脑瘫患儿姿势控制训练与坐姿训练：肌内效贴布与神经肌肉电刺激对比
Training postural control and sitting in children with cerebral palsy: Kinesio taping vs. neuromuscular electrical stimulation.
作者信息
Karabay İlkay, Doğan Asuman, Ekiz Timur, Köseoğlu Belma Füsun, Ersöz Murat
机构信息
Ankara Physical Medicine and Rehabilitation Training and Research Hospital, Department of Physical Medicine and Rehabilitation, Ankara, Turkey.
Ankara Physical Medicine and Rehabilitation Training and Research Hospital, Department of Physical Medicine and Rehabilitation, Ankara, Turkey.
出版信息
Complement Ther Clin Pract. 2016 Aug;24:67-72. doi: 10.1016/j.ctcp.2016.05.009. Epub 2016 May 12.
OBJECTIVE
To elucidate the effects of Kinesio Taping (KT) in addition to neurodevelopmental therapy (NDT) on posture and sitting, and to compare the effects of KT and neuromuscular electrical stimulation (NMES).
MATERIALS-METHODS: Seventy-five children were randomized into control, KT, and NMES groups. NDT was applied to all children 4 times a week for 4 weeks. In addition, KT and NMES were applied to KT and NMES groups, respectively. Sitting subset of Gross Motor Function Measure (GMFM) and kyphosis levels of the groups were analyzed by two way mixed ANOVA.
RESULTS
GMFM and kyphosis values improved significantly in all groups (all p < 0.01), yet change levels were more prominent in the KT and NMES groups than the control group. Moreover, NMES group showed better improvement.
CONCLUSION
KT or NMES application for four weeks in addition to NDT is effective on improving kyphosis and sitting. Besides, NMES is more effective than KT.
目的
阐明除神经发育疗法（NDT）外，肌内效贴布（KT）对姿势和坐姿的影响，并比较KT与神经肌肉电刺激（NMES）的效果。
材料与方法
75名儿童被随机分为对照组、KT组和NMES组。所有儿童每周接受4次NDT治疗，共4周。此外，分别对KT组和NMES组施加KT和NMES。通过双向混合方差分析对粗大运动功能测量（GMFM）的坐姿子集和各组的脊柱后凸水平进行分析。
结果
所有组的GMFM和脊柱后凸值均显著改善（所有p<0.01），但KT组和NMES组的变化水平比对照组更显著。此外，NMES组显示出更好的改善效果。
结论
除NDT外，应用KT或NMES四周对改善脊柱后凸和坐姿有效。此外，NMES比KT更有效。
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