神经肌肉电刺激加不加肌内效贴对脑瘫患儿坐位平衡的影响

Jawad Tahir, Sarfraz Ahmad, A. Rana
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摘要

背景:痉挛型脑瘫患儿常表现为难以保持姿势和功能,因而表现为坐位平衡弱,如躯干屈曲。目的:本研究旨在确定神经肌肉电刺激、躯干肌肉上方的肌内效贴结合常规物理治疗对改善幼儿痉挛性双瘫脑瘫躯干控制能力弱的坐位平衡的有效性。方法:在这项随机试验中,年龄在5至12岁之间的儿童参与了这项研究。A组采用电刺激+常规物理治疗,B组采用肌内效贴+电刺激+常规物理治疗,疗程12周,每周3天交替进行。在最后一次治疗后的基线、第5周和第10周收集数据。通过坐姿控制测量评分评估坐姿平衡。结果:第10周后,两组患者坐位控制测量校准部分总分(p<0.015)和功能部分总分(p<0.01)比较,差异均有统计学意义;B组的变化明显高于其他组。治疗前与第5周后两组的对准和功能切片比较无明显差异。结论:在神经肌肉电刺激的帮助下,肌内效贴结合常规物理疗法,可提高痉挛型脑瘫患儿坐位平衡、坐位对齐和坐位功能。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effects of Neuromuscular Electrical Stimulation with and without Kinesio Taping Application on Sitting Balance Among Children with Cerebral Palsy
Background: Children with spastic cerebral palsy often show difficulty to maintain posture and function, therefore displaying the weak sitting postural balance such as the flexed trunk. Objective: The study was designed to determine the effectiveness in terms of alignment and function with neuromuscular electric stimulation, Kinesio tape above the trunk muscles in combination with conventional physiotherapy for improving sitting balance in young children with spastic diplegic cerebral palsy that has presented with weak trunk control. Methods: In this randomized trial children aged between 5 to 12 years were involved in this study. Group A received electric stimulation and conventional physical therapy while group B received Kinesio tape, electric stimulation and conventional physiotherapy for 12 weeks, 3 alternate days per week. Data were collected at baseline, 5th and 10th week after the last session of the week.  Sitting balance is evaluated by the seated postural control measurement score. Results: Significant differences were observed in both groups in the total score of seated postural control measurement alignment section (p<0.015) and functional section (p<0.01) after the 10th week; the change in group B was higher as compared to other group. There is no significant difference were seen in pre-treatment and after the 5th week in alignment and functional section in comparison of technique. Conclusion: With the help of neuromuscular electric stimulation, and Kinesio tape in combination with conventional physiotherapy enhance the sitting balance, in terms of alignment and function in children with spastic cerebral palsy.
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