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目的:探讨中医弹拨法对痉挛型脑瘫儿童的肌张力及肘、膝关节伸展度的影响。方法:将痉挛性脑瘫患儿48例分为两组,对照组(n=24)只接受常规康复训练,试验组(n=24)在每次接受常规康复训练前进行中医弹拨法治疗。两组均治疗3个月。在康复治疗前后,分别采用改良Ashworth分级和关节活动度评价记录法评价患儿的肌张力和肘、膝关节的主动伸展度。结果:两组治疗后改良Ashworth分级评分和关节活动度评价记录表中肘、膝关节的主动伸展度均优于治疗前(P<0.05),且试验组优于对照组(P<0.05)。结论:中医弹拨法结合常规康复训练有利于改善痉挛型脑瘫患儿的肌张力和肘、膝关节的伸展程度。
Objective: To investigate the effect of podcasting on the muscle tone and elbow and knee joint extensibility in children with spastic cerebral palsy. Methods: Forty-eight children with spastic cerebral palsy were divided into two groups. The control group (n = 24) received routine rehabilitation training only. The experimental group (n = 24) was treated with traditional Chinese medicine podcasting method before each routine rehabilitation training. Both groups were treated for 3 months. Before and after rehabilitation treatment, respectively, improved Ashworth classification and mobility evaluation method of evaluation of children with muscle tension and elbow, knee active extension. Results: The active extensibility of the elbow and knee joint in the modified Ashworth classification score and the joint activity evaluation record table were better than those before treatment (P <0.05), and the experimental group was better than the control group (P <0.05). Conclusion: The traditional Chinese medicine plucking method combined with routine rehabilitation training is beneficial to the improvement of muscle tone and elbow and knee extension in children with spastic cerebral palsy.