陆晶晶,张玮涛,杨美霞,等.肌内效贴贴扎对先天性肌性斜颈患儿头颈部活动度的影响[J].中华物理医学与康复杂志,2023,45(9):811-814
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| 肌内效贴贴扎对先天性肌性斜颈患儿头颈部活动度的影响 |
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| DOI：10.3760/cma.j.issn.0254-1424.2023.09.009 |
| 中文关键词: 先天性肌性斜颈 贴扎 本体感觉 |
| 英文关键词: Muscular torticollis Kinesio taping Proprioception Necks |
| 基金项目:嘉兴市公益类项目（2021AD30058） |
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| 中文摘要: |
| 目的 探讨肌内效贴贴扎对先天性肌性斜颈患儿头颈部活动度的影响。 方法 选取先天性肌性斜颈患儿52例，采用随机数字表法将其分为治疗组和对照组，每组26例。两组患儿均接受常规康复训练，每日1次，每次20 min，每周5 d，5 d为1个疗程，共4个疗程。治疗组在此基础上运用肌内效贴贴扎技术进行斜颈的治疗，间隔2 d进行1次，单次贴扎时间≤48 h，共4周。治疗前、治疗4周后（治疗后），测量两组患儿头部倾斜、颈部侧屈角度及颈部左右旋转角度差值，并评估临床疗效。 结果 治疗后，两组患儿头部倾斜角度、颈部侧屈角度、颈部左右旋转角度差值均较组内治疗前改善（P＜0.05），且治疗组治疗后患儿头部倾斜角度［（4.46±3.00）°］、颈部侧屈角度［（62.92±7.68）°］、颈部左右旋转角度差值［（4.92±3.06）°］较对照组改善优异（P＜0.05）。治疗后，治疗组患儿治愈率（46.15%）、好转率（50.00%）均高于对照组，无效率（3.85%）低于对照组（P＜0.05）。 结论 在常规康复训练基础上增加肌内效贴贴扎，能更好地改善先天性肌性斜颈患儿的头颈部活动度。 |
| 英文摘要: |
| Objective To explore any effect of kinesio taping on the head and neck mobility of children with congenital muscular torticollis. Methods A total of 52 children with congenital muscular torticollis were randomly divided into a treatment group and a control group, each of 26. All were given 20 minutes of routine rehabilitation training daily, 5 days a week for 4 weeks. The treatment group was additionally taped up with kinesio tape for no more than 48 hours once every 3 days for 4 weeks. Before and after the treatment the angles of head tilt and neck lateral flexion and the gaps in left and right neck rotation were measured for both groups. Results Significant improvement was observed in both groups but there was significantly more improvement among the treatment group. The treatment had a cure rate (46.15%) and an improvement rate (50.00%) significantly superior to those of the control group and a significantly lower rate of ineffectiveness. Conclusion Kinesio taping along with routine rehabilitation training can better improve the head and neck mobility of children with congenital muscular torticollis. |
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