Objective: To compare the therapeutic effect among Jin 's three-needle combined with MyoTrac biostimulation therapy, simple Jin's three-needle and simple MyoTrac biostimulation therapy on upper limb function in children with spastic hemiplegia.
Methods: A total of 120 children with spastic hemiplegia were randomized into an observation group, a control group 1 and a control group 2, 40 cases in each group. Conventional occupational therapy was adopted in each group. Additionally, Jin's three-needle therapy was applied in the control group 1, scalp acupuncture and body acupuncture were sustained for 1 h and 30 min respectively, once a day, 5 times a week; MyoTrac biostimulation therapy was adopted in the control group 2, once a day, 15 min each time, 5 times a week; Jin 's three-needle combined with MyoTrac biostimulation therapy were given in the observation group. Two months were as one course, and totally 3 courses were required in the 3 groups. Before treatment and 2, 4, 6 months into treatment, the standard grasping score (sGr) and the standard visual-motor integration score (sVI) of Peabody developmental motor scales-2 (PDMS-2), the modified Ashworth scale (MAS) grade and active range of movement (AROM) of wrist joints were recorded in the 3 groups.
Results: Compared before treatment, sGr of 4, 6 months into treatment was increased in the observation group (P<0.05), sGr of 6 months into treatment was increased in the control group 1 and the control group 2 (P<0.05); sVI of 2, 4, 6 months into treatment was increased in the observation group (P<0.05), sVI of 6 months into treatment was increased in the control group 1 and the control group 2 (P<0.05). sGr and sVI of 6 months into treatment in the observation group were higher than those in the control group 1 and the control group 2 (P<0.05). Compared before treatment, the MAS grade of 6 months into treatment was improved in the 3 groups (P<0.05), and that in the observation group was superior to the control group 1 and the control group 2 (P<0.05).
Conclusion: Jin 's three-needle combined with MyoTrac biostimulation therapy can effectively improve the fine function and muscle tone of upper limbs in children with spastic hemiplegia, and the improvement is superior to the simple Jin 's three-needle and the MyoTrac biostimulation therapy.
目的：比较靳三针联合MyoTrac生物刺激反馈疗法与单纯靳三针、单纯MyoTrac生物刺激反馈疗法治疗痉挛型偏瘫患儿上肢功能的疗效。方法：将120例痉挛型偏瘫患儿随机分为观察组、对照1组和对照2组，每组40例。3组均给予常规作业疗法，在此基础上，对照1组采用靳三针疗法，头针留针1 h，体针留针30 min，每日1次，每周5次；对照2组予MyoTrac生物刺激反馈疗法，每日1次，每次15 min，每周5次；观察组予靳三针联合MyoTrac生物刺激反馈疗法，3组均2个月为一疗程，共治疗3个疗程。分别于治疗前及治疗2、4、6个月后记录3组患儿Peabody运动发育量表（PDMS-2）抓握能力（sGr）和视觉-运动整合（sVI）评分、改良Ashworth量表（MAS）评级和腕关节主动背伸活动度（AROM）。结果：与治疗前比较，观察组治疗4、6个月sGr升高（P<0.05），对照1组与对照2组治疗6个月sGr升高（P<0.05）；观察组治疗2、4、6个月sVI升高（P<0.05），对照1组与对照2组治疗6个月sVI升高（P<0.05）。治疗6个月，观察组sGr和sVI两项评分均高于对照1组、对照2组（P<0.05）。与治疗前比较，3组患儿治疗6个月MAS评级均改善（P<0.05），且观察组优于对照1组、对照2组（P<0.05）。结论：靳三针联合MyoTrac生物刺激反馈疗法可有效改善痉挛型偏瘫患儿上肢精细功能和肌张力，改善作用优于单纯靳三针与单纯MyoTrac生物刺激反馈疗法。.
Keywords: Jin's three-needlea; MyoTrac biostimulation therapya; pediatric cerebral palsya; spastic hemiplegiaa; upper limb disorder.