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神经肌肉电刺激和肌内效贴布应用于脑瘫儿童对姿势控制和坐位平衡的影响。

Effects of neuromuscular electrical stimulation and Kinesio Taping applications in children with cerebral palsy on postural control and sitting balance.

作者信息

Elbasan Bulent, Akaya Kamile Uzun, Akyuz Mufit, Oskay Deran

机构信息

Department of Physiotherapy and Rehabilitation Faculty of Health Sciences, Gazi University, Ankara, Turkey.

Ankara Physical Medicine and Rehabilitation Training and Research Hospital, Ankara, Turkey.

出版信息

J Back Musculoskelet Rehabil. 2018 Feb 6;31(1):49-55. doi: 10.3233/BMR-169656.

Abstract

BACKGROUND

Neurodevelopmental treatment (NDT), neuromuscular electrical stimulation (NMES), and Kinesio Taping (KT) applications are separately used to improve postural control and sitting balance in children with cerebral palsy (CP).

OBJECTIVE

The aim of this study is to examine the combined effect of NDT, NMES and KT applications on postural control and sitting balance in children with CP.

METHODS

Forty five children, in 3 groups, between the ages 5-12 years were included in the study. Group 1 received NDT; group 2 received NDT + NMES; and the group 3 received NDT + NMES + KT for 6 weeks. Sitting function evaluated by the sitting section of the gross motor function measure (GMFM), and postural control assessed with the seated postural control measurement (SPCM).

RESULTS

Seating section of GMFM was improved significantly in all the groups; however, increases in the group 3 were higher than groups 1 and 2 (p= 0.001). While significant differences were observed in all groups in the SPCM posture (p< 0.001), function (p< 0.001), and the total scores (p< 0.001); the change in the third group was higher according to the comparison of the three groups within each other.

CONCLUSIONS

Implementation of the NMES, and KT additionally to NDT improve the sitting posture, postural control, seating function, and gross motor function in children with CP.

摘要

背景

神经发育疗法(NDT)、神经肌肉电刺激(NMES)和肌内效贴布(KT)分别用于改善脑瘫(CP)患儿的姿势控制和坐位平衡。

目的

本研究旨在探讨NDT、NMES和KT联合应用对CP患儿姿势控制和坐位平衡的综合影响。

方法

本研究纳入了45名年龄在5至12岁之间的儿童,分为3组。第1组接受NDT;第2组接受NDT+NMES;第3组接受NDT+NMES+KT,为期6周。通过粗大运动功能测量(GMFM)的坐位部分评估坐位功能,并用坐位姿势控制测量(SPCM)评估姿势控制。

结果

所有组的GMFM坐位部分均有显著改善;然而,第3组的改善程度高于第1组和第2组(p=0.001)。虽然在SPCM姿势(p<0.001)、功能(p<0.001)和总分(p<0.001)方面所有组均观察到显著差异;但根据三组之间的相互比较,第3组的变化更大。

结论

在NDT基础上额外实施NMES和KT可改善CP患儿的坐姿、姿势控制、坐位功能和粗大运动功能。

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