CAJ | 학술논문

目的:观察小儿推拿结合音乐疗法对改善痉挛型小儿脑性瘫痪患者踝关节活动度及下肢肌肉痉挛的作用.方法:对符合小儿脑性瘫痪诊断标准的286例痉挛型患儿,在背景音乐下进行通督循经点穴推拿、益肾健脾推拿、捏脊疗法、足底推拿、节段性推拿、促肌力恢复推拿及关节活动度推拿7种推拿治疗,每次25～30min,每日1～2次.30天为1个疗程.于治疗前后进行股内收肌角、足背屈角和综合痉挛量表(CompositeSpastic@Scale,CSS)评分,以评价疗效.结果:治疗前后足背屈角、股内收肌角、CSS评分统计学处理,差异有统计学意义(P<0.01).总体疗效为显效106例,有效172例,无效8例.结论:推拿结合音乐疗法治疗痉挛型小儿脑瘫,有滑利关节,松解肌腱挛缩,缓解肌肉痉挛作用,能改善剪刀步态和尖足步态.对患儿坐、跪、站、行大运动功能恢复有极积治疗作用.
목적:관찰소인추나결합음악요법대개선경련형소인뇌성탄탄환자과관절활동도급하지기육경련적작용.방법:대부합소인뇌성탄탄진단표준적286례경련형환인,재배경음악하진행통독순경점혈추나、익신건비추나、날척요법、족저추나、절단성추나、촉기력회복추나급관절활동도추나7충추나치료,매차25～30min,매일1～2차.30천위1개료정.우치료전후진행고내수기각、족배굴각화종합경련량표(CompositeSpastic@Scale,CSS)평분,이평개료효.결과:치료전후족배굴각、고내수기각、CSS평분통계학처리,차이유통계학의의(P<0.01).총체료효위현효106례,유효172례,무효8례.결론:추나결합음악요법치료경련형소인뇌탄,유활리관절,송해기건련축,완해기육경련작용,능개선전도보태화첨족보태.대환인좌、궤、참、행대운동공능회복유겁적치료작용.
Objective: To observe the effect oftuina 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 rain 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.