Massage Manipulation Of Spinal-Pelvic Regulating Balance In Treating Children With Spastic Cerebral Palsy

Objective:To prospectively investigate the clinical research,we can observe its clinical effects of Massage Manipulation of Spinal-Pelvic Regulating Balance(SPRB)on spastic cerebral palsy(CP).Meanwhile we could find More comprehensive 、more economical、and more effective effect way for the treatment of spastic cerebral palsy in the TCM theory of "whole" under the guidance of the theory of " The theory of bones and muscles ".Methods: In Encephalopathy rehabilitation outpatient and inpatient Of the Guangxi university of Chinese medicine Experts Building,from June 2013 to June 2014,60 patients were determined as spastic cerebral palsy(CP).A total of 60 children with CP were randomly assigned to the treatment group and the control group equally.Treatment group: 30 children were elected to the Massage Manipulation of Spinal-Pelvic Regulating Balance(SPRB)with modern rehabilitation therapy;Control group: 30 patients were selected to pure modern rehabilitation therapy.Two sets of all the patients were in accordance with infantile spasm cerebral palsy of inclusion criteria,to rule out parenchymal progressive lesions 、Normal children of asymptomatic motor delay 、Mixed cerebral palsy 、Organic lesions in children with severe important internal organs 、Mental illness and children with epilepsy.All children with good adherence,no case falls off phenomenon.Treatment methods: The Massage Manipulation of Spinal-Pelvic Regulating Balance(SPRB)is operationed by the professor Zhou Xuelong of Guangxi university of Chinese medicine,Modern rehabilitation techniques have my operation,Specific operation method is as follows: Treatment group using the method of Massage Manipulation of Spinal-Pelvic Regulating Balance(SPRB)with modern rehabilitation therapy.The first step,Richard reinforcement technique: Follow the spine and from the head,Follow foot sun bladder by one line,two line on acupoints,Using massage near the limb joints and muscles load-point can relieve spasm;one times a day,every time 30 min,3 months for a course of treatment.The second step,Massage Manipulation of Spinal-Pelvic Regulating Balance(SPRB): On the basis of rehabilitation training,With reasonable reinforcement technique 、Finger point、After convulsion to ease muscle needle knife,thoracolumbar side rotation reduction method、complex technique(Thoracic、Lumbar spine、Sacroiliac joint)、Pull stretch traction.1.Thoracolumbar rotation and lumbar rotation、lumbosacral sideboarding:Every 3 days one time 、3 months for a period of treatment,adjust the disorder and articular process of lumbar posterior joint stress in the joint capsule.2."lumbosacral hyperextension and pelvic pressing" 、 "pelvicpulling with hands while against with foot" :Instruct patients prone on the bed,his hands flat on the bed.Performer draft and push Sacroiliac joint.The first assistant traction Sacroiliac joint.The second assistant traction alar of CP.So 4 ~ 5 times.In the operation can often hear "kaka" sound,Performer can feel slide movementing in hand.1 time every 3 days,3 months for a course of treatment.3.Practice for point of Pulling for Spine Curvature Adjustment:Instruct patients prone on the bed,his hands flat on the bed.First assistant hands hold on both sides of the foot of CP,Continuous traction 3 ~ 5 min.The second assistant in the bedside,The second assistant traction alar of CP for 3~ 5 min.Performer stand at the side of the children,Pressing down hard On the spine from T1 to L5.So 4 ~ 5 times.In the operation can often hear "kaka" sound,Performer can feel slide movementing in hand.five times a week,3 months for a course of treatment.4.Therapeutic exercises(Liangong): Back muscle of functional exercise,Every 10 to 20 min;3 months for a course of treatment.Effect evaluation standard: The GMFM-66 score and Ashworth scale scores 、Pelvic tilt to improve the situation of CP were recorded at each time point.The methods of statistics:with the SPSS17.0 statistics software,we adopted repeated measurements analysis of covariate to calculate the difference between each group before and after treatment.We use the chi-square test compare whether the differences between two groups of patients after treatment.P<0.05,the differences is significance.Results:1.The GMFM-66 Score:Treatment group: In operation group,the GMFM-66 Score of CP significantly risinged compared with those before treatment(P<0.05),which is effective.In control group,the GMFM-66 Score of CP after treatment risinged significantly compared with that before treatment(P<0.05),which is effective,but the GMFM-66 Score have low increase.the GMFM-66 Score and improvement rate of treatment group have better effect compared with the control group(P<0.05).2.Ashworth scale scores Comparison between the two groups: Muscle cramps of treatment group had obviously improved compared with the control group(P<0.05).3.Pelvic tilt to improve the situation Comparison between the two groups: Pelvic tilt of treatment group had obviously improved compared with the control group(P<0.05).Conclusion(s): the Massage Manipulation of Spinal-Pelvic Regulating Balance(SPRB)with modern rehabilitation therapy is a better effect、 more comprehensive and more economical way for the control group.