肌内效贴治疗痉挛型偏瘫患儿拇指内收疗效观察  

Efficacy Observation on Kinesio Taping for Thumb Adduction in Children with Spastic Hemiplegia

作　　者：唐巧萍[1] 张娜[1] 惠需[1] 

机构地区：[1]南京医科大学附属无锡市儿童医院

出　　处：《按摩与康复医学》2016年第5期13-15,共3页Chinese Manipulation and Rehabilitation Medicine

摘　　要：目的：观察肌内效贴治疗痉挛型偏瘫患儿患侧拇指内收的效果。方法：选取2014年5月～2015年9月牧治的80例痉挛型偏瘫患儿作为研究对象，随机分为对照组和观察组各40例，对照组进行常规康复训练，观察组在其基础上增加肌内效贴贴扎治疗，治疗10周后测量拇指腕掌关节桡侧外展主动关节活动度（AROM）和Carroll双上肢功能评定得分并进行前后对比。结果：治疗后，两组患儿AROM和Carroll双上肢功能评分较治疗前均显著提高（P〈0．01），且观察组AROM和Carroll双上肢功能评分均高于对照组（P〈0．05）。结论：肌内效贴可以改善痉挛型偏瘫患儿患侧拇指活动度。提高手精细功能。Objective： To observe the efficacy of Kinesio taping for thumb adduction in children with spastic hemiplegia. Methods： 80 cases of chil- dren with spastic hemiplegia who were received from May 2014 to Sep 2015 were randomly divided into observation group （40 cases） and control group （40 cases）, the control group treated by conventional rehabilitation training, while the observation group combined with Kinesio taping on the basis of conventional training, after 10 weeks of treatment measured the AROM of radial abduction of carpometacarpal joint and evaluated the scores of Carroll double upper extremity function test then compared the situation before and after treatment. Results： After treatment, the AROM and Carroll scores of both groups were significantly increased compared with those before treatment （P〈0.01）, and the AROM and Carroll scores of observation group were significantly higher than those of control group （P〈0.05）. Conclusion： Kinesio taping can improve the activity degree of the thumb of children with spastic herniplegia and their fine functions of hands.

关 键 词：痉挛型偏瘫 肌内效贴 拇指内收 Carroll双上肢功能评定 关节活动度 

分 类 号：R742.3[医药卫生—神经病学与精神病学]