肌内效贴扎对小儿脑瘫核心肌群的影响及异常步态的预防作用  

Effect of kinesio taping on the core muscle groups of children with cerebral palsy and the prevention of abnormal gait

作　　者：徐艳[1] 吴锋锋[1] 何凤翔[1] XU Yan;WU Feng-feng;HE Feng-xiang(Department of Rehabilitation,Central Hospital,Huzhou Normal University,Huzhou,Zhejiang 313000,China)

机构地区：[1]湖州市中心医院,湖州师范学院附属中心医院康复科,浙江湖州313000

出　　处：《中华全科医学》2021年第10期1737-1741,共5页Chinese Journal of General Practice

基　　金：浙江省医药卫生科技计划项目(2018KY779)。

摘　　要：目的探讨肌内效贴扎对小儿脑瘫核心肌群的影响及异常步态的预防作用,为临床预防小儿脑瘫步态异常提供参考。方法选取2017年1月2019年5月湖州市中心医院收治的50例小儿脑瘫患儿,采用随机数字表法分为2组,每组25例。对照组给予常规康复训练,观察组在此基础上给予肌内效贴扎,2组均干预2个月。采用平衡训练检测仪评估2组睁眼时躯干稳定控制指标,比较2组干预前后核心肌群肌力变化、Berg平衡量表(BBS)评分、步态评估量表(TGA)、步态测试数据综合痉挛量表(CSS)、改良巴氏指数评定表(MBI)、粗大运动功能评估表(GMFM-88)评分。结果干预后观察组躯干平均压力中心前后和左右方向位移标准差、前后和左右方向平均运动速度低于对照组,腹直肌、竖脊肌、臀大肌、髂腰肌肌力评分高于对照组(均P<0.05);干预后观察组BBS.TGA评分分别为(35.51±3.67)、(10.23±1.13)分,高于对照组的(30.49±2.98)、(7.49±1.08)分(均P<0.05);干预后观察组左侧步长、右侧步长、左侧步速、GMFM-88量表A-E评分高于对照组,步宽低于对照组(均P<0.05);干预后观察组Css评分[(7.48±1.27)分]低于对照组的(9.11±1.18)分,MBI评分[(80.67±7.08)分]高于对照组的(72.39±7.19)分(均P<0.05)。结论肌内效贴扎能提高脑瘫患儿躯干稳定性控制能力,增加核心肌群肌力,改善机体平衡能力,预防、纠正步态异常,提高患儿日常生活能力与粗大运动功能。Objective To investigate the effect of kinesio taping on the core muscle groups of children with cerebral palsy and its preventive effect of abnormal gait so as to provide a reference for the clinical prevention of abnormal gait in children with cerebral palsy.Methods Fifty children with cerebral palsy admitted at Huzhou Central Hospital from January 2017 to May 2019 were selected.They were divided into two groups according to simple randomisation,with 25 cases in each group.The control group was given routine rehabilitation training,whereas the observation group was given kinesio taping.The two groups were intervened for 2 months,and a balance training detector was used to evaluate the trunk stability control indicators of the two groups when the eyes were opened.The core muscle strength changes,Berg Balance Scale(BBS)score,Tinetti Gait Analysis(TGA)and gait test data,comprehensive spasticity scale(CSS),modified Barthel index(MBI)and gross motor function evaluation form(GMFM-88)before and after intervention were compared between the two groups.Results After intervention,the standard deviations of the displacement in the observation group before and after COP and the left and right directions,the average movement speed of the front and rear and the left and right directions were lower than those in the control group.The rectus abdominis,erector spinae,gluteus maximus and iliopsoas muscle scores of the observation group were higher than those of the control group(all P<0.05).The BBS and TGA scores of the observation group after intervention were(35.51±3.67)and(10.23±1.13)points,which were higher than those of the control group(30.49±2.98)and(7.49±1.08)points,respectively(all P<0.05).After intervention,the left-side step length,right-side step length,left-side step speed and GMFM-88 scale A-E scores of the observation group were higher than those of the control group,and the step width of the observation group was lower than that of the control group(all P<0.05).After intervention,the CSS score and MBI score of

关 键 词：肌内效贴扎 小儿 脑瘫 核心肌群 异常步态 

分 类 号：R493[医药卫生—康复医学] R729[医药卫生—临床医学]