首页|肌内效贴治疗痉挛型脑瘫伴膝过伸儿童下肢功能的临床疗效

肌内效贴治疗痉挛型脑瘫伴膝过伸儿童下肢功能的临床疗效

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目的 探讨肌内效贴治疗痉挛型脑瘫伴膝过伸儿童下肢功能的临床疗效.方法 选取2017年8月至2018年12月在该院康复治疗的痉挛型脑瘫患儿60例为研究对象,分为试验组和对照组,每组30例.对照组采用常规康复治疗,试验组在常规康复治疗的基础上联合肌内效贴治疗,疗程3个月.治疗前后对患儿进行粗大运动功能评定(GMFM)-88评分、患侧小腿三头肌改良Ashworth量表(MAS)分级、表面肌电检测、伸膝位足背屈角度测量、膝关节最大伸直角度测量.结果 治疗后,两组GMFM-88评分、患侧小腿三头肌MAS分级、伸膝位足背屈角度、站立位膝关节最大伸直角度较治疗前均有改善(P<0.05),且试验组上述指标均优于对照组(P<0.05),两组表面肌电值比较差异无统计学意义(P>0.05).两组治疗过程中无明显不良反应发生,依从性良好.试验组患儿家长填写肌内效贴满意度问卷,对肌内效贴满意度为100%.结论 肌内效贴联合常规康复治疗能有效改善痉挛型脑瘫伴膝过伸患儿的肌张力、关节活动、膝过伸程度、运动功能.
Clinical effect of Kinesio Tape for treating lower limb function in children with spastic cerebral palsy accompanied by knee hyperextension
Objective To study the clinical effect of Kinesio Tape for treating the lower limb function in children with spastic cerebral palsy accompanied by knee hyperextension.Methods Sixty children with spastic cerebral palsy treated by rehabilitation therapy in this hospital from August 2017 to December 2018 were se-lected as the study subjects and divided into the experiment group and control group,30 cases in each group.The control group adopted the conventional rehabilitation therapy,while the experiment group was combined with Kinesio Tape on the basis of conventional rehabilitation therapy.The treatment course lasted for 3 months.Before and after treatment,the children patients conducted the Gross Motor Function Measure-88(GMFM-88)scoring,Modified Ashworth Scale(MAS)grading on the triceps surae muscle in the affected side,surface electromyography,measurement of dorsiflexion angle of foot in knee extension position and meas-urement of maximum knee extension angle of knee joint.Results The GMFM-88 score,triceps surae muscle MAS grade in the affected side,foot dorsiflexion angle in Knee extension position,maximum knee extension angle in the erect position in the two groups were improved compared with those before treatment(P<0.05).Furthermore,the above indicators in the experimental group were superior to those in the control group(P<0.05).The surface electromyographic value had no statistical difference between the two groups(P>0.05).No obvious adverse reactions occurred during the treatment process with good compliance.The chil-dren's parents in the experiment group filled in Kinesio Tape satisfaction questionnaire,and had 100%satis-faction.Conclusion Kinesio Tape combined with routine rehabilitation therapy could effectively improve the muscular tension,joint activity,knee excessive extension degree and exercise function in children with spastic cerebral palsy accompanied by knee hyperextension.

Kinesio Tapecerebral palsyknee hyperextension

李雪怡、闫淑媛、匡晓妮、欧德飞、王国红

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长沙市妇幼保健院儿童保健中心,长沙 410000

肌内效贴 脑瘫 膝过伸

湖南省残疾人联合会康复科研项目

2017xk015

2024

重庆医学
重庆市卫生信息中心,重庆市医学会

重庆医学

CSTPCD
影响因子:1.797
ISSN:1671-8348
年,卷(期):2024.53(13)
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