肌内效贴联合运动控制训练对脑瘫患儿运动功能影响的研究

摘要

目的:观察肌内效贴联合运动控制训练对痉挛型脑瘫双下肢痉挛及粗大运动功能的影响.方法:收集痉挛型脑瘫患儿58例,随机分为观察组和对照组各29例.对照组进行常规康复功能训练,观察组在对照组治疗基础上加用肌内效贴及运动控制治疗.2组患儿均于治疗前和治疗3个月后,采用踝关节被动活动范围(PROM)、改良Ashworth痉挛分级量表(MAS)、粗大运动功能量表(GMFM)中的D区、E区进行测定.结果:治疗后,2组患儿PROM角度、GM FM(D、E区)得分均较组内治疗前明显提高(P<0.05),M AS评分明显降低(P<0.05),观察组各项评分较对照组改善更为显著(P<0.05).结论:肌内效贴配合运动控制训练能有效缓解痉挛型脑瘫下肢痉挛并提高粗大运动功能.%Objective:To observe the effects of kinesio taping combined with joint motor control training on double lower extremity spasticity and gross motor function in spastic cerebral palsy.Method:Fifty-eight patients with spas-tic cerebral palsy were randomly divided into treatment group and control group,29 cases in each group.Control group was treated with conventional rehabilitation.Treatment group was given kinesio taping therapy and motor control training on the basis of conventional rehabilitation.Before and 3 months after treatment,they were assessed with ankle joint passive range of motion(APROM),modified Ashworth Scale(MAS)and D and E domains of Gross Motor Function Measure(GMFM).Result:After treatment,APROM,MAS and GMFM scores in both two groups were significantly improved as compared with those pretreatment,and more significantly in the treatment group than in the control group(P<0.05).Conclusion:Kinesio taping combined with joint motor control training can effectively relieve spasticity of children with spastic cerebral palsy and increase the gross motor function.