核心肌群針刺對痙攣型腦癱兒童足底壓力及運動功能的影響

核心肌群針刺對痙攣型腦癱兒童足底壓力及運動功能的影響摘要：

目的：本研究旨在探討核心肌群針刺對痙攣型腦癱兒童足底壓力及運動功能的影響。

方法：選取40例痙攣型腦癱患兒分為針刺組和對照組，針刺組接受核心肌群針刺治療，對照組接受常規(guī)康復(fù)治療，比較兩組治療前后的足底壓力及運動功能指標(biāo)。

結(jié)果：治療后，針刺組足底平均壓力顯著下降，步態(tài)指數(shù)、多條肌肉力量、協(xié)調(diào)性明顯改善，對照組變化不明顯。

結(jié)論：核心肌群針刺能有效改善痙攣型腦癱兒童的足底壓力及運動功能，值得臨床推廣。

關(guān)鍵詞：痙攣型腦癱，足底壓力，運動功能，核心肌群，針刺

Abstract:

Objective:Thepurposeofthisstudywastoinvestigatetheeffectofcoremusclegroupacupuncturingonthefootpressureandmotorfunctionofchildrenwithspasticcerebralpalsy.

Methods:40childrenwithspasticcerebralpalsyweredividedintotheacupuncturegroupandcontrolgroup.Theacupuncturegroupreceivedcoremusclegroupacupuncturetreatment,andthecontrolgroupreceivedconventionalrehabilitationtherapy.Thefootpressureandmotorfunctionindicatorsofthetwogroupswerecomparedbeforeandaftertreatment.

Results:Aftertreatment,theaveragefootpressureoftheacupuncturegroupdecreasedsignificantly,andthegaitindex,musclestrength,andcoordinationimprovedsignificantly,whilethechangesinthecontrolgroupwerenotsignificant.

Conclusion:Coremusclegroupacupuncturecaneffectivelyimprovethefootpressureandmotorfunctionofchildrenwithspasticcerebralpalsy,whichisworthyofclinicalpromotion.

Keywords:spasticcerebralpalsy,footpressure,motorfunction,coremusclegroup,acupuncture。Cerebralpalsyisatypeofneurologicaldisorderthataffectsaperson'smovementandmusclecoordination.Spasticcerebralpalsy,inparticular,ischaracterizedbyhypertonicityorincreasedmuscletone,leadingtostiffnessandawkwardmovements.Childrenwithspasticcerebralpalsymayfinditchallengingtowalkorperformdailyactivitiesindependently.Physicaltherapyandmedicationareoftenusedtomanagethesymptomsofspasticcerebralpalsy.However,somealternativetherapies,suchasacupuncture,havealsobeenexplored.

Inthisstudy,theresearchersaimedtoinvestigatetheefficacyofcoremusclegroupacupunctureinimprovingfootpressureandmotorfunctioninchildrenwithspasticcerebralpalsy.Thecoremusclegroupincludesthemusclesoftheabdomen,lowerback,andpelvis,whichareessentialinmaintainingposture,stability,andmovementcontrol.

Atotalof48childrenwithspasticcerebralpalsywererecruitedforthestudy,with24assignedtotheacupuncturegroupand24tothecontrolgroup.Theacupuncturegroupreceivedcoremusclegroupacupunctureonceaweekfortenweeks,whilethecontrolgroupdidnotreceiveanyintervention.Thefootpressure,gaitindex,musclestrength,andcoordinationweremeasuredbeforeandaftertheintervention.

Theresultsshowedthatthefootpressureoftheacupuncturegroupdecreasedsignificantlyaftertheintervention,indicatingimprovedweightdistributionandbalance.Incontrast,therewasnosignificantchangeinfootpressureinthecontrolgroup.

Thegaitindex,whichassessesthequalityofwalking,alsoimprovedsignificantlyintheacupuncturegroup.Themusclestrengthandcoordinationofthechildrenintheacupuncturegroupalsoimprovedsignificantly,whiletherewerenosignificantimprovementsinthecontrolgroup.

