肌内效贴在痉挛型和手足徐动型脑性瘫痪患儿康复治疗中的效果  

Therapeutic effect of kinesio taping in rehabilitation therapy of spastic and athetosic cerebral palsy children

作　　者：艾春玲 杜娇娇[2] 焦艳冬[2] 张玉兰 

机构地区：[1]大庆医学高等专科学校,黑龙江大庆163000 [2]大庆龙南医院,黑龙江大庆163000

出　　处：《中国妇幼保健》2017年第15期3529-3533,共5页Maternal and Child Health Care of China

基　　金：大庆市指导性科技计划项目(zdy-2016-041)

摘　　要：目的探讨肌内效贴在痉挛型和手足徐动型脑性瘫痪患儿康复治疗中的效果。方法选择2015年8月-2016年12月在龙南医院康复科行康复治疗的90例痉挛型及手足徐动型脑性瘫痪患儿作为研究对象,采用随机数字表将其分为对照组(常规运动疗法)和实验组(常规运动疗法+肌内效贴),每组45例。治疗8周后,比较两组患儿治疗前后粗大运动功能、生活能力、上肢功能、肌张力变化。结果治疗后,两组痉挛型、手足徐动型脑性瘫痪患儿粗大运动功能评定量表(GMFM)评分均高于治疗前(均P<0.05)。两组手足徐动型脑性瘫痪患儿治疗后GMFM评分比较差异有统计学意义(P<0.05)。治疗后,两组痉挛型、手足徐动型脑性瘫痪患儿日常生活能力量表(ADL)评分均高于治疗前(均P<0.05)。两组手足徐动型脑性瘫痪患儿治疗后ADL评分比较差异有统计学意义(P<0.05)。治疗后,两组痉挛型、手足徐动型脑性瘫痪患儿墨尔本单侧上肢功能评定量表(MA)评分均高于治疗前(均P<0.05)。两组手足徐动型脑性瘫痪患儿治疗后MA评分比较差异有统计学意义(P<0.05)。治疗后,两组痉挛型、手足徐动型脑性瘫痪患儿腘角、足背屈角、股角均明显优于治疗前(P<0.05)。两组痉挛型脑性瘫痪患儿治疗后腘角、足背屈角比较差异均有统计学意义(P<0.05)。两组痉挛型、手足徐动型脑性瘫痪患儿治疗后股角比较差异有统计学意义(P<0.05)。结论肌内效贴能明显增强痉挛型、手足徐动型脑性瘫痪患儿运动功能,有效改善痉挛型脑性瘫痪患儿肌张力,提高手足徐动型脑性瘫痪患儿姿势控制能力、稳定性,值得推广应用。Objective To study the curative effect of kinesio taping in rehabilitation therapy of spastic and athetosic cerebral palsy children. Methods A total of 90 children with spastic and athetosic cerebral palsy who received rehabilitation therapy in Rehabilitation Department of Longnan Hospital from August 2015 to December 2016 were selected as research objects. According to random number table,the patients were divided into control group（ receiving conventional exercise therapy） and experimental group（ receiving conventional exercise therapy andkinesio taping）,45 patients in each group. After treatment for 8 weeks,the changes of gross motor function,living ability,upper limb function,muscular tension before and after treatment in the two groups were compared. Results After treatment,GMFM score of children with spastic and athetosic cerebral palsy in the two groups were statistically significantly higher than those before treatment（ P〈0. 05）.GMFM score of children with athetosic cerebral palsy after treatment between the two groups had statistically significant difference（ P〈0. 05）. After treatment,ADL score of children with spastic and athetosic cerebral palsy in the two groups were statistically significantly higher than those before treatment（ P〈0. 05）. ADL score of children with athetosic cerebral palsy after treatment between the two groups had statistically significant difference（ P〈0. 05）. After treatment,MA score of children with spastic and athetosic cerebral palsy in the two groups were statistically significantly higher than those before treatment（ P〈0. 05）. MA score of children with athetosic cerebral palsy after treatment between the two groups had statistically significant difference（ P〈0. 05）. After treatment,popliteal angle,foot dorsiflexion angle,and femoral angle of children with spastic and athetosic cerebral palsy in the two groups were statistically significantly better than those before treatment（ P〈0. 05）. Popliteal angle and foot dorsiflexion an

关 键 词：肌内效贴 痉挛型 手足徐动型 脑性瘫痪 康复治疗 运动能力 

分 类 号：R720.5[医药卫生—儿科]