Randomized Controlled Clinical Trials of Individualized Treatment of Cerebral Palsy Children by Warm-reinforcing Needling Combined with Bobath Rehabilitation Training

ZHANG Ning-xia; WANG Xiang-yu; LIU Gui-zhen; LI Yun-bo; ZHANG Hong-ying

doi:10.13702/j.1000-0607.2014.04.011

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Randomized Controlled Clinical Trials of Individualized Treatment of Cerebral Palsy Children by Warm-reinforcing Needling Combined with Bobath Rehabilitation Training

更新时间：2023-08-11

- Randomized Controlled Clinical Trials of Individualized Treatment of Cerebral Palsy Children by Warm-reinforcing Needling Combined with Bobath Rehabilitation Training
- Acupuncture Research Vol. 39, Issue 4, Pages: 318-323(2014)
- 作者机构：
  
  1. 上海中医药大学附属普陀医院康复科
  2. 复旦大学附属中山医院中医科
  3. 复旦大学附属华山医院中西医结合科
- 作者简介：
- 基金信息：
- DOI：10.13702/j.1000-0607.2014.04.011
  CLC：
- Published：2014
- 稿件说明：
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ZHANG Ning-xia, WANG Xiang-yu, LIU Gui-zhen, et al. Randomized Controlled Clinical Trials of Individualized Treatment of Cerebral Palsy Children by Warm-reinforcing Needling Combined with Bobath Rehabilitation Training[J]. Acupuncture research, 2014, 39(4): 318-323.
DOI：

ZHANG Ning-xia, WANG Xiang-yu, LIU Gui-zhen, et al. Randomized Controlled Clinical Trials of Individualized Treatment of Cerebral Palsy Children by Warm-reinforcing Needling Combined with Bobath Rehabilitation Training[J]. Acupuncture research, 2014, 39(4): 318-323. DOI： 10.13702/j.1000-0607.2014.04.011.

摘要

目的:探讨热补针法结合康复训练对脑瘫患儿运动发育功能的影响。方法:将60例脑瘫患儿随机分为康复组和热补针法结合康复组

每组30例。康复组患儿只接受Bobath康复手法训练

热补针法结合康复组患儿在采用热补针法治疗的同时结合Bobath康复手法训练。体针治疗辨证取穴结合局部取穴神门、华佗夹脊、肩髃、曲池、合谷、阳陵泉、阴陵泉、绝骨、足三里、三阴交、承山、太冲、太溪

其中在曲池、合谷、阳陵泉、阴陵泉、足三里、三阴交、承山等穴施热补针法

不留针

每日治疗1次;头针取穴百会、四神聪、智三针、脑三针、颞三针、运动区

不提插捻转

留针60min

隔日治疗1次。均3个月为一疗程

共治疗2个疗程。治疗前、治疗3个月及6个月采用Peabody运动发育评定量表(PDMS-2)对脑瘫患儿进行评估。结果:两组总有效率分别为70.00%(21/30)和60.00%(18/30)

热补针法结合康复组显著优于康复组(P<0.05)。热补针法结合康复组患儿治疗6个月姿势、移动、实物操作、抓握评分分别与治疗前及治疗3个月比较

均显著升高(P<0.05)

视觉-运动整合评分与治疗前比较明显升高(P<0.05);康复组患儿治疗6个月姿势、移动、抓握评分与治疗前比较均升高(P<0.05)

实物操作评分与治疗前及治疗3个月比较显著升高(P<0.05);针刺结合康复组患儿治疗6个月姿势、移动、实物操作、抓握评分与康复组比较均明显升高(P<0.05)。结论:热补针法结合现代Bobath疗法对脑瘫患儿粗大运动功能和精细运动能力均有明显改善作用。

Abstract

Objective To observe the effect of warm-reinforcing needling combined with modern rehabilitation training on motor function of cerebral palsy(CP)children.Methods Sixty cases of CP children were randomly divided into acupuncture combined with rehabilitation(Acu+Rehab

n=30)group and Rehab(n=30)group.Patients of the Acu+Rehab group were treated by warm-reinforcing needling stimulation of Jiaji(EX-B 2)

Jianyu(LI 15)

Quchi(LI 11)

Hegu(LI 4)

Zusanli(ST 36)

Yinlingquan(GB 34)

Sanyinjiao(SP 6)

Juegu(GB 39)

Yanglingquan(GB 34)

etc.

combined with Bobath rehabilitation therapy

and those of the Rehab group treated by Bobath rehabilitation(stimulating key control points in the body

triggering reflexes that provide head and body control).The treatment was conducted every day

with three months being a therapeutic course

two courses in all.The Peabody Developmental Motor Scales 2(PDMS-2)was used to evaluate the CP children's motor function[1)gross motor:posture(straightness ratio)

locomotion and object manipulation;2)fine motor:grasping and visual-Motor integration].Results After the treatment

of the 30 and 30cases in the Acu+Rehab and Rehab groups

1(3.33%)and 0(0%)were cured

20(66.67%)and 18(60.00%)experienced marked improvement

9(30.00%)and 12(40.00%)were invalid

with the effective rates being 70.00%and 60.00%respectively.The therapeutic effect of the Acu+ Rehab group was markedly superior to that of the Rehab group(P<0.05).After 6months' treatment

the scores of posture

locomotor

object manipulation and grasping

and visual-movement integration were significantly increased in comparison with pre-treatment in the same one group(P<0.05)

and the effects of the Acu+Rehab group were obviously superior to those of Rehab group in increasing the scores of posture

locomotor

object manipulation and grasping after 6months' treatment(P<0.05).Conclusion Warm-reinforcing needling combined with Bobath rehabilitation has a better therapeutic effect in improving gross motor and fine motor functions of CP children.

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1Affiliated Putuo Hospital of Shanghai University of Chinese Medicine

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