Study On The Rule Of Acupoint Sensitization In Lower Limbs Of Children With SCP And The Effect Of Tuina Intervention Based On IRT

ObjectiveThe infrared thermography technique was used to study the sensitizing regularity of the acupoints in the lower limbs of children with SCP,and to observe the changes of the infrared temperature of the sensitizing acupoints in the lower limbs of children with SCP before and after Tuina,to analyze the correlation between the degree of SCP children's lower limb muscle spasticity and the infrared temperature of the sensitizing point area,and to provide a new idea for the evaluation of the curative effect of SCP children,and to provide an objective basis for further standardizing the clinical acupoint selection of tuina.MethodsAccording to the team's early research basis,select Yongquan,Zusanli,Yanglingquan point for observation.First,80 healthy children were recruited.Infrared thermography images of both lower limbs were collected by infrared thermal imager,and infrared temperature of Yongquan,Zusanli and Yanglingquan were extracted by Analyz IR software,the data were analyzed with Excel and IBMSPSS 23.0 software.Then 80 children with SCP were recruited,and the infrared temperature of Yongquan,Zusanli and Yanglingquan were extracted by the same method.The data were analyzed by Excel and IBMSPSS 23.0software,to compare the difference of infrared temperature between children with SCP and healthy children in Yongquan,Zusanli and Yanglingquan points.Then,40 children with SCP were randomly divided into test group(N=22)and control group(N=18)according to the computer block randomized grouping method.Two groups used the same nursing method and feeding guidance,the Control Group used routine rehabilitation intervention,the test group on the basis of the control group with improved selective ridge tuina treatment.The two groups were treated once a day for 20 minutes each time.After 5 days of continuous treatment,rest for 2 days and 4 weeks as a course of treatment.There were 2 courses of treatment.The infrared thermography of both lower limbs was taken before and 8 weeks after treatment,and the degree of muscle spasm was evaluated.The infrared temperature of Yongquan,Zusanli and Yanglingquan were extracted by Analyz IR software,and the data were analyzed by Excel and IBMSPSS 23.0software.Before and after treatment,the changes of infrared temperature in the points of Yongquan,Zusanli and Yanglingquan were compared between the experimental group and the Control Group.Results1.For healthy children,there was no significant difference between the left(34.13±1.28)? and the right(34.16±1.29)? of Yongquan(P>0.05).There was no significant difference between the left(34.35±0.83)? and the right(34.37±0.81)? of Zusanli(P>0.05).There was no significant difference between the left(34.21±0.76)? and the right(34.23±0.79)? of Yanglingquan(P>0.05).The infrared temperature in the points of Yongquan,Zusanli and Yanglingquan were all higher than 34?,and the infrared temperature in the points was symmetrically distributed,showing the law of Yongquan < Yanglingquan < Zusanli.2.For children with SCP,there was no significant difference between the left(32.77±1.75)? and the right(32.76±1.80)? of Yongquan(P>0.05).There was no significant difference between the left(33.69±1.05)? and the right(33.82±1.02)? of Zusanli(P>0.05).There was no significant difference between the left(33.61±1.15)? and the right(33.55±1.06)? of Yanglingquan(P>0.05).The infrared temperature of both sides of Yongquan,Zusanli and Yanglingquan points in children with spastic cerebral palsy is lower than 34?,and the infrared temperature in the points was symmetrically distributed,showing the law of Yongquan < Yanglingquan <Zusanli.3.The difference was statistically significant(P<0.05)between the left side of Yongquan(34.1±1.28)? in healthy children and the left side of Yongquan(32.77±1.75)? in children with SCP.The difference was statistically significant(P<0.05)between the right side of Yongquan(34.16±1.29)? in healthy children and the right side of Yongquan(32.76±1.80)? in children with SCP.The difference was statistically significant(P<0.05)between the left side of Zusanli(34.35±0.83)? in healthy children and the left side of Zusanli(33.69±1.05)? in children with SCP.The difference was statistically significant(P<0.05)between the right side of Zusanli(34.37±0.81)? in healthy children and the right side of Zusanli(33.82±1.02)? in children with SCP.The difference was statistically significant(P<0.05)between the left side of Yanglingquan(34.21±0.76)? in healthy children and the left side of Yanglingquan(33.61±1.15)? in children with SCP.The difference was statistically significant(P<0.05)between the right side of