头皮针结合康复训练对痉挛型偏瘫儿童平衡功能障碍的治疗效果

[Therapeutic effect of scalp acupuncture combined with rehabilitation training on balance dysfunction in children with spastic hemiplegia].

作者信息

Luo Wei, Wang Pao-Qiu, Liu Chun-Lei, Huang Chao, Yang Yong, Wang Yi-Mei

机构信息

Hunan Children's Hospital, Changsha 410007,China.

出版信息

Zhen Ci Yan Jiu. 2020 Aug 25;45(8):662-6. doi: 10.13702/j.1000-0607.190461.

DOI:10.13702/j.1000-0607.190461

PMID:32869578

Abstract

OBJECTIVE

To investigate the therapeutic effect of scalp acupuncture and rehabilitation training on balance dysfunction in children with spasmodic hemiplegia so as to provide the reference to the optimization of treatment scheme.

METHODS

A total of 60 children with spastic hemiplegia were divided into a routine group and a scalp acupuncture group, 30 cases in each one according to random number table. In the routine group, the rehabilitation training was provided, including exercise training, balance training, spasmotherapy apparatus, electromyography biofeedback apparatus and orthoses. In the scalp acupuncture group, on the base of the treatment as the routine group, scalp acupuncture was supplemented at motor area, foot motor sensory area, equilibrium area and parietal temporal anterior oblique line. Separately, before the treatment, after 3 months treatment and after 6 months treatment, the dimension D and E of the gross motor function measure-88 (GMFM-88) and Berg balance scale (BBS) were adopted to evaluate balance related motor functions and equilibrium function. The differences in the above 3 indicators at different time stages were compared in children between the two groups.

RESULTS

Compared with the score before the treatment, BBS score was obviously increased after 3 and 6 months treatment in the patients of the two groups respectively (<0.05). The score in the dimension D and E after 6-month treatment was increased significantly as compared with the score before treatment and after 3-month treatment in the same group respectively (<0.05). Compared with the routine group, the score of dimension D and E of GMFM-88 as well as BBS score were all increased obviously in the scalp acupuncture group after 3 and 6 months treatment (<0.05).

CONCLUSION

On the base of routine rehabilitation training, scalp acupuncture can improve balance function of children with spastic hemiplegia better.

摘要

目的

探讨头针联合康复训练对痉挛型偏瘫患儿平衡功能障碍的治疗效果，为优化治疗方案提供参考。

方法

将60例痉挛型偏瘫患儿按随机数字表法分为常规组和头针组，每组30例。常规组给予康复训练，包括运动训练、平衡训练、痉挛治疗仪、肌电图生物反馈仪及矫形器。头针组在常规组治疗的基础上，于运动区、足运感区、平衡区及顶颞前斜线加用头针治疗。分别于治疗前、治疗3个月后、治疗6个月后采用粗大运动功能测量量表-88（GMFM-88）的D、E维度及Berg平衡量表（BBS）评估平衡相关运动功能及平衡功能。比较两组患儿不同时间阶段上述3项指标的差异。