作业疗法结合肌内效贴对脑瘫痉挛型偏瘫患儿前臂旋前运动的疗效观察

目的:探讨作业疗法结合肌内效贴对偏瘫患儿前臂旋前的改善效果。方法:选取40例痉挛型偏瘫患儿,随机分成观察组和对照组各20例,观察组采取作业疗法结合肌内效贴的方法,对照组采取单纯的作业疗法。于治疗前后分别对患儿的上肢肌张力、前臂旋后角度、手功能进行评定并比较。结果:治疗6个月后,2组患儿的上肢肌张力,前臂旋后角度和手功能均有改善,且观察组效果好于对照组(均P0.05)。结论:作业疗法结合肌内效贴可以有效降低偏瘫患儿上肢的屈肌肌张力,改善患儿的前臂旋前,提高患儿的手功能。

The curative effect of occupational therapy combined with kinesio taping on pronation movement of the forearm of children with spastic cerebral palsy

Objective: To explore the curative effect of occupational therapy combined with kinesio taping on pronation movement of the forearm of hemiplegic children. Methods: Forty children with spastic hemiplegia were selected, and randomly divided into the treatment group and the control group. The treatment group received occupational therapy combined with kinesio taping, and the control group was given occupational therapy only. The upper extremity muscle tone, forearm rotation angle and hand function were evaluated and compared before and after treatments. Results: The upper extremity muscle tone, forearm rotation angle and hand function in two groups were improved after treatment for 6 months, and those in the treatment group were more satisfactory than in the control group (P<0.05). Conclusion: The occupational therapy combined with kinesio taping can effectively reduce the flexor muscle tone of the upper limb of children with hemiplegia and improve the pronation range of the forearm and hand function of the children.