颅骶技术用于梦游症的康复治疗

Craniosacral Techniques Were Used for Treatment and Rehabilitation of Sleepwalking

摘要: 目的：应用颅骶疗法手法技术治疗儿童梦游症，探索颅骶疗法对梦游症治疗的有效性与可行性。方法：来自本院儿保门诊梦游症儿童1例，男，10岁。应用颅骶疗法十步法，并在治疗前和治疗后手法评估其颅骶节律、膜性受限、骨性受限；Conners父母问卷进行行为评估患者梦游次数、睡眠质量。结果：采用颅骶疗法治疗后，患者颅骶节律由快恢复到正常、骨性受限和膜性受限解除；睡眠行为质量评估：梦游次数、被噩梦惊醒次数、梦间觉醒次数均减少，清晨自己醒来次数治疗后与治疗前比较有显著改善(p分别为0.005、0.016、0.030、0.017)，早晨起来的情绪有显著改善(p = 0.001)；儿童行为评估：在学习问题、心身障碍、焦虑三方面有显著改善(p分别为0.014、0.033、0.015) 。结论：通过解除颅骶膜性受限与骨性受限，恢复颅骶节律，改善其大脑功能。研究初步显示，颅骶疗法对梦游症儿童身心健康具有促进作用。

Abstract: Objective: To explore the effectiveness and feasibility of craniosacral therapy in the treatment of sleepwalking in children. Method: A 10-year-old boy with sleepwalking was admitted to our pe-diatric care clinic. Craniosacral rhythm, membranous limitation, and osseous limitation were as-sessed by 10-step of craniosacral therapy before and after treatment. The number of sleepwalking and sleep quality were assessed by Conners Parent Questionnaire (CPQ). Result: After treatment with craniosacral therapy, the craniosacral rhythm recovered from fast to normal, the bone and membranous limitation were relieved. Based on sleep behavior quality assessment, the numbers of sleepwalking, nightmare awakening and inter-dream awakening were reduced, the number of self-awakening in the morning was significantly improved after treatment compared with before treatment (p = 0.005, 0.016, 0.030, 0.017, respectively), and the mood of waking up in the morning was significantly improved (p = 0.001). Based on children’s behavior assessment: there were significant improvements in learning problems, psychosomatic disorders, anxiety (p = 0.014, 0.033, 0.015, respectively). Conclusion: By relieving the craniosacral membranous and osseous constraints, the craniosacral rhythm can be restored and the brain function can be improved. Preliminary studies have shown that craniosacral therapy can promote the physical and mental health of sleepwalking children.