| 摘要: |
| 小儿肌性斜颈（CMT） 属先天性疾病，是儿童骨骼肌肉系统疾病中的三大先天性疾病之一，在小儿外科矫形手术中占5.2%～12.4%。其主要特点是胸锁乳突肌挛缩而导致头颈向患侧歪斜，且患侧颈部常伴或不伴大小不等的肿块。笔者筛选近十年来中国期刊全文数据库（CNKI） 中推拿治疗CMT 的文献资料，对其中的推拿手法进行归类，并分析其操作部位、操作时间、操作力度及疗效。认为CMT 推拿治疗的核心手法主要为形变类和放松类，具体包括被动牵伸法、旋转扳法、按揉、推揉、拿捏、弹拨等手法。操作部位以胸锁乳突肌、斜方肌及肿块为主。操作时间相对较短，手法力度轻柔适度。2 类手法结合治疗CMT，疗效确切，依从性好，且安全无创，值得临床推广应用。 |
| 关键词: 小儿肌性斜颈 推拿 核心手法 文献综述 |
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| Discussion and Analysis on Core Manipulations of Tuina for Congenital Myogenic Torticollis |
| ZHANG Ming,Instructor：FU Ruiyang |
| (单篇PDF全文查阅请上中国知网下载阅读（中国知网电子版刊出时间：纸刊刊出日期一个月左右）) |
| Abstract: |
| Abstract：Congenital myogenic torticollis(CMT) is one of the three major congenital diseases of musculoskeletal system in children，accounting for 5.2% to 12.4% of orthopedic surgery in children. Its main characteristics are the tilting of head and neck to the affected side caused by contracture of the sternocleidomastoid muscle，with or without masses in different sizes on the affected side of the neck. The author screened the literature on Tuina for CMT in Chinese National Knowledge Infiastructure(CNKI) in recent ten years. The manipulations were classified；the sites，time and strength of operation as well as the curative effect were analyzed. It is believed that the core manipulations of Tuina for CMT are mainly deformation and relaxation， including passive traction， rotating and pulling manipulation， pressing and kneading， pushing and kneading，
grasping and pinching as well as flicking. The main operating sites are sternocleidomastoid muscle， trapezius muscle and masses. The operation time is relatively short and the strength of manipulation is gentle and moderate. The combination of the two types of manipulations has definite curative effect in treating CMT with good compliance，which is safe，non-invasive，and worthy of clinical promotion and application. |
| Key words: Keywords：Congenital myogenic torticollis Tuina Core manipulations Literature review |
