ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2024, Vol. 16 ›› Issue (4): 281-286.doi: 10.3969/j.issn.1674-3865.2024.04.002

• 儿童脑性瘫痪康复专栏 • 上一篇    下一篇

手-臂双侧强化训练联合中医手法推拿对偏瘫型脑性瘫痪儿童上肢功能的影响

梁鲁波, 何强勇, 李佩琼, 朱星明, 罗廷威, 蒙智扬   

  1. 528000 广东 佛山，佛山市第一人民医院中西医结合科（梁鲁波，李佩琼，罗廷威，蒙智扬），功能神经科（朱星明）；528200 广东 佛山，佛山市南海区妇幼保健院儿童康复科（何强勇）
  • 收稿日期:2023-11-06 出版日期:2024-08-25 上线日期:2024-08-26
  • 通讯作者: 何强勇，E-mail:viewer911@163.com
  • 基金资助:
    2022年佛山市卫生健康局医学科研项目（20220013）

Effects of hand-arm bilateral intensive training combined with traditional Chinese medicine massage on upper limb function in children with hemiplegic cerebral palsy

LIANG Lubo, HE Qiangyong, LI Peiqiong, ZHU Xingming, LUO Tingwei, MENG Zhiyang   

  1. 1Foshan First People′s Hospital,Foshan 528000,China；2Nanhai District Women and Children Hospital，Foshan 528200，China
  • Received:2023-11-06 Published:2024-08-25 Online:2024-08-26
  • Contact: HE QiangyongE-mail:viewer911@163.com

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摘要： 目的 研究中医手法推拿结合手-臂双侧强化训练对偏瘫型脑性瘫痪(简称脑瘫)儿童的疗效。方法 选取2021年1月至2023年6月佛山市第一人民医院收治的偏瘫型脑瘫患儿62例为研究对象，随机分为对照组30例和观察组32例。对照组进行手-臂双侧强化训练，观察组在对照组治疗基础上结合中医手法推拿，两组均治疗8周。训练前后对两组儿童分别进行上肢功能技巧测试质量(QUEST)量表和能力低下儿童评定量表(PEDI)进行测评，并对测评结果进行数据分析，比较两组数据的差异性。结果 (1)QUEST量表评分显示，治疗后观察组分离运动区、负重区和总分均优于对照组，差异有统计学意义(P<0.05)。(2)PEDI评分显示，治疗后功能性技能区和照顾者协助区的自理能力、移动能力和社会技能组内前后比较，差异均有统计学意义(P<0.05)。治疗后观察组功能性技能区的自理能力和移动能力，照顾者协助区的自理能力均优于对照组，差异有统计学意义(P<0.05)。结论 手-臂双侧强化训练联合中医手法推拿对偏瘫型脑瘫儿童上肢功能的改善优于单独使用手-臂双侧强化训练。

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: Objective  To investigate the impact of combining Chinese medicine massage with hand-arm bilateral intensive training on children with hemiplegic cerebral palsy.Methods  A 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).Conclusion The 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