Luo Wei, Liu Chun-Lei, Long Yan, Chen Fei-Fei, Zhao Su-Fen, Yang Yong, Fu Sha, Wang Pao-Qiu
Third Department of Rehabilitation, Hunan Children's Hospital, Changsha 410007, China.
Zhen Ci Yan Jiu. 2020 Jun 25;45(6):480-3. doi: 10.13702/j.1000-0607.190585.
To investigate the effect of Baixiao moxibustion at meridian sinew nodal points combined with routine rehabilitation on upper limb motor function in children with spastic hemiplegic cerebral palsy.
A total of 50 children with spastic hemiplegic cerebral palsy were divided into control group and treatment group using a random number table, with 25 children in each group. The children in the control group were given routine rehabilitation training of the ipsilateral upper and lower limbs, and those in the treatment group were given Baixiao moxibustion at the meridian sinew nodal points of the ipsilateral upper limb in addition to the treatment in the control group, once a day and five times a week. Each course of treatment was 4 consecutive weeks, and both groups were treated for 3 courses. Before treatment and at weeks 4 and 12 of treatment, modified Ashworth score was used to evaluate muscle tension of the ipsilateral upper limb, and 88-item version of the Gross Motor Function Measure (GMFM-88) and Carroll upper extremities functional test (UEFT) were used to assess the motor function of the ipsilateral upper limb.
At weeks 4 and 12 of treatment, both groups had a significant reduction in modified Ashworth score (<0.05) and significant increases in GMFM-88 and UEFT scores (<0.05). Both groups had significant changes in modified Ashworth score, GMFM-88 score, and UEFT score from week 4 to week 12 of treatment (<0.05). Compared with the control group at week 12 of treatment, the treatment group had a significant reduction in modified Ashworth score (<0.05) and significant increases in GMFM-88 and UEFT scores (<0.05).
Baixiao moxibustion at meridian sinew nodal points can significantly improve the muscle tension and motor function of the ipsilateral upper limb in children with spastic hemiplegic cerebral palsy, and the improvement becomes more apparent as the treatment lasts longer.
探讨白消灸经络筋结点结合常规康复对痉挛型偏瘫脑瘫患儿上肢运动功能的影响。
将50例痉挛型偏瘫脑瘫患儿采用随机数字表法分为对照组和治疗组，每组25例。对照组患儿给予患侧上下肢常规康复训练，治疗组患儿在对照组治疗基础上，加用患侧上肢经络筋结点白消灸，每日1次，每周5次。每个疗程连续治疗4周，两组均治疗3个疗程。在治疗前及治疗第4周、12周时，采用改良Ashworth评分评估患侧上肢肌张力，采用粗大运动功能测量量表88项版（GMFM - 88）和卡罗尔上肢功能测试（UEFT）评估患侧上肢运动功能。
在治疗第4周和12周时，两组改良Ashworth评分均显著降低（P<0.05），GMFM - 88和UEFT评分均显著升高（P<0.05）。两组在治疗第4周到第12周时改良Ashworth评分、GMFM - 88评分和UEFT评分均有显著变化（P<0.05）。与治疗第12周时的对照组相比，治疗组改良Ashworth评分显著降低（P<0.05），GMFM - 88和UEFT评分显著升高（P<0.05）。
经络筋结点白消灸可显著改善痉挛型偏瘫脑瘫患儿患侧上肢肌张力和运动功能，且随着治疗时间延长改善更明显。
