[1]李红霞,侯新芳,李丹丹,等.循经针灸推拿结合虚拟现实平衡训练在脑性瘫痪患儿康复中的应用[J].陕西中医,2025,46(5):698-702.[doi:DOI:10.3969/j.issn.1000-7369.2025.05.027]
　LI Hongxia,HOU Xinfang,LI Dandan,et al.Application of acupuncture,massage and virtual reality balance training in rehabilitation of children with cerebral palsy[J].,2025,46(5):698-702.[doi:DOI:10.3969/j.issn.1000-7369.2025.05.027]
点击复制

循经针灸推拿结合虚拟现实平衡训练在脑性瘫痪患儿康复中的应用
分享到：

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
46
期数:
2025年5期
页码:
698-702
栏目:
针灸经络
出版日期:
2025-05-05

文章信息/Info

Title:
Application of acupuncture,massage and virtual reality balance training in rehabilitation of children with cerebral palsy
作者:
李红霞; 侯新芳; 李丹丹; 赵 娜
(陕西省康复医院儿童康复科,陕西 西安 710065)
Author(s):
LI Hongxia; HOU Xinfang; LI Dandan; ZHAO Na
(Shaanxi Rehabilitation Hospital Children's Rehabilitation Department,Xi'an 710065,China)
关键词:
虚拟现实平衡训练;  循经针灸;  运动功能;  平衡功能;  脑性瘫痪;  康复应用;  推拿
Keywords:
Virtual reality balance training;  Acupuncture following channels;  Motor function;  Balance function;  Cerebral palsy;  Rehabilitation application;  Massage
分类号:
R 742.3
DOI:
DOI:10.3969/j.issn.1000-7369.2025.05.027
文献标志码:
A
摘要:
目的:探究循经针灸推拿结合虚拟现实(VR)平衡训练在脑性瘫痪(CP)患儿中的康复应用,以期为临床CP患儿康复治疗提供中西结合新思路。 方法:纳入脑性瘫痪患儿共计126例进行研究,以干预方式不同分为对照组(n=40)、VR组(n=42)以及循经针灸推拿组(n=44)。对照组予以常规康复治疗,VR组基于对照组联合VR平衡训练干预,循经针灸推拿组基于VR组联合循经针灸推拿干预。比较三组总有效率,干预前后的平衡功能[动态平衡反应位移、静态平衡评分、Berg平衡量表(BBS)]+、运动功能[步态指标(10 m步行速度测试、跨步步行距离)、粗大运动功能量表88项(GMFM-88)]、日常活动能力和生活质量[(日常生活活动能力量表(ADL)评分、生活质量评价量表(SF-36)]。结果:总有效率比较,均循经针灸推拿组>VR组>对照组(P<0.05); 三组干预后的动态平衡反应位移、静态平衡评分以及BBS评分较干预前均升高,且均循经针灸推拿组>VR组>对照组(P<0.05); 三组干预后的步态指标、GMFM-88评分较干预前均改善,且循经针灸推拿组改善最优(P<0.05); 三组干预后的ADL、SF-36评分较干预前均升高,且均循经针灸推拿组>VR组>对照组(P<0.05)。结论:循经针灸推拿联合VR平衡训练可显著提升CP患儿疗效,促进运动及平衡功能提升,并改善其生活质量。
Abstract:
Objective:To explore the application of acupuncture,massage and VR balance training in the rehabilitation of CP children,in order to provide a new idea of combining Chinese and western rehabilitation treatment for clinical CP children.Methods:A total of 126 children with cerebral palsy 3 were included in the study.According to different intervention methods,they were divided into control group(n=40),VR group(n=42)and acupuncture and massage group(n=44).The control group was given routine rehabilitation treatment,the VR group was based on the control group combined with VR balance training intervention,and the acupuncture and massage group was based on the VR group combined with acupuncture and massage.Comparing the total effective rate of the three groups,Balance function [dynamic balance response displacement,static balance score,Berg Balance Scale(BBS)],motor function [gait indicators(10m walking speed test,stride walking distance),Gross Motor Function Scale 88 items(GMFM-88)],daily activity ability and quality of life [(ADL)assessment before and after the intervention Quality of Life Assessment Scale(SF-36)].Results:The total effective rate of acupuncture and massage group was > VR group > control group(P<0.05).After intervention,the dynamic balance response displacement,static balance score and BBS score of the three groups were increased compared with before intervention,and the acupuncture and massage group was > VR group > control group(P<0.05).After intervention,the gait indexes and GMFM-88 scores of the three groups were improved compared with those before intervention,and the improvement of the group of acupuncture and massage was the best(P<0.05).After intervention,the scores of ADL and SF-36 in the three groups were higher than before intervention,and all of them were in the acupuncture and massage group > VR group > control group(P<0.05). Conclusion:Acupuncture and massage combined with VR balance training can significantly improve the therapeutic effect of CP children,promote the improvement of movement and balance function,and improve their quality of life.

