关键词: 脑性瘫痪, 偏瘫型, 手-臂双侧强化训练, 上肢功能, 儿童

Abstract: ObjectiveTo investigate the impact of combining Chinese medicine massage with hand-arm bilateral intensive training on children with hemiplegic cerebral palsy.MethodsA total of 62 children undergoing rehabilitation treatment in Foshan First People′s Hospital between January 2021 and June 2023 were selected,and they were randomly divided into control group (30 cases) and observation group (32 cases).The control group received eight weeks of bilateral intensive training for the hands and arms,while the observation group underwent both Chinese medicine massage and hand-arm bilateral intensive training for the same duration.The QUSET and PEDI scales were employed for pre- and post-training evaluations in both groups,and data analysis was conducted to compare differences between the two groups.ResultsAfter the treatment,both groups exhibited improved scores on the QUSET scale (P<0.05) in isolated movement area,weight-bearing area and total scores,with the observation group achieving higher scores than the control group (P<0.05).Similarly,the PEDI scale demonstrated improved scores for both groups after the treatment in self-care ability,moving ability and social skills of the functional skill area and care-giver assistance area(P<0.05).Concerning self-care ability and moving ability of the functional skill area and the self-care ability of the care-giver assistance area,the observation group′s scores surpassed those of the control group after the treatment (P<0.05).ConclusionThe combination of hand-arm bilateral intensive training with Chinese medicine massage is more effective in improving upper limb function in children with hemiplegic cerebral palsy than hand-arm bilateral intensive training alone.

Key words:

Cerebral palsy, Hemiplegic, Hand-arm bilateral intensive training, Upper limb function, Child