足底按摩对痉挛型脑瘫患儿运动功能及小腿三头肌肌张力的影响  

Efficacy of foot point-zone massage on motor function and triceps surae tension in children with spastic cerebral palsy

作　　者：欧德飞 匡晓妮[1] 闫淑媛[1] 吴立毛 王国红 Ou Defei

机构地区：[1]长沙市妇幼保健院,湖南长沙410007

出　　处：《中医临床研究》2020年第32期91-93,共3页Clinical Journal Of Chinese Medicine

基　　金：2014年湖南省中医药科研计划项目(201488)。

摘　　要：目的:观察足底按摩疗法对痉挛型脑瘫患儿的运动功能及小腿三头肌肌张力的影响。方法:将40例痉挛型脑瘫患儿随机分为观察组(20例)和对照组(20例)。两组均采用常规综合疗法治疗,观察组在常规综合疗法的基础上增加足底按摩。分别于治疗前后采用粗大运动功能测试(Gross Motor Function Measure,GMFM)、足背屈角及腓肠肌表面肌电图进行评估。结果:两组患儿GMFM评分治疗后较治疗前均明显增加(P<0.001),治疗后两组间GMFM评分比较,观察组明显大于对照组(P<0.05)。两组患儿治疗后足背屈角及腓肠肌表面肌电图较治疗前均显著减小(P<0.001),且观察组优于对照组(P<0.05)。结论:足底按摩能有效改善痉挛型脑瘫患儿的运动功能和降低小腿三头肌的肌张力。Objective:To explore the efficacy of foot point-zone massage on motor function and triceps surae tension in children with spastic cerebral palsy.Methods:34 children were randomly divided into the observation group and the control group,17 children in each.Both groups were treated by conventional rehabilitation,and the children in the observation group were given foot point-zone massage more.Results:After treatment,the GMFM scores in both groups were increased significantly(P<0.001),and the score in the observation group was significantly higher than the control group(P<0.05).After treatment,foot dorsiflexion angle and the values of surface electromyography of gastrocnemius muscle in both groups were significantly decreased(P<0.001),and those in the observation group were greater(P<0.05).Conclusion:Foot pointzone massage can effectively improve the motor function and decrease triceps surae tension of children with spastic cerebral palsy.

关 键 词：痉挛型脑瘫 小腿三头肌肌张力 足底反射区 足底按摩 

分 类 号：R651.1[医药卫生—外科学]