The Study About The Rule Of Abdominal Acupoint Sensitization And The Effect Of Massage Intervention In Children With Spastic Cerebral Palsy Based On Infrared Thermal Imaging Technology

Objective Based on infrared thermal imaging technology research with types of spastic cerebral palsy sensitizing law of abdominal acupuncture points,from observing the temperature changes at,before and after the abdominal acupoint massage.Analysis of the temperature changes can be used as one of the positive indicators of the curative effect of spastic cerebral palsy.I hope this new method will provide better treatment for children with spastic cerebral palsy.Methods This experiment contains two parts.In the first part,study about ancient literature.From the previous research of ancient literature about children's massage and spastic cerebral palsy,three acupoints need to be focus.They are named: guan yuan,qi-hai and Zhong wan located on Ren meridian.Then,choose 72 cases of children with spastic cerebral palsy as experimental group and 72 cases of healthy children as a control group.In a room with relatively constant temperature,use an infrared thermal imager to screening every individuals' abdomen from both groups.The temperature in the acupoint area was extracted by AnalyzIR,the original temperature data were recorded in Excel,and the data were statistically analyzed by IBMSPSS 23.0 software.The temperature changes in the infrared thermal imaging of Guan Yuan,Qi Hai and Zhong Wan areas between the two groups of children were compared,and the sensitization was observed.Based on the sensitization observed in the first part,the second part of the study was conducted.The 72 cases of children with spastic cerebral palsy were randomly divided into the experimental group and the control group 36 cases in each group.Unfortunately,During the study,6 cases(2 cases in the experimental group and 4 cases in the control group)withdrew from the experiment due to personal reasons,and 4 cases(3 cases in the experimental group and 1 case in the control group)were excluded from the study due to the replace treatment as suggested by their doctor.Finally,62 cases were collected,including 31 in the experimental group and 31 in the control group.The two groups adopted the same nursing methods and feeding instructions.The experimental group was treated with conventional rehabilitation and selective spinal massage,while the control group was treated with conventional rehabilitation.The treatment in both groups was once a day,with 2 days rest after 5 days of continuous treatment.One period of treatment is 4weeks and the total of treatment is 2 periods.We will take the infrared thermal image at one day before the treatment and right after the treatment for every individual.The two groups were assigned to the same place to collect infrared thermal images of sensitized points,and the children were evaluated by the TCM syndrome score table and modified Ashworth scale(MAS).The temperature of the acupoint area was extracted by AnalyzIR,the original temperature,TCM syndrome score and the score data of the improved Ashworth scale were recorded by Excel,and the data were statistically analyzed by IBMSPSS 23.0 software,by observing the changes of abdominal acupoint temperature before and after the massage,to analyze the relationship between the temperature change and the therapeutic effect.Results1.Results of sex and age comparison The results showed that there was no significant difference(p > 0.05)between the two groups.2.Comparison of infrared temperature in the acupoint area between the experiment group and the control group The temperature of Guan Yuan acupoint area was 35.98 ± 0.80 ? in the experiment group and 36.92 ± 0.67 ? in the control group(P=0.000),and the two groups showed significant differences in this respect(P<0.01).The temperature of Qi Hai acupoint area was 35.73±0.87 ? in the experiment group and36.45±0.74 ? in the control group(P=0.000),and the two groups showed significant differences in this respect(P<0.01).The temperature of Zhong Wan acupoint area was 35.73±1.35 ? in the experiment group,and 36.31±0.62 ? in the control group(P= 0.01).The difference was statistically significant(P < 0.01).3.Effects of massage intervention on children with spastic CP3.1comparison of infrared temperature between the experimental group and the control group3.1.1 comparison between the experimental group and the control group before treatment:The temperature of Guan Yuan acupoint area was 35.37 ± 0.96 ? in the experimental group and 35.76 ± 0.98 ? in the control group(P = 0.124).The difference did not show statistical significance(P > 0.05)and could be compared.Qi Hai acupoint area temperature: the experimental group(35.82±1.01)?,the control group(35.35±1.14)?,the two comparisons(P=0.092),no statistical significance(P >0.05),comparable;The temperature in the Zhong Wan region was 35.72±0.71 ? in the test group and35.41±0.74 ? in the control group(P=0.104).The difference was not statistically significant(P > 0.05).3.1.2 comparison between the experimental group before and after treatment:The temperature of Guan Yuan acupoint was 35.37 ± 0.96 ? before treatment and 36.52 ±0.59 ? after treatment(P=0.000),and the two groups showed significant differences in this respect(P<0.01).The Qi Hai acupoint area temperature: before the treatment(35.82±1.01)?,after the