揉肝通督联合点穴推拿疗法对运动发育迟缓高危儿的临床疗效

Clinical effect of Rougan Tongdu combined with point-pressing massage therapy on children at high risk of delayed motor development.

作者信息

Yang Yang, Geng Limei, Cai Jin, Wang Yan, Ping Jing

机构信息

Department of Pediatrics, The First Affiliated Hospital of Guizhou University of Chinese Traditional Medicine, Guiyang, China.

出版信息

Ann Palliat Med. 2020 May;9(3):1174-1179. doi: 10.21037/apm-20-1057.

DOI:10.21037/apm-20-1057

PMID:32498532

Abstract

BACKGROUND

Delayed motor development (DMD) is an extremely common development disorder in children. Multiple factors, including mother's influence, diseases, physical or chemical factors and trauma, are strongly associated with DMD. Infancy is a key period in the development of neuromotor function. For children who are at high risk of DMD, early clinical intervention can, to a certain extent, reverse and repair the damaged function of the brain, improving the child's prognosis and their quality of life. This study aimed to evaluate the effect of Rougan Tongdu combined with point-pressing massage therapy (RT-PMT) in children at high risk of DMD.

METHODS

Between March 2017 and March 2019, a total of 63 children at high risk of DMD were admitted and treated with RT-PMT in our hospital. These children were divided into three intervention groups (IGs) based on their age in months: IG I (22, 0-3 months), IG II (25, 4-6 months), and IG III (16, 7-12 months). An additional 63 healthy age-matched children were enrolled as a control group (CG) and split into the CG I (0-3 months), CG II (4-6 months), and CG III (7-12 months). All of the children underwent Gesell Infant Development Scale (GESELL) examination both before and three months after intervention and the motor function was scored.

RESULTS

After 3 months of RT-PMT, the gross motor function scores in the three IGs were 88.55±8.56, 81.83±7.95, and 78.89±7.52, respectively. Fine motor function scores in the three IGs were 89.12±6.45, 82.32±6.78, and 78.18±6.69, respectively. Total motor function scores in the three IGs were 89.85±7.20, 82.65±7.05, and 79.52±7.16, respectively. The differences between the scores before and after intervention were statistically significant (all P<0.05). The improvements in the gross, fine, and total motor function scores in IG I were better than those in the other two IGs (P<0.05), and the clinical curative effect in IG I, II, and III was 95.5%, 80.0% and 62.6%, respectively. The clinical curative effect in IG I was better than those in the other groups (P<0.05).

CONCLUSIONS

RT-PMT is beneficial for children at high risk of DMD.

摘要

背景

运动发育迟缓（DMD）是儿童中极为常见的发育障碍。多种因素，包括母亲的影响、疾病、物理或化学因素以及创伤，都与DMD密切相关。婴儿期是神经运动功能发育的关键时期。对于DMD高危儿童，早期临床干预在一定程度上可以逆转和修复受损的脑功能，改善儿童的预后和生活质量。本研究旨在评估揉肝通督联合点穴按摩疗法（RT-PMT）对DMD高危儿童的疗效。

方法

2017年3月至2019年3月，我院共收治63例DMD高危儿童并采用RT-PMT进行治疗。这些儿童根据月龄分为三个干预组（IGs）：IG I（22例，0 - 3个月）、IG II（25例，4 - 6个月）和IG III（16例，7 - 12个月）。另外招募63例年龄匹配的健康儿童作为对照组（CG），并分为CG I（0 - 3个月）、CG II（4 - 6个月）和CG III（7 - 12个月）。所有儿童在干预前和干预后三个月均接受盖塞尔婴幼儿发展量表（GESELL）检查并对运动功能进行评分。

结果

RT-PMT治疗3个月后，三个IGs的大运动功能评分分别为88.55±8.56、81.83±7.95和78.89±7.52。三个IGs的精细运动功能评分分别为89.12±6.45、82.32±6.78和78.18±6.69。三个IGs的总运动功能评分分别为89.85±7.20、82.65±7.05和7,9.52±7.16。干预前后评分差异有统计学意义（均P<0.05）。IG I的大运动、精细运动和总运动功能评分改善情况优于其他两个IGs（P<0.05），IG I、II和III的临床疗效分别为95.5%、80.0%和62.6%。IG I的临床疗效优于其他组（P<0.05）。