葛佳乐,郑钦,吴燕秋,等.肌内效贴对脑瘫患儿流涎症的疗效[J].中华物理医学与康复杂志,2025,47(2):127-132
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| 肌内效贴对脑瘫患儿流涎症的疗效 |
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| DOI：10.3760/cma.j.cn421666-20220929-01042 |
| 中文关键词: 肌内效贴 脑性瘫痪 流涎症 |
| 英文关键词: Kinesio taping Cerebral palsy Salivation |
| 基金项目:上海市养志康复医院（上海市阳光康复中心）“青年项目”（YJKYQN202022） |
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| 中文摘要: |
| 目的 观察肌内效贴贴扎口轮匝肌和颈部吞咽肌群对脑瘫患儿流涎症的治疗效果。 方法 纳入脑瘫合并流涎症的患儿52例，按随机数字表法分为对照组和试验组，每组患儿26例。对照组只进行常规康复治疗，如口面部常规运动训练和感觉刺激等；试验组在此基础上增加口轮匝肌和颈部相关肌群的肌内效贴贴扎，肌内效贴贴扎每周2次，每次12 h，连续干预6个月。于治疗前和治疗6个月后（治疗后）采用教师流涎分级法（TDS）和语言发育迟缓评估（S-S）分别对脑瘫患儿的流涎症状和语言功能进行评估，同时对治疗后2组患儿同TDS分级、同脑瘫分型和同S-S分段的疗效进行比较，并采用Kendall等级相关系数对儿童语言功能与试验组和对照组的疗效进行相关性分析。 结果 治疗后，2组患者的TDS分级较组内治疗前均显著降低（P<0.05），且试验组治疗后TDS分级为（1.85±1.05）级，显著低于对照组的（2.54±1.39）级，差异有统计学意义（P<0.05）。治疗后，试验组TDS分级为Ⅱ级和Ⅴ级患儿的总有效率均显著高于对照组同TDS分级（P<0.05）；试验组痉挛型和混合型患儿的总有效率亦显著高于对照组同类型（P<0.05）；试验组语言功能处于S-S评估阶段4-2和阶段5-2患儿的总有效率均显著高于对照组（P<0.05）。经相关性分析，试验组和对照组患儿的语言功能与其疗效均呈显著相关性（P<0.05）。 结论 在常规康复训练的基础上增加口轮匝肌和颈部吞咽肌群的肌内效贴贴扎可显著改善脑瘫患儿流涎的症状，且脑瘫合并流涎症患儿的语言功能与常规康复治疗和口轮匝肌和颈部吞咽肌群的肌内效贴贴扎疗法改善流涎的效果均显著相关。 |
| 英文摘要: |
| Objective To observe any therapeutic effect of kinesio taping the orbicularis oris and cervical swallowing muscle groups on drooling among children with cerebral palsy (CP). Methods Fifty-two children with CP salivating excessively were divided at random into a control group and an experimental group, each of 26. Both groups received routine oral and facial exercise training and sensory stimulation, but the experimental group was additionally provided with kinesio taping of the orbicularis oris muscle and related neck muscle groups. The taping was applied twice a week for 12 hours each time, continuing for 6 months. Before and after the treatment, both groups′ drooling and language use were evaluated using the teacher drooling grading method (TDS) and a language developmental delay assessment (S-S), respectively. Kendall rank correlation coefficients were computed to compare the treatment efficacy for children with the same TDS grading, cerebral palsy classification, and S-S segmentation. Results After the treatment the average TDS scores of both groups had decreased significantly. The average TDS score of the experimental group was then significantly lower than that of the control group. The total effectiveness rate for those in the experimental group with TDS grades II or V was significantly higher than those controls with the same TDS grades, the effectiveness rate for those with spastic and mixed type or language function in stage 4-2 and stage 5-2 in the experiment group was also significantly higher than for those of the control group. According to the correlation analysis, the language function of both groups was significantly correlated with the therapeutic effect. Conclusions Supplementing routine rehabilitation training with kinesio taping of the orbicularis oris muscle and the cervical swallowing muscle group can significantly relieve CP children′s excessive salivation. Their language use is significantly positively correlated with the effectiveness of such combined treatment. |
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