关键词:

痉挛型脑瘫, 靳三针, Bobath疗法, 肢体运动功能, 认知功能, 脑电功率

Abstract:

Objective　To explore the application effect of Jin's Three-Needle combined with Bobath therapy in children with spastic cerebral palsy. Methods　A total of 106 children with spastic cerebral palsy admitted to the First Affiliated Hospital of Shandong First Medical University from September 2022 to April 2024 were prospectively selected for a randomized controlled trial, and they were divided into two groups by the random number table, with 53 cases in each group. There were 30 boys and 23 girls in the control group, aged (3.64±1.03) years, 16 cases of mild disability, 26 cases of moderate disability, and 11 cases of severe disability. There were 31 boys and 22 girls in the observation group, aged (3.87±1.11) years, 17 cases of mild disability, 24 cases of moderate disability, and 12 cases of severe disability. The control group received Bobath therapy (exercise rehabilitation therapy), and the observation group received Jin's Three-Needle combined with Bobath therapy. Both groups were treated for 12 weeks. The limb motor function, cognitive function, and EEG power before and after treatment were compared between the two groups, as well as clinical efficacy. Statistical methods include t test, χ² test, and rank sum test. Results　After treatment, the scores of the Gross Motor Function Scale, Fine Motor Function Scale, and Gesell Developmental Scale in both groups increased compared to before treatment, and those in the observation group were higher than those in the control group [(185.33±41.18) points vs. (152.86±33.97) points, (125.87±27.98) points vs. (107.24±23.85) points, (75.38±16.75) points vs. (62.84±13.97) points], with statistically significant differences (t=4.361, 3.633, and 4.122, all P<0.05); the θ and θ/β waves in the observation group were lower than those in the control group, and the β wave was higher than that in the control group, with statistically significant differences (t=3.671, 7.531, and 3.892, all P<0.05). The total effective rate of the observation group was higher than that of the control group [92.31% (48/52) vs. 76.47% (39/51)], with a statistically significant difference (χ²=4.922, P<0.05). Conclusion　Jin's Three-Needle combined with Bobath therapy has significant therapeutic effect on spastic cerebral palsy in children, which can effectively enhance the limb motor function and cognitive function, improve the EEG power, and is worthy of further clinical promotion and application.

Key words:

Spasmodic cerebral palsy, Jin's Three-Needle, Bobath therapy, Limb motor function, Cognitive function, EEG power