CAJ | 학술논문

目的：探讨推拿对痉挛型脑瘫患儿肌张力和运动功能的影响。方法将80例痉挛型脑瘫患儿分成两组，每组40例，两组均进行运动、针灸、电疗、中药蒸气浴等康复治疗，观察组在运动治疗前和运动治疗中进行推拿治疗。治疗前后由专人用改良Ashworth量表(MAS)和粗大运动功能测试(GMFM-88)对患儿肌张力和粗大运动功能行进评定。结果治疗3个月后，两组MAS评分较治疗前显著降低(P<0.001)，且观察组显著低于对照组(P<0.001)；两组GMFM-88评分较治疗前显著提高(P<0.001)，且观察组显著高于对照组(P<0.001)。结论推拿能进一步改善肌张力，提高脑瘫患儿粗大运动功能。
목적：탐토추나대경련형뇌탄환인기장력화운동공능적영향。방법장80례경련형뇌탄환인분성량조，매조40례，량조균진행운동、침구、전료、중약증기욕등강복치료，관찰조재운동치료전화운동치료중진행추나치료。치료전후유전인용개량Ashworth량표(MAS)화조대운동공능측시(GMFM-88)대환인기장력화조대운동공능행진평정。결과치료3개월후，량조MAS평분교치료전현저강저(P<0.001)，차관찰조현저저우대조조(P<0.001)；량조GMFM-88평분교치료전현저제고(P<0.001)，차관찰조현저고우대조조(P<0.001)。결론추나능진일보개선기장력，제고뇌탄환인조대운동공능。
Objective To explore the effect of manipulation on muscle tension and motor function of children with spastic cerebral pal-sy. Methods 80 children with spastic cerebral palsy were divided into observation group and control group with 40 cases in each group. Both groups were treated with exercise, acupuncture, electrotherapy, Chinese medicine steam bath. The observation group received massage treatment before and during exercise treatment. Modified Ashworth Scale (MAS) and Gross Motor Function Measure-88 (GMFM-88) were used to evaluate the muscle tension and motor function. Results 3 months after treatment, the MAS score decreased and the score of GMFM-88 increased significantly in both groups (P<0.001), and the MAS score was lower, and the score of GMFM-88 was higher in the observa-tion group than in the control group (P<0.001). Conclusion Manipulation can further improve the muscle tension and the motor function of children with spastic cerebral palsy.