Objective:To observe the efficacy of oral-facial acupressure combined with oral placement therapy(OPT)in improving articulation clarity in 120 children with spastic cerebral palsy,and to explore effective therapeutic ...Objective:To observe the efficacy of oral-facial acupressure combined with oral placement therapy(OPT)in improving articulation clarity in 120 children with spastic cerebral palsy,and to explore effective therapeutic solutions for speech disorders associated with spastic cerebral palsy.Methods:A total of 120 children with spastic cerebral palsy and speech disorders,meeting the inclusion criteria,were randomly assigned into two groups:60 cases in the treatment group and 60 cases in the control group.The treatment group received orofacial acupressure combined with OPT,while the control group received only OPT.The Oral Motor Function Assessment Scale(OMFAS),developed by the China Rehabilitation Research Centre(CRRC),was used to evaluate the treatment outcomes before and after the intervention.Results:After the treatment,both the treatment and control groups showed improved mobility of the mandible,lips,and tongue.However,the treatment group exhibited significantly better improvement than the control group,with the difference between the two groups being statistically significant(P<0.05).Conclusion:Oral-facial acupressure combined with OPT can effectively improve articulation clarity in children with spastic cerebral palsy.This combined therapy is recommended for clinical promotion and application.展开更多
An experiment was carried out in the key laboratory for Technique Diagnosis and Function Assessment of Winter Sports of China to investigate the differences in gait characteristics between healthy children and childre...An experiment was carried out in the key laboratory for Technique Diagnosis and Function Assessment of Winter Sports of China to investigate the differences in gait characteristics between healthy children and children with spastic hemiplegic cerebral palsy. With permission of their parents, 200 healthy children aged 3 to 6 years in the kindergarten of Northeastern University were enrolled in this experiment. Twenty children aged 3 to 6 years with spastic hemiplegic cerebral palsy from Shengjing Hospital, China were also enrolled in this experiment. Standard data were collected by simultaneously recording gait information from two digital cameras. DVracker was used to analyze the standard data. The children with hemiplegic cerebra palsy had a longer gait cycle, slower walking speed, and longer support phase than did the healthy children. The support phase was longer than the swing phase in the children with hemiplegic cerebral palsy. There were significant differences in the angles of the hip, knee, and ankle joint between children with cerebral palsy and healthy children at the moment of touching the ground and buffering, and during pedal extension. Children with hemiplegic cerebral palsy had poor motor coordination during walking, which basically resulted in a short stride, high stride frequency to maintain speed, more obvious swing, and poor stability.展开更多
Purpose To evaluate the efficacy and safety of radial extracorporeal shock wave therapy (rESWT) according to total number of pulses on hamstring muscle spasticity in children with spastic type cerebral palsy (CP).Meth...Purpose To evaluate the efficacy and safety of radial extracorporeal shock wave therapy (rESWT) according to total number of pulses on hamstring muscle spasticity in children with spastic type cerebral palsy (CP).Methods This study is a randomized controlled trial consisting of thirteen patients with spastic CP, 9 males and 4 females, aged 5 to 14 years (mean age 9.2). Twenty-five spastic hamstring muscles were divided in four groups. Group I: 500 pulses, Group II: 1, 000 pulses, Group III: 1, 500 pulses, and Group IV: 2, 000 pulses. Australian Spasticity Assessment Scale (ASAS) was measured at four different time points (pre-ESWT, post-ESWT, 2 weeks post-ESWT, and 4 weeks post-ESWT).Results All four groups showed improvement in ASAS relative to pre-treatment, although only significant in Group III (1, 500 pulses). There were no statistically significant differences in ASAS between all four groups in pre-ESWT [|2(2)=3.907,P=0.272], immediately post-ESWT [|2(2)=1.250,P=0.741], 2 weeks post-ESWT vs pre-ESWT [|2(2)=3.367,P=0.338], and 4 weeks post-ESWT vs pre-ESWT [|2(2)=1.566,P=0.667].Conclusion The effect of rESWT on spastic hamstring in children with spastic CP is not dependent on the number of pulses.展开更多
