Clinical observation of tuina manipulations for tic disorders in kids
推拿手法治疗儿童抽动障碍临床观察作者机构：Graduate SchoolHebei University of Chinese MedicineShijiazhuang 050011China Hebei General HospitalShijiazhuang 050000China
出 版 物：《Journal of Acupuncture and Tuina Science》 (针灸推拿医学（英文版）)
年 卷 期：2020年第18卷第4期
页 面：302-307页
核心收录：
学科分类：1005[医学-中医学] 100512[医学-针灸推拿学] 10[医学]
基 金：河北省卫生健康委员会科研项目,No.20190327 河北省科技计划项目,No.14K57715D
主 题：Tuina Massage Manipulations Atlanto-occipital Joint Atlanto-axial Joint Tic Disorders Tourette Syndrome Child
摘 要：Objective:To observe the clinical efficacy of tuina manipulations in treating different types of tic disorders(TD).Methods:Eligible TD patients were classified into three types,transient tic disorders(TTD),chronic multiple tic disorders(CMTD)and Tourette syndrome(TS),according to their disease duration and *** three types of children were treated with the same tuina *** in the Yale global tic severity scale(YGTSS)score,effective rate for tic,and cervical spine imaging examination results(including asymmetry of the lateral atlanto-dental interval,broadened anterior atlanto-dental interval,C2 spinous process deviation,occipito-atlanto-axial flexion/extension instability)were observed after 1-month and 3-month treatments ***:The YGTSS score changed significantly after 1-month and 3-month treatments compared with that before treatment(both P0.01);the effective rate for TD was 46.6%and 86.7%respectively after 1-month and 3-month treatments;there were significant differences comparing the effective rate for tic between different types of TD after 1-month and 3-month treatments(all P0.05);comparing the effective rate for tic after 1-month treatment with that after 3-month treatment for the same type,the intra-group differences were statistically significant[TTD group(P0.01),CMTD group(P0.01),TS group(P0.05)];the abnormal parameter rates in neck imaging examination after 3-month treatment were significantly different from those before treatment(all P0.01).Conclusion:Tuina manipulation is effective for TTD,CMTD and *** can correct the abnormal alterations of patients cervical vertebrae,and its efficacy for TTD is most significant.
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