推拿结合足踝矫形器在小儿脑瘫康复中的运用观察_汤健.pdfVIP

辽宁中医杂志 2009年第 36卷第 10期 # 1777# , , , , , ( 南京医科大学附属南京儿童医院康复科, 江苏 南京 2 10008) : 目的: 观察推拿疗法结合足踝矫形器对脑瘫患儿下肢痉挛模式的缓解所起的作 方法: 68例痉挛型脑瘫 患儿接受推拿治疗并佩戴踝足矫形器治疗 1 个疗程后进行评估结果: 痉挛型脑瘫患儿下肢痉挛模式得到有效缓解 结论: 推拿疗法结合足踝矫形器在缓解脑瘫患儿下肢痉挛模式和提高疗效方面有重要作 : 推拿; 踝足矫形器; 痉挛型脑瘫; 康复; 儿童 : R742 : B : 1000- 17 19( 2009) 10- 1777- 02 Clinical Observation on Combination of TCM M assage w ith ConfiguringAFO for the Cerebral Palsy TANG J ian, ZHANG Yue, F U D a-lin, LIH ong-y ing, ZHA O X iao-ke, D U Sen-j ie (D e artm ent of Rehabilita tion, TheAff ilia ted N anj ing Child H os ital, N anj ing M ed ical University, N anj ing 210008, J iangshu, China) Abstract: Obj ective: T o inv stigat th th rapcu tic ff cts of comb ination of TCM m assag w ith configuring AFO for th c r - bral palsy( CP) w ith low xtr m ity spasticity.M ethods: 68 cas s of spastic c r bral palsy ( m al 38 cas s, f m al 30 cas s) w ith- out surgical xp ri nc and no jiont contractu r or d form ity w r divid d into a tr atm nt group( 36 cas s) and a control group ( 32 cas s) random ly. Tr atm nt group r c iving T CM m assag th rapy and configur A FO for r m dy, Bobathcs th rapy w as put in practic on control group. GrossM otorFunctionM asur ( GMFM ) is us d for ass ssm nt abou t r su lts on two groups aft r thr p riod of tr atm nt. R esu lts: Th com b ination us of TCM massag w ith configuring AFO can b us d for incr as activ ROM and passiv ROM vid ntly , r strain xtr m ity l an to contractur , d cr as spastic grad , l ngth n st p rang and sp d up walk in low physical forc , compr h ns iv mi prov th holistic function to ch ildr n w ith CP. Conclus ion: Th com bination of TCM m assag w ith configuring AFO has mi portant ff ct for r l asing spastic patt rn as w ll as mi proving th rapcu tic