脊柱-骨盆调衡术治疗痉挛型脑瘫患儿30例临床观察
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1. 广西中医药大学,广西 南宁 530001;2. 广东省东莞市妇幼保健院,广东 东莞 523000;3. 广西中医药大学第一附属医院,广西 南宁 530001

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R244.9

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* 基金项目: 2014年广西研究生教育创新计划资助项目(YCSZ2014170) 收稿日期: 2015 - 05 - 01 作者简介: 张洪安(1982-),男,安徽怀远人,在读硕士研究生,研究方向:脊柱损伤及骨关节畸形矫形康复。△通信作者:周学龙,E-mail:719622042@qq.com


Massage Manipulation of Spinal-Pelvic Regulating Balance in Treating 30 Childrenwith Spastic Cerebral Palsy
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1. Guangxi University of Traditional Chinese Medicine, Nanning 530001 China;2. Dong guan Maternal and Child Health Care Hospital, Dong guan 523000, China;3. The First Affiliated Hospital of Guangxi University of Traditional Chinese Medicine, Nanning 530001, China

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    摘要:

    目的观察脊柱-骨盆调衡术治疗痉挛型脑瘫的效果。方法60例痉挛型脑瘫患儿随机分为治疗组30例和对照组30例。2组均采用康复训练治疗,治疗组加用脊柱-骨盆调衡术,每周5次,3个月1个疗程。于治疗前和治疗1个疗程后分别采用粗大运动功能测试量表(GMFM-66和修订Ashworth)痉挛分级量表评定疗效。结果2组患儿治疗后与治疗前比较,患儿的GMFM-66项分值上升,差异有统计学意义(P<0.01)。且治疗组治疗后GMFM-66项分值、粗大运动功能改善效果、修订Ashworth痉挛分级评定与对照组比较,差异亦有统计学意义(P<0.05)。结论脊柱-骨盆调衡术治疗治疗痉挛型脑瘫较单一康复训练治疗有更好疗效。

    Abstract:

    Objective To observe the therapeutic effect of Massage Manipulation of Spinal-Pelvic Regulating Balance(SPRB)on spastic cerebral palsy(CP). Methods A total of 60 children with CP were randomly assigned to the treatment group and the control group equally All were treated with rehabilitation training but massage with SPRB was carried out additionally for those in the treatment group five times every week and 3 months as a therapeutic course Clinical efficacy was assessed adopting the gross motor function measurement(GM FM f-66) and the revised Ashworth scale(MAS) before and after treatment. Results All children showed significant improvements in GMFM-66 after treatment Compared with baseline the improvement was statistically significant(P<0.01). Significant difference was also found between the group in MAS and in GMFM scores after treatment(P<0.05). Conclusion Massage with SPRB manipulation shows a better effect than Rehabilitation Training therapy alone treating spastic CP.

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