Occupational therapy with or without combined acupuncture on upper limb pain and hand functions in children with spastic hemiplegic cerebral palsy:A three-arm randomized,placebo-controlled trial  

作业疗法合并或不合并针刺对痉挛型偏瘫脑瘫患儿上肢疼痛及手功能的干预研究:一个三臂随机安慰对照临床试验

作　　者：Fei-yi ZHAO Yan XU Li-ping YUE Si-han CHEN Xiao-jie XIA Ci HAN Qiang-qiang FU 赵非一;徐燕;岳立萍;陈思涵;夏小芥;韩茨;付强强(上海杉达学院国际医学技术学院护理系,中国上海201209;上海中医药大学协爱中医医院,中国上海201499;华东师范大学教育学部,中国上海200062;同济大学附属杨浦医院,中国上海200090)

机构地区：[1]Department of Nursing,School of International Medical Technology,Shanghai Sanda University,Shanghai 201209,China [2]Shanghai Xieai TCM Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 201499,China [3]Faculty of Education,East China Normal University,Shanghai 200062,China [4]Yangpu Hospital,School of Medicine,Tongji University,Shanghai 200090,China

出　　处：《World Journal of Acupuncture-Moxibustion》2022年第1期1-8,共8页世界针灸杂志（英文版）

基　　金：Supported by University’s Scientific Research Project;Shanghai Sanda University:No.2021zz02-yj;Special Project for Clinical Research;Shanghai Municipal Health Commission:No.20174Y0009.

摘　　要：Objective:This study is conducted to investigate the effects of occupational therapy(OT) with or without combined acupuncture for upper limb pain and hand functions among children with spastic hemiplegic cerebral palsy.Methods:A total of 90 patients who met the inclusion criteria were enrolled in a three-arm randomized,placebo-controlled trial,and were allocated to mono-occupational therapy(OT) group(patients=30),OT combined with real-acupuncture(ORA) group(patients=30),and OT combined with placeboacupuncture(OPA) group(patients=30),respectively.In addition to receiving the conventional OT program as the basic treatment for total 8 weeks,patients in ORA and OPA group also received corresponding acupuncture treatment 5 days per week for the first two weeks,3 days per week for the next two weeks,2 days per week for another two weeks,and 1 day per week for the last two weeks.Non-communicating children’s pain checklist-revised scale(NCCPC-R) was used for assessing the upper limb pain among patients.Squeeze dynamometry,modified Ashworth scale(MAS),manual muscle testing(MMT),JebsenTaylor hand function test(JTHFT) and box and block test(BBT) were used for assessing various aspects of upper limb and hand functions among patients.Meanwhile,adverse effects were monitored and recorded.Results:After 8-week treatment,NCCPC-R global scores witnessed a dramatic decline in ORA group(P<0.05),but not in either OPA(P> 0.05) or OT group(P> 0.05).Dramatic increases were identified in both squeeze dynamometry scores and MMT scores in all three groups(all P <0.05).Furthermore,the increases of ORA group were more significant than those of another two groups(both P <0.05).There were no significant changes in MAS global scores in each group(all P> 0.05).The BBT global scores of all three groups significantly increased(all P <0.05) after treatment.Among them,the increase of the ORA group was more than that of the other two groups(P <0.05).The 8-week treatment also had a significant impact on several sub-tests of JTFHT in each group.No si

关 键 词：Occupational therapy ACUPUNCTURE Placebo-acupuncture PAIN Hand functions Spastic hemiplegic cerebral palsy 

分 类 号：R742.3[医药卫生—神经病学与精神病学]