中西医结合治疗婴儿先天性肌性斜颈的效果

doi:10.3969/j.issn.1006-9771.2020.08.005

Abstract

Abstract:

Objective To study the efficacy of integrative medicine on congenital muscular torticollis.Methods From October, 2017 to September, 2019, 80 children with congenital muscular torticollis were divided into group 1 (n = 40) and group 2 (n = 40) according to different treatment schemes. Group 1 received comprehensive physiotherapy, including passive stretching, head control training, posture correction and family rehabilitation. Group 2 received Tuina in addition. Before and six months after treatment, the root mean square (RMS) of surface electromyography of bilateral sternocleidomastoid muscles in supine neutral position, neck rotation and stretch, and the range of motion of passive neck rotation and lateral flexion, and the angle of head deviation from the midline to the affected side were compared.Results Before treatment, the RMS of sternocleidomastoid muscle in each position was lower in the affected side than in the healthy side (P < 0.01), and the range of motion of neck when lateral flexion to the healthy side and rotation to the affected side was less than that of the other side ( P < 0.01) in both groups; however, no significant difference was found between two groups ( P > 0.05). After treatment, the RMS of EMG of sternocleidomastoid muscle in each position, and the range of motion of neck when lateral flexion to the healthy side and rotation to the affected side improved (| t| > 3.290, P < 0.01) in both groups, and were better in group 2 than in group 1 ( t > 2.401, P < 0.05); the angle of head deviation from the midline to the affected side significantly decreaed ( t > 15.075, P < 0.001) in both groups, and was significantly less in group 2 than in group 1 ( t = -4.971, P < 0.001). Conclusion Integrative medicine is effective on infant with congenital muscular torticollis, which is superior to comprehensive physiotherapy only.

Key words: congenital muscular torticollis, Tuina, surface electromyography

CLC Number:

R726.8

YANG Xiao-yan,ZHOU Xuan,MAO Lin,CHEN Rong-xia,JIN Meng-die,XIA Yi-ling,WANG Shan-shan,WANG De-xuan,DU Qing. Effect of Integrative Medicine on Infant with Congenital Muscular Torticollis[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(8): 897-902.

Figures/Tables 4

References 31

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组别	n	男/女(n)	年龄(d)
治疗组1	40	29/11	54.55±34.24
治疗组2	40	25/15	53.18±27.35
χ²/t值		0.912	0.204
P值		0.340	0.840

组别	时间	n	中立位健侧	中立位患侧	向患侧旋转时健侧	向健侧旋转时患侧	向患侧拉伸时健侧	向健侧拉伸时患侧
治疗组1	治疗前	40	18.39±4.80	9.58±3.97^e	39.58±13.98	24.12±10.97^e	35.39±13.45	19.23±9.67^e
	治疗后	40	17.24±3.74	14.41±2.64	38.50±12.45	31.00±8.88	34.99±9.86	28.24±6.74
治疗组2	治疗前	40	18.38±3.48	9.16±3.68^e	37.56±14.31	22.28±9.06^e	36.94±11.19	21.22±9.84^e
	治疗后	40	17.32±4.27	16.14±3.53	39.79±11.93	36.30±10.80	35.31±10.7	32.60±8.43
	t值^a		1.371	-8.395	-0.695	-6.501	0.613	-5.436
	P值^a		0.178	< 0.001	0.491	< 0.001	0.544	< 0.001
	t值^b		1.069	-5.571	0.470	-3.290	0.150	-5.097
	P值^b		0.292	< 0.001	0.641	0.002	0.881	< 0.001
	t值^c		-0.012	-0.496	-0.639	-0.817	0.560	0.913
	P值^c		0.349	0.588	0.774	0.410	0.577	0.364
	t值^d		0.088	2.475	0.472	2.401	0.139	2.551
	P值^d		0.139	0.012	0.934	0.019	0.890	0.013

组别		n	向患侧侧屈	向健侧侧屈	向健侧旋转	向患侧旋转
治疗组1	治疗前	40	70.25±4.07	39.38±10.87^e	72.75±5.30	32.88±6.78^e
	治疗后	40	69.62±3.99	58.75±7.14	73.63±5.55	59.13±7.24
治疗组2	治疗前	40	69.75±4.23	39.88±10.59^e	73.5±4.96	35.38±5.82^e
	治疗后	40	70.00±3.92	65.13±8.05	71.00±4.70	62.38±6.00
	t值^a		-0.280	-13.271	1.936	-25.206
	P值^a		0.781	< 0.001	0.060	< 0.001
	t值^b		0.725	-10.357	0.107	-16.022
	P值^b		0.473	< 0.001	0.915	< 0.001
	t值^c		-0.538	0.208	0.653	1.770
	P值^c		0.592	0.835	0.516	0.081
	t值^d		0.424	3.749	-1.414	2.187
	P值^d		0.673	< 0.001	0.161	0.032

组别	n	治疗前	治疗后	t值	P值
治疗组1	40	14.8±3.15	5.85±2.01	19.951	< 0.001
治疗组2	40	14.58±2.97	3.63±2.00	15.075	< 0.001
t值		-0.328	-4.971
P值		0.744	< 0.001

Effect of Integrative Medicine on Infant with Congenital Muscular Torticollis

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