Zhang Na, He Xiao-Hui, Liu Yi-Mei, Lu Ying
Department of Child Health and Rehabilitation, Affiliated Wuxi Children's Hospital of Nanjing Medical University, Wuxi 214023, Jiangsu Province, China.
Zhongguo Zhen Jiu. 2020 Dec 12;40(12):1314-8. doi: 10.13703/j.0255-2930.20191119-k0002.
To compare the therapeutic effect among 's three-needle combined with MyoTrac biostimulation therapy, simple 's three-needle and simple MyoTrac biostimulation therapy on upper limb function in children with spastic hemiplegia.
A total of 120 children with spastic hemiplegia were randomized into an observation group, a control group 1 and a control group 2, 40 cases in each group. Conventional occupational therapy was adopted in each group. Additionally, 's three-needle therapy was applied in the control group 1, scalp acupuncture and body acupuncture were sustained for 1 h and 30 min respectively, once a day, 5 times a week; MyoTrac biostimulation therapy was adopted in the control group 2, once a day, 15 min each time, 5 times a week; 's three-needle combined with MyoTrac biostimulation therapy were given in the observation group. Two months were as one course, and totally 3 courses were required in the 3 groups. Before treatment and 2, 4, 6 months into treatment, the standard grasping score (sGr) and the standard visual-motor integration score (sVI) of Peabody developmental motor scales-2 (PDMS-2), the modified Ashworth scale (MAS) grade and active range of movement (AROM) of wrist joints were recorded in the 3 groups.
Compared before treatment, sGr of 4, 6 months into treatment was increased in the observation group (<0.05), sGr of 6 months into treatment was increased in the control group 1 and the control group 2 (<0.05); sVI of 2, 4, 6 months into treatment was increased in the observation group (<0.05), sVI of 6 months into treatment was increased in the control group 1 and the control group 2 (<0.05). sGr and sVI of 6 months into treatment in the observation group were higher than those in the control group 1 and the control group 2 (<0.05). Compared before treatment, the MAS grade of 6 months into treatment was improved in the 3 groups (<0.05), and that in the observation group was superior to the control group 1 and the control group 2 (<0.05).
's three-needle combined with MyoTrac biostimulation therapy can effectively improve the fine function and muscle tone of upper limbs in children with spastic hemiplegia, and the improvement is superior to the simple 's three-needle and the MyoTrac biostimulation therapy.
比较靳三针结合MyoTrac生物刺激疗法、单纯靳三针疗法、单纯MyoTrac生物刺激疗法对痉挛型偏瘫患儿上肢功能的治疗效果。
将120例痉挛型偏瘫患儿随机分为观察组、对照组1和对照组2，每组40例。三组均采用常规作业疗法。此外，对照组1采用靳三针疗法，头针和体针分别持续1小时和30分钟，每天1次，每周5次；对照组2采用MyoTrac生物刺激疗法，每天1次，每次15分钟，每周5次；观察组采用靳三针结合MyoTrac生物刺激疗法。2个月为1个疗程，三组均共需治疗3个疗程。在治疗前及治疗2、4、6个月时，记录三组患儿的Peabody发育运动量表-2（PDMS-2）标准抓握评分（sGr）、标准视觉运动整合评分（sVI），改良Ashworth量表（MAS）分级及腕关节活动度（AROM）。
与治疗前比较，观察组治疗4、6个月时sGr升高（<0.05），对照组1和对照组2治疗6个月时sGr升高（<0.05）；观察组治疗2、4、6个月时sVI升高（<0.05），对照组1和对照组2治疗6个月时sVI升高（<0.05）。观察组治疗6个月时的sGr和sVI高于对照组1和对照组2（<0.05）。与治疗前比较，三组治疗6个月时MAS分级均改善（<0.05），且观察组优于对照组1和对照组2（<0.05）。
靳三针结合MyoTrac生物刺激疗法能有效改善痉挛型偏瘫患儿上肢精细功能和肌张力，且改善效果优于单纯靳三针疗法和单纯MyoTrac生物刺激疗法。
