Effect of acupuncture and tuina plus rehabilitative therapy on lower limb motor dysfunction in infants with spastic cerebral palsy

Abstract

Objective

To observe the effect of acupuncture, tuina plus rehabilitative therapy on lower limb motor dysfunction in infants with spastic cerebral palsy.

Methods

A total of 60 infants with spastic cerebral palsy were randomly divided into a treatment group and a control group by random digital table, 30 cases in each group. The treatment group was treated with acupuncture, tuina therapy plus rehabilitative therapy of Western medicine. The control group was simply treated with rehabilitative therapy of Western medicine, as same as that for the treatment group. The assessment was respectively given to the sick infants before the treatment and after the treatment of six months, to evaluate lying and rolling scores in dimension A, to evaluate sitting score in dimension B, to evaluate crawling and kneeling scores in dimension C, and evaluate standing score in dimension D in the gross motor functions and determine the muscle tone of the gastrocnemius muscle by modified Ashworth scale (MAS).

Results

The differences were not statistically significant in comparison of the gross motor functions and the muscle tone of the gastrocnemius muscle between the two groups of sick infants before the treatment (P>0.05); after the treatment of six months, the above items were obviously improved in the two groups (P<0.01), better in the treatment group than in the control group, with the statistical significance in the differences between the groups (P<0.01).

Conclusion

Acupuncture, tuina plus rehabilitative therapy of Western medicine are remarkable in the therapeutic effects in the treatment of motor disorders of the lower limbs in the sick infants with spastic cerebral palsy. This therapeutic method is safe, simple and convenient and needs to be clinically popularized and applied.

摘要

目的

观察针刺、推拿配合康复疗法对痉挛性脑瘫患儿下肢运动功能障碍的影响。

方法

将60 例痉挛 性脑瘫患儿根据随机数字表随机分为治疗组和对照组, 每组30 例。治疗组采用针刺、推拿及西医康复疗法治疗, 对照组单纯采用与治疗组相同的西医康复疗法, 分别对治疗前和治疗6 个月后患儿粗大运动功能中的A 区评定卧 和翻身、B 区评定坐、C 区评定爬和跪、D 区评定站立积分和应用改良的Ashworth 量表测定的患儿腓肠肌肌张力 进行评价。

结果

治疗前两组患儿的粗大运动功能和患儿腓肠肌肌张力组间比较差异无统计学意义(P>0.05); 治 疗6 个月后两组患儿的上述指标均较组内治疗前显著改善(P<0.01), 且治疗组优于对照组, 组间差异有统计学意 义(P<0.01)。

结论

针刺、推拿配合西医康复疗法治疗痉挛性脑瘫患儿下肢功能运动障碍疗效显著, 治疗方法安全、简便, 值得临床推广、应用。