三步解痉推拿法对痉挛型脑瘫患儿手精细运动功能干预研究  

Study on the Effect of Three-step Spasmolytic Massage on Hands’ Fine Motor Functions of Children with Spastic Cerebral Palsy

作　　者：杨芝仙[1] 李冬梅[1] 

机构地区：[1]云南中医学院第三附属医院昆明市中医医院

出　　处：《按摩与康复医学》2016年第15期26-29,共4页Chinese Manipulation and Rehabilitation Medicine

摘　　要：目的：观察三步解痉推拿法对痉挛型脑瘫患儿手精细运动功能障碍的疗效。方法：将60例有精细运动功能障碍的痉挛型脑瘫患儿随机分为研究组和对照组各30例，均接受常规康复治疗（作业疗法、运动疗法），研究组则在常规康复治疗基础上进行三步解痉推拿法治疗，分别于治疗前和治疗3个月后检查两组患儿的拇指内收肌肌张力、拇指关节活动范围、PD-MS-2精细运动发育量表以评定疗效。结果：①治疗后，研究组拇指内收肌肌张力情况及拇指关节活动范围改善程度显著优于对照组（P〈0.05），综合评定拇指痉挛缓解情况，研究组疗效显著优于对照组（P〈0.05）。②PDMS-2精细运动发育量表评定结果显示，研究组精细运动发育商、抓握评分、视觉-运动整合指数改善程度均显著优于对照组（P〈0.05）。结论：三步解痉推拿法提高痉挛型脑瘫患儿精细运动发育障碍康复效果，疗效优于单一康复治疗。Objective：To observe the efficacy of three-step spasmolytic massage for hands＆#39; fine motor dysfunction of children with spastic cerebral palsy. Methods：60 cases of children with hands＆#39; fine motor dysfunction caused by spastic cerebral palsy were randomly divided into study group （30 cases） and control group （30 cases）, both of which accepted conventional rehabilitation therapies （occupational therapy, exercise therapy）, while the study group combined with three-step spasmolytic massage on the basis of conventional rehabilitation therapies, tested the muscular tension of adduc-tor pollicis, the thumb＆#39;s range of motion, Peabody developmental motor scale （PDMS-2） to evaluate the efficacy before and 3 months after treatment. Results： ①After treatment, the improvement of muscular tension of adductor pollicis and thumb＆#39;s range of motion were significantly better than those of control group （P〈0.05）, comprehensively evaluated the relief of thumb spasm, the efficacy of study group was significantly better than con-trol group （P〈0.05）.②The result of PDMS-2 showed, the improvement of fine motor development quotient, grasping score and vision-motion inte-gration index of study group were all significantly better than those of control group （P〈0.05）. Conclusion：The treatment of three-step spasmolytic massage can improve the rehabilitation effect of the hands＆#39; fine motor dysfunction of children with spastic cerebral palsy, which efficacy is better than single rehabilitation treatment.

关 键 词：痉挛型脑性瘫痪 手精细运动 功能障碍 三步解痉推拿法 康复治疗 肌张力 关节活动范围 发育商 

分 类 号：R244.1[医药卫生—针灸推拿学]