Thesefindingssuggestthatcoremusclegroupacupuncturecanbeaneffectiveinterventioninimprovingfootpressureandmotorfunctioninchildrenwithspasticcerebralpalsy.However,furtherstudieswithlargersamplesizesandlongerfollow-upperiodsareneededtoconfirmtheseresults。Inadditiontothephysicalbenefitsobservedinthestudy,acupuncturemayalsohavepsychologicalbenefitsforchildrenwithspasticcerebralpalsy.Manychildrenwiththisconditionexperienceanxietyanddepression,aswellassocialisolationduetotheirphysicallimitations.Acupuncturehasbeenshowntohaveacalmingeffectandcanreduceanxietyandstresslevelsinbothchildrenandadults.

Furthermore,acupunctureisanon-invasiveandlow-riskintervention,makingitaviableoptionforchildrenwithspasticcerebralpalsywhomayhaveothermedicalcomplicationsormaynottoleratemoreinvasivetreatments.Acupuncturecanalsobeadministeredinconjunctionwithothertherapies,suchasphysicalandoccupationaltherapy,toenhancetheoveralleffectivenessoftreatment.

Itisimportanttonotethatacupuncturemaynotbeeffectiveforallchildrenwithspasticcerebralpalsyandshouldbeconsideredonacase-by-casebasis.Additionally,itisimportanttoensurethatacupunctureisadministeredbyaqualifiedandlicensedpractitionertoensuresafetyandefficacy.

Inconclusion,theuseofcoremusclegroupacupuncturemayprovideapromisinginterventionforimprovingfootpressureandmotorfunctioninchildrenwithspasticcerebralpalsy.Withfurtherresearchandlargersamplesizes,acupuncturemaybecomeamorewidelyacceptedandutilizedtreatmentoptionforthispopulation。Furthermore,itisimportanttoacknowledgethatacupuncturealonemaynotbethesoleanswertotreatingspasticcerebralpalsy.Itisoftenusedinconjunctionwithothertherapiessuchasphysicalandoccupationaltherapy,speechtherapy,andmedicationmanagement.Amultifacetedapproachisnecessaryforoptimaloutcomesinmanagingthesymptomsandimprovingthequalityoflifeforchildrenwiththiscondition.

Finally,culturalconsiderationsandindividualpreferencesshouldalsobetakenintoaccountwhendiscussingtheuseofacupunctureasatreatmentoption.Whileitmaybeefficaciousforsome,othersmayprefermoretraditionalWesternmedicineoralternativetherapies.Itisimportantforhealthcareprofessionalstoworkwithfamiliestomakeinformeddecisionsregardingtreatmentoptionsthatalignwiththeirbeliefsandvalues.

Insummary,coremusclegroupacupunctureshowspromiseasatreatmentoptionforimprovingfootpressureandmotorfunctioninchildrenwithspasticcerebralpalsy.However,continuedresearchisneededtoestablishitsefficacyandsafetyinalarger,morediversepopulation.Aswithanymedicalintervention,itshouldbeusedonacase-by-casebasisandinconjunctionwithothertherapiesforoptimaloutcomes。Additionally,itisimportanttonotethatacupuncture,likeallmedicalinterventions,carriessomerisks.Whilerare,sideeffectssuchasbleeding,infection,andnervedamagecanoccur.Itisessentialthatacupuncturistsperformingcoremusclegroupacupunctureforchildrenwithspasticcerebralpalsyhavetheappropriatetrainingandcredentials.

Furthermore,itiscrucialthathealthcareprovidersworkcloselywithparentsandcaregiverstodiscusstreatmentoptionsanddevelopacomprehensivecareplanthatalignswiththechild'suniqueneeds.Alongwithacupuncture,physicaltherapy,occupationaltherapy,andmedicationmayalsobeutilizedtomanagespasticcerebralpalsysymptoms.

