Özkan Filiz, Zincir Handan
Department of Community Health Nursing, Erciyes University Faculty of Health Sciences, Kayseri, Turkey.
Department of Community Health Nursing, Erciyes University Faculty of Health Sciences, Kayseri, Turkey.
Appl Nurs Res. 2017 Aug;36:128-134. doi: 10.1016/j.apnr.2017.05.011. Epub 2017 May 27.
To assess the effectiveness of reflexology method upon spasticity and function among children with cerebral palsy who received physiotherapy.
A three group, randomised trial with blinded evaluator. Randomization was made sealed and opaque envelopes. 45 children with cerebral palsy who were trained at a Special Education and Rehabilitation Centre. In the reflexology and placebo group; a 20min reflexology was performed twice a week in a total 24 sessions. In the control group; no intervention was done. Before and after the implementation; measurements of the participants were obtained. The data were collected using Gross Motor Function Measure, Modified Ashworth Scale (MAS), Modified Tardieu Scale, Pediatric Functional Independence Scale, Pediatric Quality of Life Scale (PedsQL) and demographic data.
A total of 45 children completed the study. The groups were homogeneous at baseline. Between right MAS Gastrocnemius muscle was a difference and right and left Soleus muscles was significant among the groups (p<0.05). Also; there was significant difference in between right and left Tardieu value in the legs; right M. Gastrocnemius V1,V3 and M. Soleus V1, V3 values; p<0.001 and left Gastrocnemius V1 and M. Soleus V1, V3 values; p<0.001. In Gross Motor Function Measure total scores and sitting position; in Pediatric Functional Independence Scale total scores, self-care and communication subscales (p<0.05). But in terms of PedsQL was no statistically significant difference among the groups (p>0.05).
Reflexology with physiotherapy reduced spasticity in legs, improved gross motor functions, decreased dependency but led to no change in quality of life.
评估反射疗法对接受物理治疗的脑瘫儿童痉挛和功能的有效性。
一项由盲法评估者进行的三组随机试验。随机分组采用密封不透明信封。45名在特殊教育和康复中心接受训练的脑瘫儿童。在反射疗法组和安慰剂组中，每周进行两次20分钟的反射疗法，共24次。对照组不进行干预。在实施前后，对参与者进行测量。使用粗大运动功能测量、改良Ashworth量表（MAS）、改良Tardieu量表、儿童功能独立性量表、儿童生活质量量表（PedsQL）和人口统计学数据收集数据。
共有45名儿童完成了研究。各组在基线时具有同质性。在右侧MAS腓肠肌之间存在差异，且在各组之间右侧和左侧比目鱼肌存在显著差异（p<0.05）。此外，腿部左右Tardieu值之间存在显著差异；右侧腓肠肌V1、V3和比目鱼肌V1、V3值；p<0.001，左侧腓肠肌V1和比目鱼肌V1、V3值；p<0.001。在粗大运动功能测量总分和坐位方面；在儿童功能独立性量表总分、自我护理和沟通子量表方面（p<0.05）。但在PedsQL方面，各组之间无统计学显著差异（p>0.05）。
反射疗法结合物理治疗可减轻腿部痉挛，改善粗大运动功能，降低依赖性，但生活质量无变化。