Yanglingquan(34.23±0.79)? in healthy children and the right side of Yanglingquan(33.55±1.06)? in children with SCP.The infrared temperature of bilateral Yongquan,Zusanli and Yanglingquan acupoints in children with SCP was lower than that in healthy children.4.Before treatment In test group,the temperature of Yongquan left(32.57±1.89)? was significantly lower than that of Yongquan left(33.9±91.29)? after treatment(P<0.05),the temperature of Yongquan right(32.62±1.72)? before treatment was significantly lower than that of Yongquan right(34.07±1.43)? after treatment(P<0.05).Before treatment,the temperature of Zusanli left(33.32±1.10)? was significantly lower than that of Zusanli left(34.33±0.81)? after treatment(P<0.05),the temperature of Zusanli right(33.46±1.06)? before treatment was significantly lower than that of Zusanli right(34.38±0.75)? after treatment(P<0.05).Before treatment,the temperature of Yanglingquan left(33.30±1.21)? was significantly lower than that of Yanglingquan left(34.13±0.62)? after treatment(P<0.05),the temperature of Yanglingquan right(33.16±1.25)? before treatment was significantly lower than that of Yanglingquan right(34.10±0.80)? after treatment(P<0.05).Before treatment in control group,the temperature of Yongquan left(32.58±1.41)? was significantly lower than that of Yongquan left(33.37±0.62)? after treatment(P<0.05),the temperature of Yongquan right(32.46±1.49)? was lower than that of Yongquan right(33.32±0.66)? after treatment(P<0.05).Before treatment,the temperature of Zusanli left(33.21±0.85)? was significantly lower than that of Zusanli left(33.80±0.75)? after treatment(P<0.05),the temperature of Zusanli right(33.27±0.89)? was lower than that of Zusanli right(33.85±0.78)? after treatment(P<0.05).Before treatment,the temperature of Yanglingquan left(33.15±0.87)? was significantly lower than that of Yanglingquan left(33.86±0.76)? after treatment(P<0.05),the temperature of Yanglingquan right(33.13±0.88)? was lower than that of Yanglingquan right(33.75±0.84)? after treatment(P<0.05).After treatment,the temperature of Yongquan left(33.99±1.29)? in the test group was significantly higher than that of Yongquan left(33.37±0.62)? in the control group(P<0.05),the temperature of Yongquan right(34.07±1.43)? in the test group was higher than that of Yongquan right(33.32±0.66)? in control group(P<0.05).After treatment,the temperature of Zusanli left(34.33±0.81)? in test group was significantly higher than that of Zusanli left(33.80±0.75)? in control group(P<0.05),the temperature of Zusanli right(34.38±0.75)? in test group was higher than that of Zusanli right(33.85±0.78)? in control group(P<0.05).After treatment,there was no significant difference between the left of Yanglingquan(34.13±0.62)? in the test group and the left of Yanglingquan(33.86±0.76)? in control group(P>0.05).There was no significant difference between the right of Yanglingquan(34.10±0.80)? in the test group and the right of Yanglingquan(33.75±0.84)? in control group(P>0.05).5.Before treatment,there was a significant difference between the score of MAS in test group(3.18±0.96)and the score of MAS(1.95±0.38)after treatment(P<0.05).Before treatment,there was a significant difference between the score of MAS in control group(3.00±0.91)and the score of MAS(2.38±0.50)after treatment(P<0.05).After treatment,there was a significant difference between the score of MAS in test group(1.95±0.38)and the score of MAS(2.38±0.50)in control group(P>0.05).6.After treatment,there was a negative correlation between the infrared temperature of Yongquan,Zusanli and Yanglingquan acupoints and the scores of MAS in the test group,the correlation coefficient r>0.05,there was no statistical significance.After treatment,there was a positive correlation between the infrared temperature of Zusanli acupoint and the score of MAS in the control group,and the correlation coefficient r>0.05,there was no statistical significance.After treatment,there was a negative correlation between the infrared temperature of Yongquan and Yanglingquan acupoints and the scores of MAS in the control group,the correlation coefficient r>0.05,there was no statistical significance.7.No adverse reaction was found during the course of treatment.Conclusions1.The infrared temperature of lower limb acupoints in children with SCP and healthy children was symmetrically distributed,and the infrared temperature of two sides Yongquan,Zusanli and Yanglingquan acupoints in children with SCP was lower than that in healthy children.2.The improvement of selective ridge tuina can significantly improve the degree of lower limb muscle spasm in children with SCP,which is related to the temperature of Yongquan,Zusanli and Yanglingquan points,but no correlation has been found.