目的 探讨家庭康复训练对先天性肌性斜颈(CMT)患儿的临床疗效。 方法 2016年1月至2018年1月，本院收治的先天性肌性斜颈患儿60例，随机分为对照组(n = 30)和观察组(n = 30)。两组均采用综合物理疗法，观察组配合家庭康复训练。3个月后，比较两组患儿胸锁乳突肌厚度和CMT严重性分级，并进行疗效评价。 结果 治疗后，两组胸锁乳突肌包块厚度均显著缩小(t > 9.862, P < 0.001)，观察组显著优于对照组(t = 5.468, P < 0.001)；两组CMT分级程度均显著减轻(|Z| > 5.857, P < 0.001)，观察组优于对照组(Z = -2.226, P < 0.05)；观察组临床疗效高于对照组(U = 2359, P = 0.018)。 结论 家庭康复配合综合康复疗法疗效优于单纯综合康复疗法。
Objective To explore the effect of home-based rehabilitation on children with congenital muscular torticollis (CMT). Methods From January, 2016 to January, 2018, 60 children with CMT were randomly divided in to control group (n = 30) and observation group (n = 30). Both groups received comprehensive physical therapy; the observation group received home-based rehabilitation in addition. Three months after treatment, the sternocleidomastoid thickness, severity classification of CMT, and clinic effect were compared. Results After treatment, the sternocleidomastoid thickness decreased in both groups (t > 9.862, P < 0.001), and was better in the observation group than in the control group (t = 5.468, P < 0.001); the severity classification of CMT decreased in both groups (|Z| > 5.857, P < 0.001), and was better in the observation group than in the control group (Z = -2.226, P < 0.05), as well as the clinical effect (U = 2359, P = 0.018). Conclusion Home-based rehabilitation combined with comprehensive physical therapy is superior to comprehensive physical therapy only.
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