| Objective: In this study,early intervention of high-risk infants was carried out by massage and touch combined with Bobath technology,and the improvement of physical development,intelligence and athletic ability of high-risk infants was compared and observed,so as to explore a better treatment plan.Methods:A total of 64 high-risk children who met the inclusion criteria and were treated in Jiangxi Children’s Hospital from January to August 2022 were selected.According to the random number method,they were divided into experimental group and control group,32 cases in each group.The experimental group was treated with massage combined with Bobath.Massage method: for children with abnormal muscles of the special manipulation massage,massage along the meridian,the combination of acupoint massage,supplemented by abdominal kneading and chiropractic manipulation.Bobath technique: According to the age of children,motor function status and the law of children’s nervous system development,the key points of control,inhibition of abnormal motor patterns,application of sensory stimulation,and promotion of normal motor patterns were used.The specific methods include head control training,forearm support training,turning training,trunk and pelvis rotation training,double upper limbs straight arm support training,strengthening trunk and waist control training,sitting training,Bobath ball training,four-point kneeling and so on.The control group was treated with massage combined with Bobath in addition to conventional rehabilitation treatment.Touching method: children take the supine position,from the top down to touch the head,chest,abdomen,limbs,and finally change to the prone position,touching the back,the action should be gentle.Both groups were operated by professional therapists.Massage and Bobath techniques were used once a day,30 minutes each time,5 times a week,1 course per month,a total of 3 courses.Once a day,10 minutes each time,5 times a week,a month as a course of treatment,a total of three courses.Assessment indicators:The height and weight of the two groups were measured before treatment,one month after treatment and three months after treatment to evaluate the physical development of the children,combined with the gross motor assessment of GMFM-88 and GESELL scale to evaluate the improvement of gross motor function and intellectual development.Using the IBM SPSS25.0 all clinical data analysis software,comparing two groups of data statistically,evaluate the clinical superior effect of two groups of treatment.Results:1.A total of 64 children were included in this study,with 32 children in each group.There was no significant difference in gender and age between the two groups(P>0.05).2.There was no significant difference in body weight between the two groups before treatment(P>0.05).After treatment,the main effect of time and group was statistically significant(P<0.05).The interaction effect of time and group was statistically significant(P<0.05).After 1 and 3 months of treatment,the weight scores of the two groups were higher than those before treatment(P<0.05),and the weight scores of the experimental group were higher than those of the control group(P<0.05).3.Compare two groups of children with height before treatment,there was no statistically significant difference(P>0.05),comparable.After 1 and3 months of treatment,the height of the children in the two groups was higher than that before treatment,but the difference was not statistically significant(P>0.05).4.There was no significant difference in GMFM between the two groups before treatment(P>0.05),which was comparable.After treatment,the main effect of time and group was statistically significant(P<0.05).The interaction effect of time and group was statistically significant(P<0.05).After 1and 3 months of treatment,the GMFM scores of the two groups were higher than those before treatment(P<0.05),and the GMFM scores of the experimental group were higher than those of the control group(P<0.05).5.There was no significant difference in DQ between the two groups before treatment(P>0.05),which was comparable.After treatment,the main effect of time and group was statistically significant(P<0.05).The interaction effect of time and group was statistically significant(P<0.05).After 1and 3 months of treatment,the DQ scores of the two groups were higher than those before treatment(P<0.05),and the DQ scores of the experimental group were higher than those of the control group(P<0.05).Conclusion:1.The use of the two treatment schemes can improve the level of intelligent development,gross motor function and promote the physical development of high-risk infants.2.The effect of massage combined with Bobath group is better than that of massage combined with Bobath group.Results The data showed that the weight gain trend of the massage combined with Bobath group was more obvious,and the improvement of gross motor and intelligence were significantly better than that of the massage combined with Bobath group.3.The application of massage combined with Bobath technique in the early intervention of high-risk infants can promote the physical development of children,improve the level of intellectual development and improve the gross motor function of children,and then reduce the development of various complications in high-risk infants,so that they can catch up with the normal level of development as soon as possible,and reduce the economic and mental pressure of parents.Moreover,this method is green,non-invasive,easy to operate and has no side effects,which is worthy of clinical application and promotion. |
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