Clinical observation on muscle regions of meridians needling method in improving upper limb function for children with cerebral palsy of spastic hemiplegia type  

经筋刺法改善痉挛偏瘫型脑瘫患儿上肢功能的临床观察

作　　者：Li Nuo Jin Bing-xu Zhao Yong Fu Wen-jie Liu Zhen-huan Liang Bi-qi Pang Bi-hui 李诺;金炳旭;赵勇;符文杰;刘振寰;梁碧琪;庞碧徽;张馥晴(翻译)(Nanhai Maternity and Children's Hospital Affiliated to Guangzhou University of Chinese Medicine,Foshan 528200,China;不详)

机构地区：[1]Nanhai Maternity and Children's Hospital Affiliated to Guangzhou University of Chinese Medicine,Foshan 528200,China

出　　处：《Journal of Acupuncture and Tuina Science》2020年第4期295-301,共7页针灸推拿医学（英文版）

基　　金：2013年佛山市科技局“医学类科研攻关项目”,No.201308202。

摘　　要：Objective:To observe the improving effect of muscle regions of meridians needling method on the upper limb function in children with cerebral palsy of spastic hemiplegic type.Methods:A total of 100 children with cerebral palsy of spastic hemiplegia type were divided into a treatment group and a control group according to the visiting sequence,with 50 cases in each group.The control group was treated with conventional rehabilitation plus conventional acupuncture treatment.The treatment group was treated with conventional rehabilitation plus muscle regions of meridians needling method.The electromyography(EMG)signal values of triceps brachii and pronator teres were detected before treatment,and 3 months and 6 months after treatment.The clinical efficacy was evaluated by Peabody developmental motor scale-fine motor(PDMS-FM)and fine motor function measure(FMFM).Results:Three and six months after treatment,the EMG signal values of triceps brachii and pronator teres,grasping scores and visual-motor integrated scores of PDMS-FM and the FMFM scores in both groups increased to varying degrees compared with the same group before treatment,and the intra-group differences were all statistically significant(all P<0.05).Six months after treatment,the results of the above three items in the treatment group were all better than those in the control group,and the differences between the groups were statistically significant(all P<0.05).Conclusion:Muscle regions of meridians needling method added on the basis of conventional rehabilitation can effectively reduce the muscle tone of upper limb and enhance the muscle strength,and improve the upper limb function in children with cerebral palsy of spastic hemiplegia type.The efficacy is superior to that of the conventional rehabilitation plus conventional acupuncture treatment.目的:观察经筋刺法对痉挛偏瘫型脑瘫患儿上肢功能的改善作用.方法:将100例痉挛偏瘫型脑瘫患儿按就诊先后顺序分为治疗组和对照组,每组50例.对照组采用常规康复加常规针刺治疗,治疗组采用常规康复加经筋刺法治疗.两组均隔日针刺1次,共治疗30次.于治疗前、治疗后3个月和6个月后测定肱三头肌、旋前圆肌肌电信号值,应用Peabody精细运动发育量表(PDMS-FM)和精细运动能力测试量表(FMFM)评价临床效果.结果:与同组治疗前比较,两组治疗结束后3个月及6个月的肱三头肌及旋前圆肌肌电信号值、Peabody精细运动发育量表中抓握及视觉-运动统合评分及FMFM评分均有不同程度提高,组内差异均有统计学意义(均P<0.05);治疗组治疗后6个月上述三项结果均优于对照组,组间差异具有统计学意义(均P<0.05).结论:常规康复基础上加用经筋刺法能有效降低痉挛偏瘫型脑瘫患儿的上肢肌张力,提高肌力,改善患侧上肢功能,其疗效优于常规康复加常规针刺治疗.

关 键 词：Acupuncture Therapy Musculature of 12 Meridians Rehabilitation Cerebral Palsy HEMIPLEGIA Myospasm Movement Disorders Child Preschool 

分 类 号：R246.4[医药卫生—针灸推拿学]