“通络调颈法”配合高频超声联合剪切波弹性成像技术治疗小儿肌性斜颈的疗效观察

doi:10.20274/j.cnki.issn.1674-3865.2026.04.014

Abstract

Abstract:

Objective To investigate the clinical efficacy of the Shanghai-style pediatric massage technique "meridian unblocking and neck regulation method" in the treatment of pediatric muscular torticollis, and to quantitatively assess the changes in the Young's modulus， shear wave velocity and thickness of the sternocleidomastoid muscle before and after treatment using high-frequency ultrasound combined with shear wave elastography (SWE). Methods A total of 32 pediatric patients with muscular torticollis were selected as research subjects, who visited Jiangqiao Town Community Health Service Center of Jiading District in Shanghai between Dec. 2022 and Aug. 2025, and they were treated with the Shanghai-style pediatric massage technique "meridian unblocking and neck regulation method", once a day for five days per week over a period of six months. Before treatment and after six months of treatment， the Young's modulus， shear wave velocity and thickness of the sternocleidomastoid muscle in the affected side were measured using high-frequency ultrasound combined with SWE technology, and clinical efficacy was evaluated. Results After treatment， 25 (78.1%) of the 32 pediatric patients achieved complete recovery， 6 (18.7%) showed improvement， and 1 (3.2%) had no response， resulting in a total effective rate of 96.8%. The Young's modulus， shear wave velocity and thickness of the sternocleidomastoid muscle in the affected side exhibited significant reductions after treatment， with marked differences observed between pre- and post-treatment values (P<0.05). Conclusion The Shanghai-style pediatric massage technique "meridian unblocking and neck regulation method" demonstrates definitive efficacy in the treatment of pediatric muscular torticollis. It significantly improves the stiffness and thickness of the sternocleidomastoid muscle and alleviates the symptoms， making this approach worthy of promotion.

Key words: Muscular torticollis, Shanghai-style pediatric massage, SWE, Meridian unblocking and neck regulation, Child

CLC Number:

R726.8

Xuejiao WANG, Qian WANG, Weina GUO, Na LI, Ziying WU, Ying SHI, Qinli SONG, Haiqiong HAN. Clinical efficacy observation of "meridian unblocking and neck regulation method" combined with high-frequency ultrasound and SWE technology in the treatment of pediatric muscular torticollis[J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2026, 18(4): 344-347.

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References 31

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项目	n	健侧			患侧
项目	n	杨氏模量值(kPa)	剪切波速度(m/s)	厚度(mm)	杨氏模量值(kPa)	剪切波速度(m/s)	厚度(mm)
治疗前	32	18.95±2.63	1.96±0.25	6.58±0.87	35.62±4.85	3.85±0.31	12.34±1.15
治疗后	32	19.12±2.54	1.99±0.23	6.61±0.82	21.41±3.72	2.08±0.38	7.52±0.89
t值		0.275	0.521	0.149	15.837	12.154	19.463
P值		0.785	0.606	0.882	<0.001	<0.001	<0.001

Clinical efficacy observation of "meridian unblocking and neck regulation method" combined with high-frequency ultrasound and SWE technology in the treatment of pediatric muscular torticollis

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