肌内效贴在脑瘫患儿治疗中的应用

徐艳 何凤翔 谢文龙

[摘要] 目的 分析腦瘫患儿应用肌内效贴治疗的效果。 方法 选取2017年8月～2019年8月在我院进行治疗的脑瘫患儿62例为研究对象，按照随机数字表法分为研究组与参考组，每组31例，两组患儿均采用常规运动疗法，研究组患儿在接受常规运动疗法基础上联合应用肌内效贴治疗，比较两组患儿治疗前后GMFM、MAS及PROM、PRS评分及肌张力情况。 结果 两组治疗前GMFM评分、MAS评分、PROM比较，差异无统计学意义（P>0.05），治疗后研究组患儿GMFM评分高于参考组，MAS评分低于参考组，PROM高于参考组，差异有统计学意义（P<0.05）。治疗前两组患儿步态、足翻转、踝关节屈曲度比较，差异无统计学意义（P>0.05），治疗后研究组步态、足翻转、踝关节屈曲度评分均高于参考组，差异有统计学意义（P<0.05）。治疗前两组患儿股角、足背屈角、腘角及跟耳试验比较，差异无统计学意义（P>0.05），治疗后股角、腘角及跟耳试验结果均高于参考组，足背屈角低于参考组，差异有统计学意义（P<0.05）。 结论 脑瘫患儿应用肌内效贴治疗有助于使其肌群痉挛等不良反应获得改善，可显著提高其运动能力。

[关键词] 肌内效贴;脑瘫患儿;肌群痉挛;运动能力

[中图分类号] R742.3;R49          [文献标识码] B          [文章编号] 1673-9701（2020）15-0116-04

Application of kinesio taping in the treatment of children with cerebral palsy

XU Yan   HE Fengxiang   XIE Wenlong

Department of Rehabilitation， Huzhou Central Hospital in Zhejiang Province， Affiliated Central Hospital Huzhou University， Huzhou   313000， China

[Abstract] Objective To analyze the effect of kinesio taping（KT） on children with cerebral palsy. Methods Sixty-two children with cerebral palsy who were treated in our hospital from August 2017 to August 2019 were selected as the research subjects. They were divided into the study group and the control group by using the random number table method， with 31 patients in each group. Both groups were given conventional exercise therapy， and the study group was treated with KT on the basis of conventional exercise therapy. The gross motor function measure（GMFM）， motor assessment scale（MAS）， PROM， prestroke Rankin scale（PRS） scores， and muscle tone of the two groups were compared before and after treatment. Results There was no significant difference in the GMFM score， MAS score and PROM between the two groups before treatment（P>0.05）. After treatment， the GMFM score and PROM of the study group were higher than those of the control group， the MAS score was lower than that of the control group， and the differences were statistically significant（P<0.05）. There were no significant differences in gait， talipes， and ankle flexion between the two groups before treatment（P>0.05）. The gait， talipes， and ankle flexion scores in the study group were higher than those in the control group after treatment， and the differences were statistically significant（P<0.05）. There was no significant difference in the femoral angle， plantar flexion angle， heel angle， and heel ear test between the two groups before treatment（P>0.05）. The femoral angle， heel angle， and heel ear test results were higher than those in the control group after treatment， and the plantar flexion angle was lower than that of the control group， and the differences were statistically significant（P<0.05）. Conclusion The application of KT in children with cerebral palsy can help improve their muscle group spasm and other adverse reactions， which can significantly improve their motor ability.

[Key words] Kinesio taping; Children with cerebral palsy; Muscle group spasm; Motor capacity

作为儿童常见神经系统疾病，脑性瘫痪主要由非进行性脑损伤引发，临床表现包括持续性姿势或者运动异常、活动受限等，患儿通常伴随运动或者认知功能障碍，对其日常生活能力及运动功能均会产生不良影响。常规治疗能够使患儿生活能力以及运动功能得到一定程度的改善，但是容易导致痉挛加重并造成肌肉萎缩及肌肉功能减退，患儿活动受限[1-2]。因此，及早为患儿提供有效的干预措施对于控制其病情进展有重要意义。脑瘫患儿常规疗法包括矫形手术、肉毒毒素注射治疗、应用矫形器以及运动功能训练等，有助于提高患儿运动、姿势以及肌力控制能力，能够提高其生活能力以及社会参与度[1，3]。肌内……