参考文献/References:

[1] BEKTESHI S,MONBALIU E,MCINTYRE S,et al.Towards functional improvement of motor disorders associated with cerebral palsy[J].Lancet Neurol,2023,22(3):229-243.
[2] 周钰,热米拉?卡玛力.温阳通络针灸法联合穴位埋线治疗小儿痉挛型脑瘫临床研究[J].陕西中医,2023,44(12):1800-1803.
[3] 王晶,高晶,王冬明,等.悬吊运动训练联合运动贴扎技术对痉挛型脑性瘫痪运动及日常生活活动能力的影响[J].中国康复医学杂志,2025,40(2):254-258.
[4] 齐培荣,杨飞,王辉.针灸结合绷带治疗对改善肝强脾弱证脑瘫足下垂的临床疗效观察[J].陕西中医药大学学报,2021,44(1):93-96.
[5] NOVAK I,MORGAN C,FAHEY M,et al.State of the evidence traffic lights 2019:Systematic review of interventions for preventing and treating children with cerebral palsy[J].Curr Neurol Neurosci Rep,2020,20(2):3.
[6] DAMIANO D L,LONGO E.Early intervention evidence for infants with or at risk for cerebral palsy:An overview of systematic reviews[J].Dev Med Child Neurol,2021,63(7):771-784.
[7] 王颖,杨盛兰,罗素新,等.基于VR技术的Ⅰ期心脏康复训练对老年冠心病患者经皮冠脉介入术术后恢复的影响[J].生理学报,2023,75(6):953-961.
[8] 李杰,余素芳,江瑞娟.针刺丘墟透照海联合运动发育推拿法治疗小儿痉挛性脑瘫临床研究[J].新中医,2024,56(7):120-124.
[9] 单娥仙,余恒希,闵彦清,等.推拿治疗小儿脑瘫研究进展[J].陕西中医,2022,43(1):130-133.
[10] 齐培荣,杨飞,王辉.针灸结合绷带治疗对改善肝强脾弱证脑瘫足下垂的临床疗效观察[J].陕西中医药大学学报,2021,44(1):93-96.
[11] 中国康复医学会儿童康复专业委员会,中国残疾人康复协会小儿脑性瘫痪康复专业委员会,中国医师协会康复医师分会儿童康复专业委员会,等.中国脑性瘫痪康复指南(2022)第一章:概论[J].中华实用儿科临床杂志,2022,37(12):887-892.
[12] 中华中医药学会.中医内科常见病诊疗指南?西医疾病部分[M].北京:中国中医药出版社,2008:167-271.
[13] LIAO W L,CHANG C W,SUNG P Y,et al.The Berg Balance Scale at admission can predict community ambulation at discharge in patients with stroke[J].Medicina(Kaunas),2021,57(6):556.
[14] GAVAZZI F,PATEL V,CHARSAR B,et al.Gross motor function in pediatric onset tubb4a-related leukodystrophy:GMFM-88 performance and validation of GMFC-MLD in TUBB4A[J].J Child Neurol,2023,38(8-9):498-504.
[15] SON C,PARK J H.Ecological effects of VR-based cognitive training on ADL and IADL in MCI and AD patients:A systematic review and meta-analysis[J].Int J Environ Res Public Health,2022,19(23):15875.
[16] LIN Y,YU Y,ZENG J,et al.Comparing the reliability and validity of the SF-36 and SF-12 in measuring quality of life among adolescents in China:A large sample cross-sectional study[J].Health Qual Life Outcomes,2020,18(1):360.
[17] 中国康复医学会儿童康复专业委员会,中国残疾人康复协会小儿脑性瘫痪康复专业委员会,中国医师协会康复医师分会儿童康复专业委员会,等.中国脑性瘫痪康复指南(2022)第七章:康复途径及管理[J].中华实用儿科临床杂志,2022,37(20):1521-1526.
[18] WILSON J L,KIM Y M,O'MALLEY J A,et al.Cerebral palsy in child neurology and neurodevelopmental disabilities training:an unmet need[J].J Child Neurol,2022,37(3):194-201.
[19] 章马兰,周园,姚宝滢,等.助行电刺激协同头针对痉挛型脑性瘫痪患儿行走功能及足底压力影响的对照研究[J].中国康复医学杂志,2024,39(4):494-499.
[20] 李司南,童光磊,易昕.循经针灸推拿法对小儿痉挛型脑瘫的治疗效果及其对运动发育肌肉痉挛的影响研究[J].中华中医药学刊,2022,40(2):101-104.
[21] 王燕平,张维波,李宏彦,等.《黄帝内经》任督二脉循行解析[J].中国针灸,2021,41(7):805-812.
[22] 张建斌,王玲玲.《内经》对脑与经络联系的认识[J].中国针灸,2005,25(4):265-268.
[23] 陆晓菲,陶雅文,刘凡,等.针灸治疗小儿脑瘫疗效的系统评价再评价[J].中国针灸,2023,43(10):1209-1216.
[24] 张红敏,高晶,王丽娜.虚拟现实技术结合常规康复治疗对痉挛型脑性瘫痪患儿下肢运动功能的影响[J].中国现代医学杂志,2023,33(23):42-46.
[25] GOYAL C,VARDHAN V,NAQVI W,et al.Effect of virtual reality and haptic feedback on upper extremity function and functional independence in children with hemiplegic cerebral palsy:A research protocol[J].Pan Afr Med J,2022,41(1):155.
[26] XIE P,WANG Z,LI Z,et al.research on rehabilitation training strategies using multimodal virtual scene stimulation[J].Front Aging Neurosci,2022,14(1):892178.
[27] NUNES J D,JORGE C,FERNANDES J C,et al.Brain activation by a VR-based motor imagery and observation task:An fMRI study[J].PLoS One,2023,18(9):e0291528.
[28] KASHIF M,ALBALWI A A,ZULFIQAR A,et al.Effects of virtual reality versus motor imagery versus routine physical therapy in patients with parkinson's disease:A randomized controlled trial[J].BMC Geriatr,2024,24(1):229.

备注/Memo

备注/Memo:
[基金项目]中国残联课题(2023CDPFHS-18)
更新日期/Last Update: 2025-05-08