肌内效贴结合悬吊训练对痉挛型偏瘫患儿运动功能的效果  

Effects of Kinesio Taping Combining with Sling Exercise on Motor Function for Children with Spastic Hemiplegia

作　　者：任素伟[1] 林春[1] 孟兆祥[1] 王继兵[1] 尹正录[1] 陈波[1] 

机构地区：[1]江苏省苏北人民医院康复医学科,江苏扬州市225001

出　　处：《中国康复理论与实践》2016年第11期1310-1313,共4页Chinese Journal of Rehabilitation Theory and Practice

基　　金：江苏省苏北人民医院院级课题(No.yzucms201305)

摘　　要：目的探讨肌内效贴结合悬吊训练对痉挛型偏瘫患儿运动功能的影响。方法 2014年10月~2016年4月,60例痉挛型偏瘫脑瘫患儿随机分为常规组（n=20）、悬吊组（n=20）和观察组（n=20）,分别接受常规康复、常规康复＋悬吊训练、常规康复＋悬吊训练＋肌内效贴。治疗前及治疗3个月后,采用Mallet评分、改良Ashworth量表、Peabody精细运动发育量表、粗大运动功能测试量表（GMFM）-C区对患儿进行评估。结果治疗后,各组Mallet评分、Peabody精细运动发育量表评分、GMFM-C区评分均提高（t〉2.074,P〈0.05）,观察组效果最佳（F〉10.032,P〈0.001）。观察组治疗后改良Ashworth量表评分显著降低（t=4.767,P〈0.001）,且在三组中最低（F=4.262,P〈0.05）。结论肌内效贴结合悬吊训练可更有效改善痉挛型偏瘫患儿上肢功能,促进精细运动功能发育,改善粗大运动功能。Objective To observe the effect of Kinesio taping combining with sling exercise therapy（SET） on the motor function for children with spastic hemiplegia. Methods From October, 2014 to April, 2016, 60 children with spastic hemiplegia of cerebral palsy were randomly divided into control group（n=20）, SET group（n=20） and observation group（n=20）, who accepted routine rehabilitation, routine rehabilitation＋SET and routine rehabilitation＋SET＋Kinesio taping, respectively. They were assessed with Mallet Score, modified Ashworth Scale（MAS）, Peabody Developmental Motor Scale-fine motor（PDMS-2FM） and Gross Motor Function Measure（GMFM）-C zone before and three months after treatment. Results The Mallet Score and the scores of PDMS-2FM and GMFM-C improved in all the groups after treatment（t〉2.074, P〈0.05）, and improved the most in the observation group（F〉10.032, P〈0.001）. The score of MAS decreased in the observation group after treatment（t=4.767, P〈0.001）, and was the least among these groups（F=4.262, P〈0.05）. Conclusion Kinesio taping combining with SET can improve the motion in the children with spastic hemiplegia, and promote the development of both fine and gross motor function.

关 键 词：脑性瘫痪 痉挛型偏瘫 肌内效贴 悬吊训练 精细运动 粗大运动 儿童 

分 类 号：R742.3[医药卫生—神经病学与精神病学]