| Objective: The paper compared the rehabilitative efficacy of two different massage schemes,the routine massage and the kidney-tonifying Tedingxue massage based on routine massage,in children with cerebral palsy,to observe the therapeutic effect of kidney-tonifying Tedingxue massage in children with cerebral palsy.Methods: 60 children who met the inclusion criteria were numbered by the visiting time and divided into observation group(n=30)and control group(n=30)randomly with the ratio of 1:1 according to the random number table method.The control group was treated with routine massage,scalp acupuncture and Bobath therapy,while the observation group applied the Tedingxue massage on the basis of the therapies of the control group.The massage therapy in children with cerebral palsy in "Tuina",a Nationally Planned Textbook for Traditional Chinese Medicine(TCM)Industry,was referred to make the routine massage.The scalp acupuncture referred to the textbook "Acupuncture and moxibustion" which was planned for TCM colleges and universities.Every children were treated twelve weeks totally,once a day,six days consecutively in one week.The score of the 88 items version of Gross Motor Function Measure(GMFM-88 score),the total score of Comprehensive Function Measure of Children with Cerebral Palsy(the total score),the scores of five functional factors of Comprehensive Function Measure of Children with Cerebral Palsy(the scores of each factors)before and after treatment,and the clinical efficacy of the two groups were compared respectively.The results were analyzed by SPSS 17.0.Results:(1)The GMFM-88 scores of the observation group were 82.87±27.82 before treatment and 133.07±28.39 after treatment,while those of the control group were 83.70±25.77 before treatment and 107.30±25.12 after treatment.The GMFM-88 scores of the two groups after treatment were both statistically higher than those before treatment severally(P<0.05),and the GMFM-88 score of the observation group was higher than that of the control group with statistical significance(P<0.05).(2)The total scores of the observation group were 42.07±20.51 before treatment and 63.53±15.59 after treatment,while the control group?s total scores were 43.37±20.46 before treatment and 53.57±17.77 after treatment.The total scores of the two groups after treatment were both statistically higher than those before treatment respectively(P<0.05),and the total score of the observation group was higher than that of the control group with statistical significance(P<0.05).(3)The scores of each factors of the two groups after treatment were statistically higher than those before treatment respectively,and the scores of each factors of the observation group were notably improved compared with those of the treatment group severally with statistical significance(P<0.05).(4)In the observation group 30 cases,18 cases were developed,11 were effective and 1 was invalid,the total effective rate was 96.67%.In 30 cases of the control group,9 were developed,17 were effective and 4 were invalid,the total effective rate was 86.67%.The statistical analysis indicated that the curative effect of the observation group was dramatically better than that of the control group with statistical significance(P<0.05).Conclusion: Compared with the routine massage,the kidney-tonifying Tedingxue massage based on routine massage could significantly improve the gross motor function,cognitive function,language function,athletic ability,self-care action,social adaptability and comprehensive function of the children with cerebral palsy.The kidney-tonifying Tedingxue massage was effective in the rehabilitation of cerebral palsy. |
PDF Full Text Request