CAJ | 학술논문

目的：随机对照研究使用肌内效贴治疗产瘫患儿“产瘫肩”畸形的疗效。方法：44例产瘫Narakas分型1~4型患儿随机分入肌内效贴组和常规治疗组各22例。2组均采用运动疗法，进行肌力和关节活动度训练。肌内效贴组还给予肌内效贴进行贴扎治疗。治疗前和治疗6个月时，对患儿的肩胛下角-躯干轴线夹角、盂肱夹角、Mallet评分和Gilbert分级进行评估。结果：治疗6个月后，肌内效贴组肩关节解剖结构得以改善，肩胛下角-躯干轴线之间夹角和盂肱夹角较治疗前明显改善（＜0.05），常规治疗组改善无统计学意义；与治疗前相比，2组Mallet评分和Gilbert分级提高均有统计学意义（＜0.05）；肌内效贴组的Mallet评分差值大于常规治疗组（<0.05）。结论：肌内效贴不仅能改善产瘫肩畸形，并且有助于提高肩关节功能。
목적：수궤대조연구사용기내효첩치료산탄환인“산탄견”기형적료효。방법：44례산탄Narakas분형1~4형환인수궤분입기내효첩조화상규치료조각22례。2조균채용운동요법，진행기력화관절활동도훈련。기내효첩조환급여기내효첩진행첩찰치료。치료전화치료6개월시，대환인적견갑하각-구간축선협각、우굉협각、Mallet평분화Gilbert분급진행평고。결과：치료6개월후，기내효첩조견관절해부결구득이개선，견갑하각-구간축선지간협각화우굉협각교치료전명현개선（＜0.05），상규치료조개선무통계학의의；여치료전상비，2조Mallet평분화Gilbert분급제고균유통계학의의（＜0.05）；기내효첩조적Mallet평분차치대우상규치료조（<0.05）。결론：기내효첩불부능개선산탄견기형，병차유조우제고견관절공능。
ObjectiveTo evaluate the efficency of Kinesiotape in treating glenohumeral deformity caused by ob-stetric brachial plexus palsy(OBPP) by a randomized controlled trial. Methods:Forty-four children diagnosed with OBPP were randomly assigned to control group (n=22) and therapeutic group (n=22). All the patients had re-ceived exercise therapy, and the ones in the therapeutic group received Kinesiotape in addition. The angle be-tween the trunk axis and the axis of the injured arm and posterior glenoid-humeral angle were used to assess the anatomical improvement. Mallet scale and Gilbert grading system were employed to assess the functional improvement. Results:After 6 months' treatment with Kinesiotape and exercise therapy, significant differences in the angle between the trunk axis and the axis of the injured arm and posterior glenoid-humeral angle were observed between the two groups ( <0.05) . However, functional improvement was observed in boththe groups statistically ( <0.05). Greater functional improvements were found in the therapeutic group than that in the control group ( <0.05). Conclusion:Kinesiotape can correct glenohumeral deformity associated with obstetric brachial plexus palsy and improve shoulder function.