treatment(36.40±0.67)?,the two comparison(P=0.005),the difference has statistical significance(P<0.01).The temperature in Zhong Wan region was 35.72±0.71 ? before treatment and36.26±0.75 ? after treatment(P=0.008),the difference was statistically significant(P <0.01).3.1.3 The results of the control group before and after treatment were compared:The temperature of Guan Yuan point area was 35.76 ± 0.98 ? before treatment and 36.08± 0.47 ? after treatment(P=0.147),and there was no significant difference between the two groups in this respect(P>0.05).The Qi Hai acupoint area temperature: before the treatment(35.35±1.14)?,after the treatment(35.96±0.66)?,the two comparison(P=0.010),the difference has statistical significance(P<0.05).The temperature in Zhong Wan region was 35.41±0.74? before treatment and35.86±0.72 ? after treatment(P=0.027),and the difference was statistically significant(P< 0.05).3.1.4 The experimental group and the control group were compared after treatment:The temperature in Guan Yuan acupoint area was 36.52 ± 0.59 ? in the experimental group and 36.08 ± 0.47 ? in the control group(P=0.002).The difference was statistically significant(P<0.01).Qi Hai cavern area temperature: the experimental group(36.40±0.67)?,the control group(35.96±0.66)?,the two comparison(P=0.011),the difference has statistical significance(P < 0.05).The temperature in the Zhong Wan region was 36.26±0.75 ? in the test group and35.86±0.72 ? in the control group(P=0.033).The difference was statistically significant(P < 0.05).3.2 comparison of TCM syndrome scores between the experimental group and the control group:Before enrollment,the scores of the test group(28.61±7.31)and the control group(28.58±6.94)were comparable(P=0.986).Before and after treatment(34.23±7.19),and the two groups showed significant differences in this respect.The control group was(28.58±6.94)points before the treatment,and(29.87±6.55)points after the treatment(P=0.002),and the two groups showed significant differences in this respect.After the treatment,the scores in the experimental group(34.23±7.19)and the control group(29.87±6.55)were statistically significant(P=0.015).3.3comparison of scores of the modified Ashworth scale(MAS)between the experimental group and the control group:Before enrollment,the experimental group(2.97±1.11 points)and the control group(2.77±1.20 points)were compared(P=0.509),with no statistically significant difference(P > 0.05),indicating comparability.Before and after treatment,the control group was(2.77±1.20)points and(2.58±1.03)points,respectively,before and after treatment(P=0.014),and in this respect,the two groups showed significant differences(P < 0.05).At the end of treatment,the scores in the experimental group(2.03±0.71)and the control group(2.58±1.03)were statistically significant(P=0.029).Before(2.97±1.11)and after(2.03±0.71),the difference was statistically significant(P <0.01).4.Correlation analysis4.1The relationship of the infrared temperature of abdominal area,and the score of TCM syndrome :Before the treatment,there is no correlation between the acupoint area temperature and the score of TCM symptoms of the experimental group and the control group.(P>0.05).After the treatment,Guan Yuan acupoint area appears a moderately strong positive correlation between the temperature and the integral value of TCM symptoms in the experimental group.(P<0.01,r=0.496).But there was no correlation between the temperature and the integral value of TCM symptoms at Qi Hai and Zhong Wan acupoint area.(P>0.05).After the treatment,there was no correlation between the temperature of acupoint and the score value of TCM symptoms in the control group(P>0.05).4.2The relationship of the infrared temperature of abdominal area and the score of the improved Ashworth scale:Before the treatment,there is no correlation between the acupoint area temperature and the score of the modified Ashworth scale of the experimental group and the control group.(P >0.05).After the treatment,there was no correlation between the acupoint temperature and the score of the improved Ashworth scale in experimental group.(P>0.05).After the treatment,there was no correlation between the acupoint temperature and the score of the improved Ashworth scale in control group.(P>0.05).5.No adverse events such as syncope,skin damage,subcutaneous hematoma or fracture occurred during the treatment.Conclusion1.The temperature of Guan Yuan,Qi Hai and Zhong Wan area of children with spastic cerebral palsy is lower than healthy children.2.Massage will not only increase the abdominal temperature of the Guan Yuan,Qi Hai and Zhong Wan areas for children with spastic cerebral palsy,but also increase the score of the TCM syndromes and also decrease the score of the improved Ashworth scale.There is a correlation between the temperature of the abdominal area and the efficacy index.Among them,there was a moderate positive correlation between the temperature change of guan yuan acupoint area and the score value of TCM symptoms in children with spastic cerebral palsy after massage investment,and the correlation with the MAS was not strong.3.Infrared thermal imaging technology as an auxiliary examination method can provide a certain visual basis for the evaluation of the efficacy of spastic cerebral palsy children,but it cannot be used as an index for evaluating the efficacy of spastic cerebral palsy children.