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小儿肌性斜颈的推拿方式有哪些?
来源:http://www.bbtndoctor.com添加时间:2018-12-11 14:39:19
小儿肌性斜颈一般指先天性斜颈,是由一侧胸锁乳突肌挛缩造成头向一侧偏斜的病症。婴儿出生并无畸形,约10天后出现肿块,逐步转变成胸锁乳突肌挛缩而出现斜颈。先天性斜颈是一种常见病,早期诊治对预防继发性头,脸,颈椎畸形是非常重要的。(6个月以内)推拿治疗,疗效较好。
Myogenic torticollis in children generally refers to congenital torticollis, which is caused by contracture of sternocleidomastoid muscle on one side and skewed to the other side. The infant was born without deformity and developed a mass about 10 days later, which gradually transformed into sternocleidomastoid contracture with torticollis. Congenital torticollis is a common disease. Early diagnosis and treatment is very important to prevent secondary deformities of head, face and cervical spine. (within 6 months) massage treatment, the effect is better.
一、 舒筋活血,软坚散结。
1. Strengthen and invigorate blood circulation, soften and firm.
二、 推拿手法:1.用食,中指与拇指拿住患侧肌肉硬节处捏揉10~15分钟。 2.用拇指或食、中二指自患侧胸锁乳突肌起点至止点推揉2~3分钟。 3.一手扶住患侧肩部,另一手扶住患儿头部,两手同时向相反方向扳拉,使患儿头部渐渐向健侧肩部倾斜,称斜扳或被动扳拉活动法,反复操作7~10次,然后用双手托拿住患儿头部向上牵引的同时向患侧旋转,称被动转头活动法,反复操作7~10次。
小儿推拿按摩培训中心
2. Massage manipulation: 1. Massage for 10-15 minutes with food, the middle finger and thumb holding the muscular joint on the affected side. 2. Push and knead the affected side of sternocleidomastoid muscle for 2-3 minutes from the beginning to the end with thumb, food and middle fingers. 3. Hold the shoulder of the affected side with one hand and the head of the child with the other hand, pull both hands in the opposite direction at the same time, so that the head of the child gradually tilts to the healthy shoulder, called oblique pull or passive pull method, repeated operation for 7-10 times, and then hold the head of the child with both hands while pulling upward and rotating to the affected side, called passive head-turning method. Repeated operation 7 to 10 times.
三、 疗效:推揉及捏揉肌肉局部能舒筋活血,改善局部血供,缓解肌肉痉挛。被动扳拉及转头活动能拉长伸展挛缩的肌肉,有助于恢复肌肉的弹性,改善和恢复颈部功能活动。
3. Curative effect: Kneading and kneading muscles can relax tendons and promote blood circulation, improve local blood supply and alleviate muscle spasm. Passive pulling and head turning can stretch contracted muscles, help to restore muscle elasticity, improve and restore neck function.
四、加减治疗:1.如患儿面部及肩部畸形明显者,加点按太阳,颊车,人中,迎香,风池,肩井,肩髃,天宗等穴各5~10次,以活血通络,改善局部畸形。 2.患侧上肢活动障碍者:加在患侧上肢施以揉,拿,一指禅推等法2~3分钟,同时点按肩髎,肩髃,臂臑,天宗,曲池,尺泽,手三里,内关,外关,合谷等穴各5~10次,以加强患肢血供,促进恢复患侧上肢功能活动。
4. Addition and subtraction therapy: 1. If the deformity of the face and shoulder is obvious, add points according to the sun, cheek cart, people, Yingxiang, Fengchi, Shoulder Well, Shoulder Condyle, Tianzong and other acupoints 5-10 times each to activate blood circulation and dredge collaterals, improve local deformity. 2. Patients with upper limb dysfunction on the affected side: massage, massage and one finger Zen push for 2-3 minutes. At the same time point, press the shoulder, shoulder condyle, brachial arch, Tianzong, Quchi, Chize, Sanli, Neiguan, Waiguan, Hegu and other acupoints 5-10 times each to strengthen the blood supply of the affected limb and promote the recovery of upper limb functional activities on the affected side.
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