家庭康复对先天性肌性斜颈的效果  

Effect of Home-based Rehabilitation on Congenital Muscular Torticollis

作　　者：王栩[1] 周晓强[1] 王晓冬[1] 刘娟 岳雷 马倩 WANG Xu;ZHOU Xiao-qiang;WANG Xiao-dong;LIU Juan;YUE Lei;MA Qian(Children's Hospital of Hebei Province,Shijiazhuang,Hebei 050031,China)

机构地区：[1]河北省儿童医院

出　　处：《中国康复理论与实践》2019年第12期1469-1473,共5页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的探讨家庭康复训练对先天性肌性斜颈(CMT)患儿的临床疗效。方法 2016年1月至2018年1月,本院收治的先天性肌性斜颈患儿60例,随机分为对照组(n=30)和观察组(n=30)。两组均采用综合物理疗法,观察组配合家庭康复训练。3个月后,比较两组患儿胸锁乳突肌厚度和CMT严重性分级,并进行疗效评价。结果治疗后,两组胸锁乳突肌包块厚度均显著缩小(t> 9.862, P <0.001),观察组显著优于对照组(t=5.468, P <0.001);两组CMT分级程度均显著减轻(|Z|> 5.857, P <0.001),观察组优于对照组(Z=-2.226, P <0.05);观察组临床疗效高于对照组(U=2359, P=0.018)。结论家庭康复配合综合康复疗法疗效优于单纯综合康复疗法。Objective To explore the effect of home-based rehabilitation on children with congenital muscular torticollis(CMT).Methods From January, 2016 to January, 2018, 60 children with CMT were randomly divided in to control group(n =30) and observation group(n = 30). Both groups received comprehensive physical therapy;the observation group received home-based rehabilitation in addition. Three months after treatment, the sternocleidomastoid thickness,severity classification of CMT, and clinic effect were compared.Results After treatment, the sternocleidomastoid thickness decreased in both groups(t > 9.862, P < 0.001), and was better in the observation group than in the control group(t = 5.468, P < 0.001);the severity classification of CMT decreased in both groups(|Z| > 5.857, P < 0.001), and was better in the observation group than in the control group(Z =-2.226, P < 0.05), as well as the clinical effect(U = 2359, P = 0.018).Conclusion Home-based rehabilitation combined with comprehensive physical therapy is superior to comprehensive physical therapy only.

关 键 词：先天性肌性斜颈 家庭康复 评估 

分 类 号：R746[医药卫生—神经病学与精神病学]