| Objective:RCT were designed to observe the clinical efficacy of selective spinal tuina on children with CP with deficiency of liver and kidney,and to explore the advantages of classification therapy,providing reference for the optimization of clinical programs.Methods:Sixty-six children who met the inclusion criteria were selected as the main research subjects,and according to the grouping method of the random number table method,the children were divided into two groups: 33 experimental and 33 control..During the study,3 cases were excluded,3 cases were removed,and 60 cases were finally included.The test group and the control group were 30 respectively.The control group chose basic rehabilitation training,treated once a day,5 times a week in a row,and rested for 2 days,for a total of 8 weeks.On this basis,the experimental group,coupled with selective spinal tuina,was treated 3 times a week,once every other day,for a total of 8 weeks.The two groups of children were evaluated by the rehabilitation assessors after unified training on the first day after the end of 8 weeks before joining the group,and they were evaluated twice.The TCM syndrome integral value and daily life ability measurement table are used to evaluate its overall disease resistance and rehabilitation ability,GMFM-88 items are used to evaluate its thick movement function,medical infrared thermal imager is used to detect the temperature changes in the Ganshu and Shenshu acupoint area of the children,and the temperature level of the acupoint area is obtained through Analyz Average value.All the data obtained will be analyzed using IBM SPSS28.0.Results:1.TCM syndrome score scale for children with liver and kidney deficiency cerebral palsy Before therapy,There was no statistical difference between the therapy group and the matched group prior to treatment(P>0.05),which was comparable.After therapy,there were statistical variation between the therapy group and pre-treatment(P<0.05);compared with pre-treatment,Statistical differences were observed between the control and pretreatment groups(P<0.05).The score of the therapy group is better than that of the matched group,with statistical differences(P<0.05).2.Comparison of coarse sports functions(GMFM-88)Before therapy,there was no statistical difference between the five divisions of the therapy group and the five divisions of the matched group(P>0.05),which was comparable.At the end of therapy,there were statistical variations between the A,B,C,and D divisions of the therapy group compared to the pre-treatment divisions(P<0.05),and there were statistical variations between the A,B,C,and D divisions of the matched group compared to the pre-treatment group(P<0.05).A,B,C,and D of the therapy group were better than those of the(P<0.05)group in terms of distinguishability.,the E area of the control group has a statistical difference(P<0.05)compared with the pre-treatment,and there is no statistical difference between the E area of the therapy group and the E area of the matched group(P>0.05).3.Temperature comparison in the cavity area3.1 Temperature of Ganshu point area Before therapy,there was no statistical difference in the temperature between the test group and control group in the Ganshu L and R(P>0.05),which was comparable.After therapy,there was a statistical different variation between the Ganshu L test group and the pre-treatment(P<0.05),and the matched group compared with the pre-treatment(P<0.05).The test group showed better temperature improvement than the matched group,and there was a statistical difference(P<0.05).Compared with the pre-treatment of the Ganshu R test group,there was a statistical difference(P<0.05).Compared with the matched group before treatment,there was a statistical difference(P<0.05).The test group showed better temperature improvement than the matched group,and there was a statistical difference(P<0.05).3.2 Temperature of Shenshu point area Before therapy,there was no statistical difference in the temperature between the test group and the control group in the Shenshu L and R(P>0.05),which was comparable..After therapy,a statistical variation was observed between the Shenshu L trial group and pretreatment(P<0.05),the control group and the pre-treatment comparison(P<0.05),the temperature improvement of the post-treatment test group was better than that of the matched group,and there was a statistical variation(P<0.05).Compared with the pre-treatment of the Shenshu R test group,there was a statistical difference(P<0.05),compared with the matched group and the pre-treatment,there was a statistical difference(P<0.05),there was a statistically significant difference in the improvement of temperature in the test group compared to the matched group(P<0.05).4.Comparison of Daily Living Ability Test(ADL)Before therapy,there was no statistical difference in ADL scores between the therapy group and the matched group(P>0.05),which was comparable.After therapy,a statistical variation was observed between the trial group and pretreatment(P<0.05);compared with pre-treatment in the matched group,there were statistical variations(P<0.05).After treatment,the test group value was better than that of the matched group,with statistical different differences(P<0.05).Conclusion:1.Elective spinal tuina can effectively improve the overall function of children with cerebral palsy with liver and kidney deficiency,and the effect is better than that of simple basic rehabilitation training,which can be used as a new method of tuina for children with cerebral palsy with liver and kidney deficiency,and provide a reference for the optimization of clinical identification and typing treatment plan.2.The increase of temperature in the bilateral liver and kidney acupuncture points of children with cerebral palsy with liver and kidney deficiency may be related to the improvement of clinical symptoms in children with cerebral palsy with liver and kidney deficiency by selective spinal tuina,but the mechanism of action needs to be further explored. |
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