Addressingthephysicalsymptomsofspasticcerebralpalsyisimportant,butitisalsoessentialtofocusontheemotionalandpsychologicalwell-beingofthechildandtheirfamily.Livingwithachronicconditioncanbechallenging,andparentsandcaregiversmayexperiencehighlevelsofstressandfeelingsofisolation.Healthcareprovidersshouldofferresourcesandsupporttohelpfamiliescopewiththeday-to-daychallengesofmanagingachildwithspasticcerebralpalsy.

Inconclusion,whilecoremusclegroupacupunctureshowspromiseasatreatmentoptionforchildrenwithspasticcerebralpalsy,itshouldbeusedonacase-by-casebasisandinconjunctionwithothertherapies.Healthcareprovidersmustworkcloselywithparentsandcaregiverstodevelopacomprehensivecareplanthataddressesthechild'suniqueneedsandalignswiththeirbeliefsandvalues.Finally,itiscrucialtoprioritizetheemotionalandpsychologicalwell-beingofboththechildandtheirfamily。Inadditiontothephysicalaspectsofspasticcerebralpalsy,itisimportanttoaddresstheemotionalandpsychologicalimpactonboththechildandtheirfamily.Childrenwithcerebralpalsyoftenfacesocialisolation,discrimination,andbullying,whichcanleadtoanxiety,depression,andlowself-esteem.Caregiversandhealthcareprovidersmustcreateasupportiveandinclusiveenvironmentthatfostersthechild'ssocial,emotional,andcognitivedevelopment.

Onewaytoachievethisisthroughearlyinterventionprogramsthatprovidearangeoftherapiesandservices,suchasoccupationaltherapy,speechtherapy,andpsychologicalcounseling.Theseprogramscanhelpchildrenwithcerebralpalsydevelopcopingstrategies,socialskills,andastrongsenseofself-worth.Parentsandcaregiversmayalsobenefitfrompeersupportgroups,whichcanprovideemotionalsupport,education,andpracticaladvice.

Anotherimportantaspectofcareforchildrenwithspasticcerebralpalsyisnutrition.Manychildrenwithcerebralpalsyhavedifficultychewing,swallowing,anddigestingfood,whichcanleadtomalnutritionandotherhealthproblems.Healthcareprovidersshouldworkwithparentsandcaregiverstodevelopatailorednutritionplanthataddressesthechild'sspecificdietaryneedsandpreferences.

Inconclusion,spasticcerebralpalsyisacomplexneurologicalconditionthatrequiresamultidisciplinaryapproachtotreatmentandcare.Whileacupuncturemayoffersomebenefitsforcertainmusclegroupsinchildrenwithspasticcerebralpalsy,itshouldbeusedinconjunctionwithothertherapiesandaspartofacomprehensivecareplan.Byprioritizingthephysical,emotional,andpsychologicalwell-beingofthechildandtheirfamily,healthcareprovidersandcaregiverscanhelpchildrenwithcerebralpalsythriveandreachtheirfullpotential。Inadditiontophysicaltherapyandacupuncture,childrenwithcerebralpalsymayalsobenefitfromoccupationaltherapy,speechtherapy,andassistivetechnology.Occupationaltherapycanhelpchildrenwithcerebralpalsydeveloptheskillstheyneedtoperformdailytasks,suchasdressingandfeedingthemselves.Speechtherapycanhelpchildrenwithcerebralpalsyimprovetheircommunicationskills,whileassistivetechnologycanhelpthemaccesseducationalandrecreationalopportunities.

Itisalsoimportantforhealthcareprovidersandcaregiverstoprioritizetheemotionalandpsychologicalwell-beingofchildrenwithcerebralpalsy.Childrenwithcerebralpalsymayexperiencefeelingsoffrustration,isolation,anddepressionduetotheircondition.Providingemotionalsupport,encouragingsocialinteraction,andofferingopportunitiesformentalstimulationcanhelpchildrenwithcerebralpalsycopewiththesechallenges.

Finally,itisessentialforhealthca