激光针灸对脑瘫痉挛儿童痉挛的影响。

The Effect of Laser Acupuncture on Spasticity in Children with Spastic Cerebral Palsy.

机构信息

Department of Medical Acupuncture, Faculty of Medicine, University of Indonesia, Jalan Diponegoro no. 71, Central Jakarta, Indonesia.

出版信息

J Acupunct Meridian Stud. 2020 Oct;13(5):152-156. doi: 10.1016/j.jams.2020.09.001. Epub 2020 Sep 25.

DOI:10.1016/j.jams.2020.09.001

PMID:32980558

Abstract

BACKGROUND

Spasticity in cerebral palsy is one of the most common disabilities of children in developing countries.

OBJECTIVES

The objective of this study was to determine the efficacy of laser acupuncture on spasticity in children with spastic cerebral palsy.

METHODS

This clinical trial was conducted on 60 patients with spastic cerebral palsy at 2 to 10 years. The patients were categorized into two groups: the control group and treatment group. Laser acupuncture was applied on GV20, GV14, LI4, GB34, and LR3 (power 50 mW, 785 nm, 1 Joule, 40 seconds) three times a week for 12 sessions in the treatment group and placebo laser acupuncture on the same points in the control group. The spasticity was measured using the Modified Ashworth Scale before and after complete sessions.

RESULTS

The results showed that there was a significant reduction in the Modified Ashworth Scale score in the treatment group compared with the control group (p = 0.003).

CONCLUSIONS

This study suggest that laser acupuncture on GV20, GV14, LI4, GB34, and LR3 can reduce spasticity for children with spastic cerebral palsy.

摘要

背景

脑瘫患儿的痉挛是发展中国家儿童最常见的残疾之一。

目的

本研究旨在确定激光针灸对痉挛型脑瘫患儿痉挛的疗效。

方法

本临床试验纳入了 60 例 2 至 10 岁痉挛型脑瘫患儿。患儿分为对照组和治疗组。治疗组每周接受激光针灸 3 次，共 12 次，穴位为 GV20、GV14、LI4、GB34 和 LR3（功率 50mW，785nm，1Joule，40 秒）；对照组则接受相同穴位的安慰剂激光针灸。在完整疗程前后，采用改良 Ashworth 量表评估痉挛程度。