CAJ | 학술논문

目的：观察头针配合MOTOmed虚拟情景训练对痉挛型脑瘫患者粗大运动功能及ADL的影响。方法将30例符合纳入标准的痉挛型脑瘫患者随机分为治疗组12例和对照组18例。对照组采用常规康复治疗，治疗组在对照组治疗基础上采用头针配合MOTOmed虚拟情景训练治疗。两组患者治疗前后分别采用改良的Ashworth量表(MAS)测定内收肌、腓肠肌和腘绳肌肌张力，采用粗大运动量表测量粗大运功功能，采用 ADL 评定量表进行日常生活活动能力评定。结果治疗组治疗后内收肌、腘绳肌及腓肠肌肌张力与同组治疗前比较，差异均具有统计学意义(P＜0.05)。对照组治疗后内收肌肌张力与同组治疗前比较，差异具有统计学意义(P＜0.05)。治疗组治疗后腘绳肌及腓肠肌肌张力与对照组比较，差异均具有统计学意义(P＜0.05)。治疗组治疗后足背屈角及腘窝角度数与同组治疗前比较，差异均具有统计学意义(P＜0.05)。对照组治疗后股角度数与同组治疗前比较，差异具有统计学意义(P＜0.05)。治疗组治疗后足背屈角及腘窝角度数与对照组比较，差异均具有统计学意义(P＜0.05)。两组治疗后GMFM评分及ADL评分与同组治疗前比较，差异均具有统计学意义(P＜0.05)。治疗组治疗后GMFM评分及ADL评分与对照组比较，差异具有统计学意义(P＜0.05)。结论头针配合MOTOmed虚拟情景训练是一种治疗痉挛型脑瘫的有效方法，能改善患者粗大运动功能及ADL评分。
목적：관찰두침배합MOTOmed허의정경훈련대경련형뇌탄환자조대운동공능급ADL적영향。방법장30례부합납입표준적경련형뇌탄환자수궤분위치료조12례화대조조18례。대조조채용상규강복치료，치료조재대조조치료기출상채용두침배합MOTOmed허의정경훈련치료。량조환자치료전후분별채용개량적Ashworth량표(MAS)측정내수기、비장기화객승기기장력，채용조대운동량표측량조대운공공능，채용 ADL 평정량표진행일상생활활동능력평정。결과치료조치료후내수기、객승기급비장기기장력여동조치료전비교，차이균구유통계학의의(P＜0.05)。대조조치료후내수기기장력여동조치료전비교，차이구유통계학의의(P＜0.05)。치료조치료후객승기급비장기기장력여대조조비교，차이균구유통계학의의(P＜0.05)。치료조치료후족배굴각급객와각도수여동조치료전비교，차이균구유통계학의의(P＜0.05)。대조조치료후고각도수여동조치료전비교，차이구유통계학의의(P＜0.05)。치료조치료후족배굴각급객와각도수여대조조비교，차이균구유통계학의의(P＜0.05)。량조치료후GMFM평분급ADL평분여동조치료전비교，차이균구유통계학의의(P＜0.05)。치료조치료후GMFM평분급ADL평분여대조조비교，차이구유통계학의의(P＜0.05)。결론두침배합MOTOmed허의정경훈련시일충치료경련형뇌탄적유효방법，능개선환자조대운동공능급ADL평분。
Objective To investigate the effect of scalp acupuncture plus MOTOmed virtual scene training on gross motor function and ADL in patients with spastic cerebral palsy. Methods Thirty patients with spastic cerebral palsy meeting the inclusion criteria were randomly allocated to a treatment group of 12 cases and a control group of 18 cases. The control group received routine rehabilitation therapy and the treatment group, scalp acupuncture plus MOTOmed virtual scene training in addition. Adductor, gastrocnemius and hamstring muscle tensions were determined using the Modified Ashworth Scale (MAS), gross motor function was measured using the Gross Motor Scale and the activities of daily living were assessed using the ADL in the two groups of patients before and after treatment. Results There were statistically significant pre-/post-treatment differences in adductor, gastrocnemius and hamstring muscle tensions in the treatment group (P<0.05). There was a statistically significant pre-/post-treatment difference in adductor muscle tension in the control group (P<0.05). There were statistically significant post-treatment differences in gastrocnemius and hamstring muscle tensions between the treatment and control groups (P<0.05). There were statistically significant pre-/post-treatment differences in the foot dorsiflexion angle and popliteal fossa angle in the treatment group (P<0.05). There was a statistically significant pre-/post-treatment difference in the posterior femoral angle in the control group (P<0.05). There were statistically significant post-treatment differences in the foot dorsiflexion angle and popliteal fossa angle between the treatment and control groups (P<0.05). There were statistically significant pre-/post-treatment differences in the GMFM score and the ADL score in the two groups (P<0.05). There were statistically significant post-treatment differences in the GMFM score and the ADL score between the treatment and control groups (P<0.05). Conclusions Scalp acupuncture plus MOTOmed virtual scene training is an effective way to treat spastic cerebral palsy. It can improve gross motor function and the ADL score in the patients.