目的:观察聪脑通络法联合补中益气汤药浴对痉挛型脑瘫患儿的影响。方法:将84例痉挛型脑瘫患儿按随机数字表法分为对照组和观察组各42例。对照组予补中益气汤药浴,观察组在对照组基础予聪脑通络法针刺。4周为1个疗程,治疗3个疗程后比较...目的:观察聪脑通络法联合补中益气汤药浴对痉挛型脑瘫患儿的影响。方法:将84例痉挛型脑瘫患儿按随机数字表法分为对照组和观察组各42例。对照组予补中益气汤药浴,观察组在对照组基础予聪脑通络法针刺。4周为1个疗程,治疗3个疗程后比较两组患儿治疗前后粗大运动功能(gross motor function measure,GMFM)量表、精细运动功能(fine motor function measure,FMFM)量表、临床痉挛指数(clinical spasticity index,CSI)量表、Ashwonh肌张力评定量表评分及大脑前、中、后动脉的平均血流速度与临床疗效。结果:观察组总有效率为92.86%(39/42),高于对照组的76.19%(32/42)(P<0.05)。观察组治疗后GMFM、FMFM评分升高程度较对照组明显,CSI、Ashworth评分降低程度较对照组明显,大脑前、中、后动脉血流速度加快程度较对照组明显,差异均有统计学意义(P<0.05)。结论:聪脑通络法联合补中益气汤药浴可改善痉挛性脑瘫患儿粗大运动功能、精细运动功能及肌力,缓解肌肉痉挛,增加脑血流速度,联合治疗效果优于单纯补中益气汤药浴。展开更多
目的观察中医经筋手法结合运动疗法对小儿痉挛型脑瘫运动及步行能力的影响。方法选取2021年1月—2022年6月期间湖南省儿童医院收治的127例痉挛型脑瘫患儿为研究对象,以单纯随机抽样法分为对照组63例和观察组64例。对照组给予常规对症治...目的观察中医经筋手法结合运动疗法对小儿痉挛型脑瘫运动及步行能力的影响。方法选取2021年1月—2022年6月期间湖南省儿童医院收治的127例痉挛型脑瘫患儿为研究对象,以单纯随机抽样法分为对照组63例和观察组64例。对照组给予常规对症治疗和运动疗法,观察组在对照组基础上联合中医经筋手法治疗。治疗3个月后,观察比较两组患儿临床疗效,治疗前后改良Ashworth痉挛量表(Modified Ashworth Scale,MAS)评分、精细运动功能评定量表(Peabody developmental motor scale,PDMS-2)评分、粗大运动功能评定量表(Gross Motor Function Measure,GMFM)评分和步行能力。结果治疗后观察组临床总有效率93.75%(60/64)高于对照组80.95%(51/63),差异有统计学意义(P<0.05)。治疗1、2、3个月后两组患儿MAS评分均较治疗前下降,差异有统计学意义(P<0.05);且观察组低于对照组,差异有统计学意义(P<0.05)。治疗后两组患儿抓握能力、视觉运动能力评分均较治疗前升高,差异有统计学意义(P<0.05);两组患儿抓握能力、视觉运动能力评分比较,差异无统计学意义(P>0.05)。治疗后两组患儿GMFM行走和跑跳、站立位、坐位、爬与跪位、卧位与翻身评分均较治疗前升高,差异有统计学意义(P<0.05);且观察组站立位、坐位、爬与跪位评分高于对照组,差异有统计学意义(P<0.05)。治疗后两组患儿跨步长、1 min步行距离较治疗前增加,步宽、10 m步行时间较治疗前减少,差异有统计学意义(P<0.05);且观察组跨步长、1 min步行距离长于对照组,步宽、10 m步行时间短于对照组,差异有统计学意义(P<0.05)。结论中医经筋手法联合运动疗法治疗痉挛性脑瘫患儿疗效较好,有利于减轻肌张力、缓解肌肉痉挛状态,可提高粗大运动功能,具有较好的应用价值。展开更多
文摘Objective:To observe the efficacy of oral-facial acupressure combined with oral placement therapy(OPT)in improving articulation clarity in 120 children with spastic cerebral palsy,and to explore effective therapeutic solutions for speech disorders associated with spastic cerebral palsy.Methods:A total of 120 children with spastic cerebral palsy and speech disorders,meeting the inclusion criteria,were randomly assigned into two groups:60 cases in the treatment group and 60 cases in the control group.The treatment group received orofacial acupressure combined with OPT,while the control group received only OPT.The Oral Motor Function Assessment Scale(OMFAS),developed by the China Rehabilitation Research Centre(CRRC),was used to evaluate the treatment outcomes before and after the intervention.Results:After the treatment,both the treatment and control groups showed improved mobility of the mandible,lips,and tongue.However,the treatment group exhibited significantly better improvement than the control group,with the difference between the two groups being statistically significant(P<0.05).Conclusion:Oral-facial acupressure combined with OPT can effectively improve articulation clarity in children with spastic cerebral palsy.This combined therapy is recommended for clinical promotion and application.
基金provided by the Educational Bureau of Liaoning Province,No. 2009A671
文摘An experiment was carried out in the key laboratory for Technique Diagnosis and Function Assessment of Winter Sports of China to investigate the differences in gait characteristics between healthy children and children with spastic hemiplegic cerebral palsy. With permission of their parents, 200 healthy children aged 3 to 6 years in the kindergarten of Northeastern University were enrolled in this experiment. Twenty children aged 3 to 6 years with spastic hemiplegic cerebral palsy from Shengjing Hospital, China were also enrolled in this experiment. Standard data were collected by simultaneously recording gait information from two digital cameras. DVracker was used to analyze the standard data. The children with hemiplegic cerebra palsy had a longer gait cycle, slower walking speed, and longer support phase than did the healthy children. The support phase was longer than the swing phase in the children with hemiplegic cerebral palsy. There were significant differences in the angles of the hip, knee, and ankle joint between children with cerebral palsy and healthy children at the moment of touching the ground and buffering, and during pedal extension. Children with hemiplegic cerebral palsy had poor motor coordination during walking, which basically resulted in a short stride, high stride frequency to maintain speed, more obvious swing, and poor stability.
