Abstract:
Objective
The aim of this study was to discuss the effect of wrist-ankle acupuncture on the tiptoeing in children with spastic cerebral palsy（CP）.
Methods
The study consisted of 60 children with spastic CP，who were carried out in accordance with the medical order number and then randomized to two groups according to the random number generated by Stata 11.0 package. There were 30 cases in treatment group and 30 in control group. Both groups received basis treatment. The treatment group was also treated with wrist-ankle acupuncture，and the control group was treated by acupuncture in Huantiao （GB 30），Yanglingquan（GB 34），Zusanli（ST 36），Sanyingjiao（SP 6），Jiexi（ST 41）and Taichong（LR 3）. Both of them received acupuncture once every other day and 10 times as a course of treatment. Patients received continuous treatment of three courses with 15 d interval. Subjects were assessed by angle measurement of ankle passive dorsiflexion，comprehensive spasm scale（CSS）and Modifide Ashworth Scale（MAS）before and after 1 course of treatment and after 3 courses of treatment. SPSS 16.0 software was used to perform statistical analysis and P ＜0.05 was thought to have statistical difference. The clinical data of age，foot dorsiflexion angle and CSS score before treatment were compared using t-test. The repeated measures analysis of variance data were used to detect the difference of foot dorsiflexion angle and CSS scores after one course and 3 courses of treatment. The chi-square test was used to compare the frequency differences of MAS classification before and after treatment.
Results
The foot dorsiflexion angle was better in treatment group than that of control group after 1 period of treatment and 3 periods of treatment（t=-3.06，t=-2.42，P＜0.05）. The CSS score was higher in treatment group after 1 period of treatment and 3 periods of treatment than that of control group（t=-2.62，t=-3.10，P＜0.05）. There was no significant difference in the level of MAS between treatment group and control group（treatment group：χ2=1.068，control group：χ2=1.088，P＞0.05）.
Conclusion
The wrist-ankle acupuncture can improve tiptoe gait，ankle passive dorsiflexion and spasm in children with spastic CP.
Key words:
Cerebral palsy,
Acupuncture therapy,
Tiptoeing
Wenjie Fu, Bingxu Jing, Yong Zhao, Yong Zhang, Zhenhuan Liu. Clinical study on wrist-ankle acupuncture for tiptoeing in children with spastic cerebral palsy[J]. Chinese Journal of Acupuncture and Moxibustion(Electronic Edition), 2014, 03(01): 4-7.