Zhang Xue-Jun, Wu Qiang
College of Acupuncture and Moxibustion, Fujian University of TCM, Fuzhou 350108, China.
Zhongguo Zhen Jiu. 2012 Apr;32(4):301-4.
To observe the impacts on integrated electromyogram (IEMG) of gastrocnemius muscle of the children with spastic cerebral palsy treated with different intervention order of acupuncture and kinesithera py.
Twenty-nine children with spastic cerebral palsy were randomly divided into group A (15 cases) in which the patients were treated with acupuncture before kinesitherapy, and group B (14 cases) in which the patients were treated with acupuncture after kinesitherapy. In group A, acupuncture was applied at Weizhong (BL 40) and Chengshan (BL 57). Afterward, Bobath kinesitherapy was adopted. In group B, Bobath kinesitherapy was adopted at first, and acupuncture was applied at Weizhong (BL 40) and Chengshan (BL 57) afterward. The instant changes of IEMG after treatment were recorded in each group.
(1) Group A: after single acupuncture and the combined intervention in which acupuncture was applied together with kinesitherapy, IEMG increased apparently (both P < 0.05). There was no significant difference statistically in IEMG after acupuncture as compared with that after the combined intervention of acupuncture and kinesitherapy (P > 0.05). (2) Group B: after single kinesitherapy and the combined intervention in which acupuncture was applied together with kinesitherapy, IEMG increased in tendency, but no statistically significant difference indicated (both P > 0.05). (3) In comparison of IEMG after treatment between two groups, there was no significant difference statistically (P > 0.05).
The different intervention order of acupuncture and kinesitherapy impacts significantly IEMG of gastrocnemius muscle of the children with spastic cerebral palsy. In order to avoid hypermyotonia of gastrocnemius muscle after treatment, kinesitherapy should be applied before acupuncture in priority.
观察针刺与运动疗法不同干预顺序对痉挛型脑瘫患儿腓肠肌积分肌电图（IEMG）的影响。
将29例痉挛型脑瘫患儿随机分为A组（15例），先针刺后运动疗法；B组（14例），先运动疗法后针刺。A组针刺委中（BL 40）、承山（BL 57），之后采用Bobath运动疗法。B组先采用Bobath运动疗法，之后针刺委中（BL 40）、承山（BL 57）。记录每组治疗后IEMG的即时变化。
（1）A组：单次针刺及针刺与运动疗法联合干预后，IEMG均明显升高（均P<0.05）。针刺后与针刺联合运动疗法干预后的IEMG比较，差异无统计学意义（P>0.05）。（2）B组：单次运动疗法及针刺与运动疗法联合干预后，IEMG有升高趋势，但差异无统计学意义（均P>0.05）。（3）两组治疗后IEMG比较，差异无统计学意义（P>0.05）。
针刺与运动疗法不同的干预顺序对痉挛型脑瘫患儿腓肠肌IEMG有显著影响。为避免治疗后腓肠肌高肌张力，应优先在针刺前应用运动疗法。
