头针留针结合运动疗法对痉挛型脑瘫患儿步态时空参数的影响

目的观察头针留针结合运动疗法(易化技术)对痉挛型脑瘫患儿步态时空参数的影响。方法对15例脑瘫患儿(双瘫11例,偏瘫4例)予以头针治疗,留针的同时采用运动疗法进行训练,每日1次,疗程3个月。观察治疗前后患儿的"GMFM-88项"走、跑、跳(E能区)百分比,运用三维步态分析系统观测比较治疗前后步态时空参数的情况。结果 1治疗前后比较"GMFM-88项"走、跑、跳(E能区)百分比,差异有统计学意义(P0.05)。2治疗前后比较,患儿步长差异有统计学意义(P0.05),步宽差异无统计学意义(P0.05)。3治疗前后比较,患儿步速、步频均加快,差异有统计学意义(P0.05);摆动相亦有改善性延长趋势,但差异无统计学意义(P0.05);双支撑相下降幅度显著,差异有统计学意义(P0.05)。结论头针留针结合运动疗法(易化技术)可缓解痉挛型脑瘫患儿的痉挛症状,改善粗大运动功能(尤其站和走)及痉挛步态,增强活动能力。

Combination of scalp acupuncture and facilitation technique on emporal and spatial parameters of gait in cerebral palsy children

Objective To investigate the effects of scalp acupuncture and facilitation technique in cerebral palsy children. Methods Fifteen cerebral palsy children （ 11 spastic diplagia cases and 6 hemiplegia cases） were enrolled in this investigation, and the gait parameters of time and space were observed once a day for three months. The parameters were measured by GMFM-88 including walking, running, jumping, and comparison of the percentage in total area （E） using Motion Analysis CA95403 three-dimensional gait analysis system. Results （1） GMFM- 88 E area percentage was significantly improved after treatment （ P 〈 0.05 ）. （2） There was a significant difference in step width （ P 〈 0. 05 ）, but no significant difference was found in stride width after treatment （ P 〉 0.05 ）. （3） The stride speed, stride frequency were accelerated after treatment （ P 〈 0. 05 ）, and swing phase also improved by extending tendency, but without significant difference （ P 〉 0.05 ）. There was a significant difference in tibiae at double-support time （ P 〈 0.05 ）. Conclusion Combined scalp acupuncture and facilitation technology can alleviate spastic cerebral palsy spasm, improve gross motor function and improve gait of steps step length, width and speed.