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罗尔夫整脊法对脑瘫的功能评估

Functional evaluation of Rolfing in cerebral palsy.

作者信息

Perry J, Jones M H, Thomas L

出版信息

Dev Med Child Neurol. 1981 Dec;23(6):717-29. doi: 10.1111/j.1469-8749.1981.tb02060.x.

DOI:10.1111/j.1469-8749.1981.tb02060.x
PMID:7319140
Abstract

Rolfing is a technique which involves the use of pressure on areas of the body in which muscle tendons adhere to each other rather than sliding over one another in the normal way. In this study, a series of 10 patients with mild, moderate or severe cerebral palsy underwent Rolfing Treatment, and the results were evaluated. Mildly impaired patients made gains in velocity, stride length and cadence; the moderately impaired group made only minor gains in velocity; and the severely impaired did not improve by any of the criteria used in this study. Muscle strength and electromyography were not altered appreciably in any of the patients. While the effects of treatment on range of motion were highly variable, increased muscle tightness in the hip and knee flexors, hip internal rotators, hip adductors and plantar flexors was noted. These results indicate that Rolfing can lead to improved performance in mildly affected patients because they possess the neurological capacity to make use of increased tissue mobility, and thus avoid contractures. However, the increased muscle tightness which can occur probably outweighs any benefit which moderately or severely impaired patients may derive from the treatment.

摘要

罗尔夫整脊疗法是一种对身体某些部位施加压力的技术,这些部位的肌肉肌腱相互粘连,无法像正常情况那样相互滑动。在本研究中,对10名患有轻度、中度或重度脑瘫的患者进行了罗尔夫整脊疗法治疗,并对结果进行了评估。轻度受损患者在速度、步幅和步频方面有所改善;中度受损组仅在速度方面有微小改善;而重度受损患者在本研究使用的任何标准下均未得到改善。所有患者的肌肉力量和肌电图均未出现明显变化。虽然治疗对关节活动范围的影响差异很大,但发现髋部和膝部屈肌、髋部内旋肌、髋部内收肌和跖屈肌的肌肉紧张度增加。这些结果表明,罗尔夫整脊疗法可以使轻度受影响的患者表现得到改善,因为他们具备利用增加的组织灵活性的神经能力,从而避免挛缩。然而,可能出现的肌肉紧张度增加可能超过中度或重度受损患者从该治疗中获得的任何益处。

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引用本文的文献

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Myofascial Structural Integration Therapy on Gross Motor Function and Gait of Young Children with Spastic Cerebral Palsy: A Randomized Controlled Trial.肌筋膜结构整合疗法对痉挛型脑瘫幼儿粗大运动功能和步态的影响:一项随机对照试验。
Front Pediatr. 2015 Sep 10;3:74. doi: 10.3389/fped.2015.00074. eCollection 2015.
2
Structural integration as an adjunct to outpatient rehabilitation for chronic nonspecific low back pain: a randomized pilot clinical trial.结构整合作为慢性非特异性下腰痛门诊康复的辅助手段:一项随机试点临床试验。
Evid Based Complement Alternat Med. 2015;2015:813418. doi: 10.1155/2015/813418. Epub 2015 Apr 7.
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The preparatory set: a novel approach to understanding stress, trauma, and the bodymind therapies.
预备集:一种理解压力、创伤和身心疗法的新方法。
Front Hum Neurosci. 2015 Apr 1;9:178. doi: 10.3389/fnhum.2015.00178. eCollection 2015.
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Structural integration, an alternative method of manual therapy and sensorimotor education.结构整合,一种替代的手动治疗和感觉运动教育的方法。
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The effect of corrective surgery on energy expenditure during ambulation in children with cerebral palsy.矫正手术对脑瘫患儿行走时能量消耗的影响。
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