关键词:

"> 互动式头针, 振动疗法, 脑瘫患儿, 脑血流动力学, 粗大运动功能, 平衡能力 Eff

Abstract: Objective　To observe the effect of interactive scalp acupuncture combined with vibration therapy on gross motor function, balance ability, and cerebral hemodynamics in children with cerebral palsy. Methods　A total of 70 children with spastic diplegia treated in Jining Maternal and Child Health and Family Planning Service Center from January 2020 to February 2022 were divided into two groups with the random number table method. There were 35 children in the study group, including 18 males and 17 females, with an age of (3.43±1.02) years old; there were 35 children in the control group, including 19 males and 16 females, with an age of (3.51±1.06) years old. The 35 children in the control group were given vibration therapy, and the 35 children in the study group were given interactive scalp acupuncture on the basis of the control group. Neuron-specific enolase (NSE), ubiquitin carboxyl-terminal hydrolase-L1 (UCH-L1), brain-derived neurotrophic factor (BDNF), cerebral artery systolic peak flow velocity (Vs), mean blood flow velocity (Vm), and vascular resistance index (RI) were detected before and after treatment in the two groups. The Gross Motor Function Measure Scale (GMFM) and Berg Balance Scale (BBS) were evaluated for the two groups. t test and χ² test were used. Results　After treatment, the levels of NSE and UCH-L1 in the study group were lower than those in the control group [(13.15±4.12) μg/L vs. (19.41±5.87) μg/L, (12.36±3.11) μg/L vs. (19.51±4.15) μg/L], and the level of BDNF was higher than that in the control group [(5.92±1.56) μg/L vs. (4.57±1.29) μg/L] (all P<0.05). After treatment, the Vm and Vs in the study group were higher than those in the control group [(140.18±4.24) cm/s vs. (133.14±3.17) cm/s, (126.97±7.29) cm/s vs. (114.71±6.21) cm/s], and the RI was lower than that in the control group [(0.61±0.11) vs. (0.74±0.15)] (all P<0.05). After treatment, the scores of A, B, C, D, and E areas of GMFM in the study group were higher than those in the control group (all P<0.05). The BBS score of the study group was higher than that of the control group after treatment (P<0.05). Conclusion　Interactive scalp acupuncture combined with vibration therapy in the treatment of children with cerebral palsy can reduce the nerve damage, improve their cerebral blood circulation, and improve their gross motor function and balance ability.

Key words: Interactive scalp acupuncture, Vibration therapy, Children with cerebral palsy, Cerebral hemodynamics, Gross motor function, Balance ability