关键词:

痉挛型脑瘫, 头针, 低频重复经颅磁刺激

Abstract:

Objective　To explore the effect of scalp acupuncture combined with low frequency repetitive transcranial magnetic stimulation on motor and cognitive function in children with spastic cerebral palsy. Methods　Ninety children with spastic cerebral palsy treated at Guangdong Women and Children Hospital from January 2021 to December 2022 were recruited and randomly divided into a scalp acupuncture group, an LF-rTMS group, and an associative group by the random number table method, with 30 cases in each group. The three groups were treated with conventional rehabilitation therapy. On this basis, the scalp acupuncture group took scalp acupuncture, the LF-rTMS group low-frequency repetitive transcranial magnetic stimulation, and the associative group scalp acupuncture and low-frequency repetitive transcranial magnetic stimulation. All the three groups were continuously treated 1 time/day and 6 times/week for 12 weeks. Before and after 12 weeks' treatment, the three groups were evaluated using the Gross Motor Function Measure (GMFM-88), Modified Asthworths Scale (MAS), and Gesell Developmental Schedules (Gesell). Analysis of variance, paired t test, χ² test or Fisher exact probability, Z test, and paired rank sum test were applied. Results　Before the treatment, there were no statistical differences of MAS, D and E divisions of GMFM, and 5 divisions of Gesell between the three groups (all P>0.05). After the treatment, there were statistical differences in the MAS score [(2.13±0.63) vs. (1.93±0.64) vs. (1.50±0.57),F=8.332], the D [(14.10±5.30) vs. (11.83±3.95) vs. (14.70±4.56), F=3.196] and E [(8.96±4.02) vs. (9.60±4.26) vs. (11.88±3.72), F=4.416] scores of GMFM, and the adaptation [(52.69±19.05) vs. (52.45±21.25) vs. (63.33±10.35), F=3.772], motor [(31.53±12.65) vs. (30.32±12.49) vs. (38.18±11.99), F=3.513], and language [(50.01±19.38) vs. (50.92±19.60) vs. (60.73±11.76), F=3.541] scores of Gesell between the scalp acupuncture group, the LF-rTMS group, and the associative group (all P<0.05); the MAS scores, and E scores of GMFM, and the adaptation, motor, and language scores of Gesell of the associative group were significantly better than those of the scalp acupuncture group and the LF-rTMS group , with statistical differences (all P<0.05).The D score of GMFM of the associative group was significantly better than that of the LF-rTMS group (P<0.05). Conclusions　Scalp acupuncture combined with low-frequency repetitive transcranial magnetic stimulation for children with spastic cerebral palsy can effectively reduce their muscle tension and promote their motor and cognitive function.

Key words:

Cerebral palsy, Scalp acupuncture, Low frequency repetitive transcranial magnetic stimulation