Clinical Observation Of Lumbar Jiaji Acupoints Combined With Scalp Acupuncture On Hypotonic Cerebral Palsy

Objective : Clinical observe of Lumbar Jiaji Acupoints Combined with Scalp Acupuncture on hypotonic cerebral palsy by gross motor function measure(GMFM-88)developed by Russell and free-hand muscle strength test,and the clinical curative effect was clarified.Method:From January 2018 to September 2018,64 children with cerebral palsy in the Department of Child Rehabilitation,affiliated Rehabilitation Hospital of Fujian University of traditional Chinese Medicine,were enrolled in the pediatric out-patient clinic.The children were divided into two groups: observation group(n=32)and control group(n=32).In the course of the study,there was no shedding in the two groups.The observation group was treated with acupuncture combined with scalp acupuncture and routine exercise therapy,and the control group was treated with routine exercise therapy for 3 courses.SPSS18.0 was used to record the scores and muscle strength of GMFM-88 before and after treatment.Result:1.There was no significant difference in GMFM-88 scores between the two groups before treatment in supine position and prone position,sitting area,climbing and kneeling area and standing area(P>0.05).After treatment,the score of observation group was slightly higher than that of control group.The difference was statistically significant(P<0.05).The scores of the two groups after treatment were higher than those before treatment,the difference was statistically significant(P<0.05).2.There was no significant difference in GMFM-88 score between the two groups before treatment(P>0.05),and there was comparability between the two groups.After treatment,the GMFM-88 score in the observation group was statistically significant(P<0.05),but there was no statistical significance in the control group(P>0.05).After treatment,the scores of GMFM-88 in the observation group were slightly higher than those in the control group,and there was no significant difference between the two groups(P>0.05).3.There was no significant difference in the total percentage of GMFM-88 between the two groups before treatment(P>0.05),but it was higher in the observation group after treatment than that in the control group(P<0.05).4.There was no significant difference in muscle strength between the two groups before treatment(P>0.05).After treatment,the muscle strength in the observation group was higher than that in the control group,and there was a significant difference between the two groups(P<0.05).The muscle strength of the two groups after treatment was significantly higher than that before treatment(P<0.05).5.The total effective rate of the observation group was 87.1%,that of the control group was 77.4%,and the total effective rate of the observation group was higher than that of the control group.Conclusion:1.Acupuncture combined with scalp acupuncture can effectively improve the motor function of supine and prone position,sitting position,climbing and kneeling area,standing energy area and walking and jumping energy area in GMFM-88,and the combination of acupuncture and scalp acupuncture can effectively improve the motor function of supine position and prone position area,sitting position area,climbing and kneeling area,standing energy area and walking and jumping area.2.The routine exercise therapy in the control group could effectively improve the motor function of the supine and prone position,sitting position,climbing and kneeling and standing energy areas in GMFM-88,but the improvement of walking,running and jumping area was not obvious.3.Acupuncture of lumbar Jiaji acupoints combined with scalp acupuncture can effectively improve the muscul strength and the gross motor function of children.