目的:应用肌性斜颈兔动物模型,探讨针刀治疗肌性斜颈的作用机制及意义。方法:无水酒精注射制备动物肌性斜颈兔子模型后,选取模型兔子48只,随机分为正常组、模型组、针刀组、按摩组,每组12只。分别给予各组对应治疗,治疗2个月后各组分别...目的:应用肌性斜颈兔动物模型,探讨针刀治疗肌性斜颈的作用机制及意义。方法:无水酒精注射制备动物肌性斜颈兔子模型后,选取模型兔子48只,随机分为正常组、模型组、针刀组、按摩组,每组12只。分别给予各组对应治疗,治疗2个月后各组分别取部分胸锁乳突肌制作标本,免疫组化法观察钙蛋白酶1(calpain-1)、分化抗原决定簇45(CD45)、基质金属蛋白酶2(matrix metalloproteinase-2,MMP-2)、基质金属蛋白酶抑制因子2(tissue inhibitor of metalloproteinases-2,TIMP-2)在各组肌纤维中的表达情况。结果:与正常组比较,其余各组实验动物明显出现颈部活动受限、斜颈、头颈不对称症状,而治疗结束后,针刀组和按摩组实验动物颈部活动受限改善,无明显头颈不对称症状。calpain-1、CD45、TIMP-2的表达,与正常组比较,模型组、按摩组上调(P<0.01);与模型组比较,针刀组、按摩组下调(P<0.01);与针刀组比较,按摩组上调(P<0.01)。MMP-2表达,与正常组比较,模型组下调(P<0.01),与模型组比较,针刀组、按摩组上调(P<0.05)。结论:针刀治疗肌性斜颈效果显著,其作用机制可能与减少calpain-1、CD45、TIMP-2表达,增加MMP-2表达有关。展开更多
Objective:To compare the differences in the clinical effect of congenital muscular torticollis between the modified tuina(Chinese massage)manipulation and the textbook-version tuina manipulation in infant.Methods:From...Objective:To compare the differences in the clinical effect of congenital muscular torticollis between the modified tuina(Chinese massage)manipulation and the textbook-version tuina manipulation in infant.Methods:From January 2017 to December 2018,68 infants with congenital muscular torticollis were collected from the Department of Acupuncture-Moxibustion of the Affiliated Hospital of Yanbian University.They were randomized into a modified tuina group and a textbook-version tuina group,34 cases in each one.In the modified tuina group,the infants were treated with the stroking and circular kneading manipulation,200 times,the plucking manipulation,500 times and the modified rolling manipulation,500 times.In the textbook-version tuina group,the infants were treated with the tuina for muscular torticollis described in Tuina,in the sequence of the circular kneading for 5-6 min,the pinching and grasping for3-5 min,neck traction for several times,the pushing and circular kneading for 3-5 min and gently holding Jianjing(肩井GB21)for 3-5 times.In each group,the treatment was given once every day and there was 1-day rest after every 6-day treatment.Totally,the duration of treatment was 60 days.Separately,before treatment,in 30 days and 60 days of treatment,the lump diameter and the infants'adaptability were observed and compared between the two groups.Results:The effective rates were 94.1%and 70.6%in the modified tuina group and the textbook-version tuina group respectively,presenting a significant difference(P<0.05).In 30 days of treatment,12 cases were cured in the modified tuina group and 7 cases in the textbook-version tuina group.In 60 days of treatment,the color Doppler ultrasound examination found that the lump diameter in the modified tuina group was obviously smaller than that in the textbook-version tuina group,indicating a significant difference(P<0.05).During the treatment,there was no case dropped out in the modified tuina group,but in the textbook-version tuina group,because of crying and low adaptability during treatment,2 cases were dropped out.Conclusion:The modified tuina manipulation achieves the satisfactory clinical effect on infant congenital muscular torticollis and it is acceptable by the infant.Hence,this therapy deserves to be promoted in clinical practice.展开更多
文摘Background: Infants with congenital muscular torticollis are born with an asymmetric range of motion and a muscular imbalance in the cervical spine, as a result of a shortening or excessive contraction of the sternocleidomastoid muscle. Purpose: The study aimed to investigate passive range of motion (PROM) for rotation and lateral flexion, and muscle function of the cervical spine in children that had a history of CMT as infants. Study design: a prospective cohort study. Patient sample: 58 children at the age of 3.5 to 5 years that had been treated for CMT have infants participated in the study. Method: PROM was measured with protractors and muscle function was estimated with a modified Muscle Function Scale. Data from infancy were taken from earlier records. Result: PROM in rotation of the neck was mean 98.7° and PROM in lateral flexion of the neck was mean 69.1°. Symmetric PROM of the neck was found in 74% of the children for rotation and in 88% of the children for lateral flexion. Multiple regression showed that gender and PROM in rotation as infants had a significant impact on asymmetric PROM. Forty-five percent of the children had some degree of muscular imbalance in the lateral flexors of the neck. Conclusion: Possible risk factors for later asymmetric PROM are: gender, birth weight, gestation week and PROM in rotation as infants. These factors ought to be taken into consideration when developing guidelines for long-term follow-up.