文摘Purpose To evaluate the efficacy and safety of radial extracorporeal shock wave therapy (rESWT) according to total number of pulses on hamstring muscle spasticity in children with spastic type cerebral palsy (CP).Methods This study is a randomized controlled trial consisting of thirteen patients with spastic CP, 9 males and 4 females, aged 5 to 14 years (mean age 9.2). Twenty-five spastic hamstring muscles were divided in four groups. Group I: 500 pulses, Group II: 1, 000 pulses, Group III: 1, 500 pulses, and Group IV: 2, 000 pulses. Australian Spasticity Assessment Scale (ASAS) was measured at four different time points (pre-ESWT, post-ESWT, 2 weeks post-ESWT, and 4 weeks post-ESWT).Results All four groups showed improvement in ASAS relative to pre-treatment, although only significant in Group III (1, 500 pulses). There were no statistically significant differences in ASAS between all four groups in pre-ESWT [|2(2)=3.907,P=0.272], immediately post-ESWT [|2(2)=1.250,P=0.741], 2 weeks post-ESWT vs pre-ESWT [|2(2)=3.367,P=0.338], and 4 weeks post-ESWT vs pre-ESWT [|2(2)=1.566,P=0.667].Conclusion The effect of rESWT on spastic hamstring in children with spastic CP is not dependent on the number of pulses.
文摘目的:观察聪脑通络法联合补中益气汤药浴对痉挛型脑瘫患儿的影响。方法:将84例痉挛型脑瘫患儿按随机数字表法分为对照组和观察组各42例。对照组予补中益气汤药浴,观察组在对照组基础予聪脑通络法针刺。4周为1个疗程,治疗3个疗程后比较两组患儿治疗前后粗大运动功能(gross motor function measure,GMFM)量表、精细运动功能(fine motor function measure,FMFM)量表、临床痉挛指数(clinical spasticity index,CSI)量表、Ashwonh肌张力评定量表评分及大脑前、中、后动脉的平均血流速度与临床疗效。结果:观察组总有效率为92.86%(39/42),高于对照组的76.19%(32/42)(P<0.05)。观察组治疗后GMFM、FMFM评分升高程度较对照组明显,CSI、Ashworth评分降低程度较对照组明显,大脑前、中、后动脉血流速度加快程度较对照组明显,差异均有统计学意义(P<0.05)。结论:聪脑通络法联合补中益气汤药浴可改善痉挛性脑瘫患儿粗大运动功能、精细运动功能及肌力,缓解肌肉痉挛,增加脑血流速度,联合治疗效果优于单纯补中益气汤药浴。
文摘目的观察中医经筋手法结合运动疗法对小儿痉挛型脑瘫运动及步行能力的影响。方法选取2021年1月—2022年6月期间湖南省儿童医院收治的127例痉挛型脑瘫患儿为研究对象,以单纯随机抽样法分为对照组63例和观察组64例。对照组给予常规对症治疗和运动疗法,观察组在对照组基础上联合中医经筋手法治疗。治疗3个月后,观察比较两组患儿临床疗效,治疗前后改良Ashworth痉挛量表(Modified Ashworth Scale,MAS)评分、精细运动功能评定量表(Peabody developmental motor scale,PDMS-2)评分、粗大运动功能评定量表(Gross Motor Function Measure,GMFM)评分和步行能力。结果治疗后观察组临床总有效率93.75%(60/64)高于对照组80.95%(51/63),差异有统计学意义(P<0.05)。治疗1、2、3个月后两组患儿MAS评分均较治疗前下降,差异有统计学意义(P<0.05);且观察组低于对照组,差异有统计学意义(P<0.05)。治疗后两组患儿抓握能力、视觉运动能力评分均较治疗前升高,差异有统计学意义(P<0.05);两组患儿抓握能力、视觉运动能力评分比较,差异无统计学意义(P>0.05)。治疗后两组患儿GMFM行走和跑跳、站立位、坐位、爬与跪位、卧位与翻身评分均较治疗前升高,差异有统计学意义(P<0.05);且观察组站立位、坐位、爬与跪位评分高于对照组,差异有统计学意义(P<0.05)。治疗后两组患儿跨步长、1 min步行距离较治疗前增加,步宽、10 m步行时间较治疗前减少,差异有统计学意义(P<0.05);且观察组跨步长、1 min步行距离长于对照组,步宽、10 m步行时间短于对照组,差异有统计学意义(P<0.05)。结论中医经筋手法联合运动疗法治疗痉挛性脑瘫患儿疗效较好,有利于减轻肌张力、缓解肌肉痉挛状态,可提高粗大运动功能,具有较好的应用价值。
