头针留针结合运动疗法对痉挛型脑瘫患儿步态时空参数的影响  

Combination of scalp acupuncture and facilitation technique on emporal and spatial parameters of gait in cerebral palsy children

作　　者：黄金容[1] 邓仁才[2] 孙克兴[3,4] 庄燕[3] 钱宸[1] 朱虎 俞艳[6] 沈敏[7] 林琳[7] 罗军鹏 黄光法 

机构地区：[1]上海中医药大学康复医学院,上海201203 [2]中国人民解放军第455医院康复科,上海200052 [3]上海市第七人民医院康复科,上海200137 [4]上海交通大学医学院附属上海儿童医学中心中医科,上海200127 [5]上海市虹口区曲阳路街道社区卫生服务中心康复科,上海200437 [6]上海中医药大学附属岳阳中西医结合医院康复科,上海200437 [7]上海市残疾人康复职业培训中心,上海200127 [8]上海市金惠康复医院儿童康复科,上海200941

出　　处：《上海中医药杂志》2014年第11期52-54,共3页Shanghai Journal of Traditional Chinese Medicine

基　　金：上海市科委上海市自然科学基金项目(13ZR1431800);上海市卫计委基金项目(20134243);上海市虹口区卫生局基金项目(虹卫1203-45);上海市中医药发展办公室基金项目(ZYSNXD-CC-BZH)

摘　　要：目的观察头针留针结合运动疗法(易化技术)对痉挛型脑瘫患儿步态时空参数的影响。方法对15例脑瘫患儿(双瘫11例,偏瘫4例)予以头针治疗,留针的同时采用运动疗法进行训练,每日1次,疗程3个月。观察治疗前后患儿的"GMFM-88项"走、跑、跳(E能区)百分比,运用三维步态分析系统观测比较治疗前后步态时空参数的情况。结果 1治疗前后比较"GMFM-88项"走、跑、跳(E能区)百分比,差异有统计学意义(P<0.05)。2治疗前后比较,患儿步长差异有统计学意义(P<0.05),步宽差异无统计学意义(P>0.05)。3治疗前后比较,患儿步速、步频均加快,差异有统计学意义(P<0.05);摆动相亦有改善性延长趋势,但差异无统计学意义(P>0.05);双支撑相下降幅度显著,差异有统计学意义(P<0.05)。结论头针留针结合运动疗法(易化技术)可缓解痉挛型脑瘫患儿的痉挛症状,改善粗大运动功能(尤其站和走)及痉挛步态,增强活动能力。Objective To investigate the effects of scalp acupuncture and facilitation technique in cerebral palsy children. Methods Fifteen cerebral palsy children （ 11 spastic diplagia cases and 6 hemiplegia cases） were enrolled in this investigation, and the gait parameters of time and space were observed once a day for three months. The parameters were measured by GMFM-88 including walking, running, jumping, and comparison of the percentage in total area （E） using Motion Analysis CA95403 three-dimensional gait analysis system. Results （1） GMFM- 88 E area percentage was significantly improved after treatment （ P 〈 0.05 ）. （2） There was a significant difference in step width （ P 〈 0. 05 ）, but no significant difference was found in stride width after treatment （ P 〉 0.05 ）. （3） The stride speed, stride frequency were accelerated after treatment （ P 〈 0. 05 ）, and swing phase also improved by extending tendency, but without significant difference （ P 〉 0.05 ）. There was a significant difference in tibiae at double-support time （ P 〈 0.05 ）. Conclusion Combined scalp acupuncture and facilitation technology can alleviate spastic cerebral palsy spasm, improve gross motor function and improve gait of steps step length, width and speed.

关 键 词：痉挛型脑瘫 头针 运动疗法 易化技术 粗大运动功能 步态 时空参数 

分 类 号：R742.3[医药卫生—神经病学与精神病学]