文摘目的:应用肌性斜颈兔动物模型,探讨针刀治疗肌性斜颈的作用机制及意义。方法:无水酒精注射制备动物肌性斜颈兔子模型后,选取模型兔子48只,随机分为正常组、模型组、针刀组、按摩组,每组12只。分别给予各组对应治疗,治疗2个月后各组分别取部分胸锁乳突肌制作标本,免疫组化法观察钙蛋白酶1(calpain-1)、分化抗原决定簇45(CD45)、基质金属蛋白酶2(matrix metalloproteinase-2,MMP-2)、基质金属蛋白酶抑制因子2(tissue inhibitor of metalloproteinases-2,TIMP-2)在各组肌纤维中的表达情况。结果:与正常组比较,其余各组实验动物明显出现颈部活动受限、斜颈、头颈不对称症状,而治疗结束后,针刀组和按摩组实验动物颈部活动受限改善,无明显头颈不对称症状。calpain-1、CD45、TIMP-2的表达,与正常组比较,模型组、按摩组上调(P<0.01);与模型组比较,针刀组、按摩组下调(P<0.01);与针刀组比较,按摩组上调(P<0.01)。MMP-2表达,与正常组比较,模型组下调(P<0.01),与模型组比较,针刀组、按摩组上调(P<0.05)。结论:针刀治疗肌性斜颈效果显著,其作用机制可能与减少calpain-1、CD45、TIMP-2表达,增加MMP-2表达有关。
文摘Objective:To compare the differences in the clinical effect of congenital muscular torticollis between the modified tuina(Chinese massage)manipulation and the textbook-version tuina manipulation in infant.Methods:From January 2017 to December 2018,68 infants with congenital muscular torticollis were collected from the Department of Acupuncture-Moxibustion of the Affiliated Hospital of Yanbian University.They were randomized into a modified tuina group and a textbook-version tuina group,34 cases in each one.In the modified tuina group,the infants were treated with the stroking and circular kneading manipulation,200 times,the plucking manipulation,500 times and the modified rolling manipulation,500 times.In the textbook-version tuina group,the infants were treated with the tuina for muscular torticollis described in Tuina,in the sequence of the circular kneading for 5-6 min,the pinching and grasping for3-5 min,neck traction for several times,the pushing and circular kneading for 3-5 min and gently holding Jianjing(肩井GB21)for 3-5 times.In each group,the treatment was given once every day and there was 1-day rest after every 6-day treatment.Totally,the duration of treatment was 60 days.Separately,before treatment,in 30 days and 60 days of treatment,the lump diameter and the infants'adaptability were observed and compared between the two groups.Results:The effective rates were 94.1%and 70.6%in the modified tuina group and the textbook-version tuina group respectively,presenting a significant difference(P<0.05).In 30 days of treatment,12 cases were cured in the modified tuina group and 7 cases in the textbook-version tuina group.In 60 days of treatment,the color Doppler ultrasound examination found that the lump diameter in the modified tuina group was obviously smaller than that in the textbook-version tuina group,indicating a significant difference(P<0.05).During the treatment,there was no case dropped out in the modified tuina group,but in the textbook-version tuina group,because of crying and low adaptability during treatment,2 cases were dropped out.Conclusion:The modified tuina manipulation achieves the satisfactory clinical effect on infant congenital muscular torticollis and it is acceptable by the infant.Hence,this therapy deserves to be promoted in clinical practice.
