摘要
目的 观察体外冲击波联合蜡疗治疗痉挛型脑瘫患儿尖足的效果.方法 选取2021年6月—2023年10月我院收治的 60例痉挛型脑瘫伴有尖足患儿为研究对象,按照随机数字表法将其分为治疗组和对照组,每组 30 例.治疗组采用体外冲击波联合蜡疗治疗,对照组采用蜡疗治疗.比较两组的改良Ashworth量表(MAS)评分、足背屈角被动关节活动度(PROM)、表面肌电图RMS值、粗大运动功能量表(GMFM)D区+E区评分及临床疗效.结果 治疗前,两组患儿的MAS评分、PROM、RMS、GMFM D区+E区评分比较,组间差异无统计学意义(P＞0.05);治疗后,两组患儿的MAS评分、PROM、RMS均较治疗前下降,GMFM D区+E区评分均较治疗前升高,且治疗组患儿的MAS评分、PROM、RMS均低于对照组,GMFM D区+E区评分高于对照组,差异有统计学意义(P＜0.05).治疗组的治疗总有效率为 83.30%,高于对照组的 56.67%,差异有统计学意义(P＜0.05).结论 体外冲击波联合蜡疗能够有效改善痉挛型脑瘫患儿尖足情况及下肢运动功能活动,优于单独使用蜡疗.
Abstract
Objective To observe the therapeutic effect of extracorporeal shock wave combined with wax therapy on acupodia in children with spastic cerebral palsy.Methods Sixty children with spastic cerebral palsy with apical foot admitted to our hospital from June 2021 to October 2023 were selected as the study objects and divided into a treatment group and a control group according to random number table method,which 30 cases in each group.The treatment group was treated with extracorporeal shock wave combined with wax therapy,and the control group was treated with wax therapy.The Modified Ashworth Scale(MAS),passive joint motion of foot dorsiflexion Angle(PROM),surface electromyography(RMS),Gross Motor Function Scale(GMFM)score in D+E area and clinical efficacy were compared between the two groups.Results Before treatment,MAS score,PROM,RMS,and GMFM D+E area were not significantly different between the two groups(P＞0.05);after treatment,MAS score,PROM and RMS of the two groups were decreased compared with before treatment,and GMFM D+E scores were increased compared with before treatment,MAS score,PROM and RMS of the treatment group were lower than those of the control group,and GMFM D+E scores were higher than those of the control group,with statistical significance(P＜0.05).The total effective rate of treatment group was 83.30%,which was higher than 56.67%of the control group,the difference was statistically significant(P＜0.05).Conclusion Extracorporeal shock wave combined wax therapy can effectively improve the tipfoot condition and lower limb motor function in children with spastic cerebral palsy,which is superior to wax therapy alone.
基金项目
韶关市科技计划项目(220602104530818)
NETL
NSTL
万方数据