National Institute of Rehabilitation Medicine (NIRM), Islamabad, Pakistan.
Isra Institute of Rehabilitation Sciences, Islamabad, Pakistan.
J Pak Med Assoc. 2020 May;70(5):809-814. doi: 10.5455/JPMA.24442.
To examine the effects of traditional massage on spasticity of children with cerebral palsy.
The randomised control trial was conducted at the National Institute of Rehabilitation Medicine, Islamabad, Pakistan, from September 2016 to August 2018, and comprised children with spastic cerebral palsy aged 2-10 years who were randomly allocated to control and intervention groups. Both the groups received routine physical therapy once daily, five times a week for three months. The intervention group additionally received traditional massage. Spasticity was evaluated using the Modified Ashworth Scale at baseline, and after 6th and 12th weeks of intervention. Data analysed using SPSS 20..
Of the 86 subjects enrolled, 75(87.2%) completed the study; 37(49.3%) in the control group with a mean age of 6.81±2.31 years, and 38(50.6%) in the intervention group with a mean age of 7.05±2.47 years. There were 25(68%) boys among the controls and 22(58%) in the intervention group. There was no statistically significant difference in baseline scores between the groups (p>0.05). At 6th week, reduction in scores was statistically significant in the right upper limb (p<0.05), and in the right lower limb (p<0.05) after the 12th week.
Traditional massage was found to have significant effect on the right side compared to the routine physical therapy for reduction of spasticity in children with cerebral palsy.
研究传统按摩对脑瘫儿童痉挛的影响。
本随机对照试验于 2016 年 9 月至 2018 年 8 月在巴基斯坦伊斯兰堡国家康复医学研究所进行，纳入年龄为 2-10 岁的痉挛性脑瘫儿童，按随机数字表法分为对照组和干预组。两组均接受常规物理治疗，每周 5 次，每天 1 次，持续 3 个月。干预组还接受传统按摩。采用改良 Ashworth 量表于基线时、干预 6 周和 12 周后评估痉挛程度。采用 SPSS 20. 进行数据分析。
共纳入 86 例患儿，75 例（87.2%）完成研究；对照组 37 例（49.3%），平均年龄（6.81±2.31）岁；干预组 38 例（50.6%），平均年龄（7.05±2.47）岁。对照组中 25 例（68%）为男孩，干预组中 22 例（58%）为男孩。两组患儿基线评分差异无统计学意义（p>0.05）。第 6 周时，右侧上肢（p<0.05）和右侧下肢（p<0.05）的评分降低具有统计学意义，第 12 周时也具有统计学意义。
与常规物理治疗相比，传统按摩对降低脑瘫儿童的痉挛程度有显著效果，右侧效果更为明显。
