Effects of Thumb-tack Needing for Subcutaneous Embedding Therapy Combined with Core Stability Exercises on Gross Motor Function,Balance Function and Activities of Daily Living in Children with Cerebral Palsy
Abstract: Objective: To observe the effects of thumb- tack needing for subcutaneous embedding combined with core stability exercises on gross motor function,balance function and activities of daily living in children with cerebral palsy. Methods:A total of 73 cases of children with cerebral palsy were selected and divided into the control group and the observation group according to the random number table method , with 36 and 37 cases in each group respectively. The control group was given rehabilitation therapy such as exercise therapy, occupational therapy and physical factor therapy, and core stability exercises were given after exercise therapy. The observation group was given thumb- tack needing for subcutaneous embedding based on the treatment of the control group. The changes in scores of Gross Motor Function Measure (GMFM- 88), Berg Balance Scale (BBS) and Activities of Daily Living (ADL) of children with cerebral palsy in the two groups were observed before treatment and after 4,8,12 and 16 weeks of treatment. Results: After treatment, GMFM- 88 scores were increased with the extension of treatment time,and there was a time effect (P<0.05);the increase in the observation group was greater than that in the control group, and there was a grouping effect (P<0.05); the grouping factor and time factor interacted with the scores (P<0.05). At the eighth, twelfth and sixteenth weeks of treatment, GMFM- 88 scores in the observation group were higher than those in the control group (P<0.05). The GMFM- 88 scores in the two groups at each time point after treatment were higher than those before treatment and those at the previous time point of treatment, the difference being significant (P<0.05). After treatment,BBS scores were increased with the extension of treatment time,and there was a time effect (P<0.05); the increase in the observation group was greater than that in the control group, and there was a grouping effect (P<0.05);the grouping factor and time factor interacted with the scores (P< 0.05). At the eighth,twelfth and sixteenth weeks of treatment,the BBS scores in the observation group were higher than those in the control group (P<0.05). The BBS scores in the two groups at each time point after treatment were higher than those before treatment and those at the previous time point of treatment, the difference being significant (P<0.05). After treatment,ADL scores were increased with the extension of treatment time, and there was a time effect (P<0.05); the increase in the observation group was greater than that in the control group,and there was a grouping effect (P<0.05);the grouping factor and time factor interacted with the scores (P<0.05). At the twelfth and sixteenth weeks of treatment,the ADL scores in the observation group were higher than those in the control group (P<0.05). When compared the ADL scores in the two groups at each time point after treatment with those before treatment and those at the previous time point of treatment,the difference being significant (P<0.05). Conclusion:Thumb-tack needing for subcutaneous embedding combined with core stability exercises can further promote the improvement of gross motor function,balance function and activities of daily living of children with cerebral palsy.