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Professor Wang Xuefeng Proposed "back Six Law" Applied To Five Years Of Five Hard Five Hard Clinical Research

Posted on:2017-04-27Degree:DoctorType:Dissertation
Country:ChinaCandidate:J L WangFull Text:PDF
GTID:1104330485497141Subject:Pediatrics of traditional Chinese medicine
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Purpose: Review the ancient TCM medical books and modern medical literature, to explore the theory basis of 6-MMOB; and this paper studies the 6-MMOB impact on children with CP or DMMD by random control method.Material and method: Basic rehabilitation programme:(1)Physical Therapy(PT): according to the characteristics of different children problems, mainly to take to Bobath therapy(ball training), Rood therapy(percussion joint, compression techniques) and Vojta therapy(pull up training, reflex turnaround and reflection of abdominal climb), 30 min each time, once a day;(2)Occupation Therapy(OT): to improve limb dysfunction and improve the ability of daily life oriented. 30 min each time, 1 times a day;(3)The ordinary four limbs massage: 30 min every time, 1 times a day. All training programs are 6 days a week, Sunday and statutory holidays to rest, 3 months for 1 courses. 1.Application of "6-MMOB" early intervention infant with DMMD Research cases comes from Department of pediatric rehabilitation center, Affiliated Hospital of Liaoning University of Traditional Chinese Medicine from January 2011 to December 2014. In 3 years, a total of 262 cases were diagnosed as DMMD in children under the age of 1 years. On the basis of the odd and even numbers of the hospital medical record number, the tail number is odd as the experimental group, and the even number is the control group. The control group treated with routine rehabilitation treatment, and experimental group loading "6-MMOB" as the study factor, the period of rehabilitation treatment for 6 months(3 months for a course of treatment); GMFM-88 as effect index, before and after the treatment and rehabilitation of the rehabilitation assessment. 2.Clinical study on "6-MMOB" affecting children back core muscles with spastic CP From January 2011 to December 2014, 114 children were diagnosed with spastic cerebral palsy in children rehabilitation center of Affiliated Hospital of Liaoning University of Traditional Chinese Medicine. On the basis of the odd and even numbers of the hospital medical record number, the tail number is odd as the experimental group, and the even number is the control group. The control group treated with routine rehabilitation treatment, and experimental group loading "6-MMOB" as the study factor, the period of rehabilitation treatment for 3 months(3 months for a course of treatment); GMFM-88 as effect index, before and after the treatment and rehabilitation of the rehabilitation assessment. 3.Effecting of "6-MMOB" on gross motor function of hypotonia CP Department of pediatric rehabilitation center, Affiliated Hospital of Liaoning University of Traditional Chinese Medicine from January 2011 to December 2014, 42 cases of hypotonia CP were studied, age from 1-4 years old. On the basis of the odd and even numbers of the hospital medical record number, the tail number is odd as the experimental group, and the even number is the control group. The control group treated with routine rehabilitation treatment, and experimental group loading "6-MMOB" as the study factor, the period of rehabilitation treatment for 12 months(3 months for a course of treatment); GMFM-88 as effect index, before and after the treatment and rehabilitation of the rehabilitation assessment.Results: 1. 262 cases of DMMD in children after one year old were diagnosed with CP(95.12%), few were temporary developmental disorders(4.27%), and very few is inherited metabolic diseases; the composition of 249 cases with CP are: spastic 72.14%, hypotonia type 8.40%, mixed type 8.02%, Athetoid 6.11%; rare stiffness 0.38%. 2. "6-MMOB" can promote gross motor function in children with DMMD and experimental group rehabilitation assessment GMFM-A, B, C three areas were improved significantly(p < 0.01); between group comparison, GMFM-B, C two areas in the experimental group was better than control group(p < 0.05). 3. "6-MMOB" can promote comprehensive development of gross motor function of children with spastic CP, the experimental group GMFM-A, B, C, D, E five were improved significantly(p < 0.01); between groups comparison, GMFM-C, D, E areas in the experimental group was better than control group(p < 0.01). After further analysis, we come to a conclusion that, the experimental group in the Climbing & Kneeling area(C5, C6, C7, C11), Standing area(D1, D5, D8), Walking-running-jumping(E9, E11, E12, E14 and E15) 12 items` score are better than that of the control group(p < 0.01). 4. "6-MMOB" can promote gross motor function in children with hypotonia CP, the experimental group GMFM-A, B, C, D, E five areas were improved significantly(p < 0.01); between group comparison, GMFM-D, E areas in the experimental group were better than control group(p < 0.01).Conclusion: 1. "6-MMOB" can improve DMMD children sitting, crawling, and kneeling position level of gross motor function, in the experimental group was better than the control group, is an important therapy method for early intervention in children with brain injury. 2. "6-MMOB" can improve the stability of the core muscles in children with cerebral palsy, in children with spastic CP climbing-kneeling, standing, walking ability were increased obviously; in hypotonia CP, standing and walking ability improved is particularly evident.
Keywords/Search Tags:‘6-MMOB’, Cerebral Palsy, Delayed Motor, GMFM-88
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