摘要
目的探讨经颅磁刺激对痉挛型双瘫患儿肌肉痉挛程度及运动功能的影响.方法选取该院2019年3月—2020年9月收治的痉挛型双瘫患儿108例为研究对象,随机分为对照组(n=54)和研究组(n=54),对照组进行核心肌力训练,研究组在此基础上辅助应用经颅磁刺激治疗,比较两组治疗前后的改良Tardieu痉挛量表评分、粗大运动功能测评量表评分及踝关节活动度.结果研究组治疗1、3个月后的改良Tardieu痉挛量表评分均显著低于对照组,组间差异有统计学意义(P<0.05).研究组治疗1、3个月后的粗大运动功能测评量表评分均显著高于对照组,组间差异有统计学意义(P<0.05).研究组治疗1、3个月后的踝关节活动度均显著大于对照组,组间差异有统计学意义(P<0.05).结论经颅磁刺激辅助应用于痉挛型双瘫患儿可有效减轻其肌肉痉挛程度,改善运动功能,并有助于提高踝关节活动度,值得临床推广使用.
Objective To investigate the effects of transcranial magnetic stimulation on muscle spasm and motor function in children with spastic diplegia.Methods A total of 108 children with spasmodic diplegia admitted to the hospital from March 2019 to September 2020 were selected as the research objects,and they were randomly divided into a control group(n=54)and a study group(n=54).The control group received core muscle strength training,and the study group received transcranial magnetic stimulation on this basis.The modified Tardieu spasm scale score,gross motor function scale score and ankle range of motion were compared between the two groups before and after treatment.Results The scores of modified Tardieu spasm scale in the study group were significantly lower than those in the control group at 1 and 3 months after treatment,the differences between the groups were statistically significant(P<0.05).The scores of gross motor function scale in the study group were significantly higher than those in the control group at 1 and 3 months after treatment,the differences between the groups were statistically significant(P<0.05).The ranges of motion of ankle joint in the study group were significantly greater than those in the control group at 1 and 3 months after treatment,and the differences between the groups were statistically significant(P<0.05).Conclusion The application of transcranial magnetic stimulation in children with spastic diplegia can effectively reduce the degree of muscle spasm,improve motor function,and help to improve the range of motion of ankle joint,which is worthy of clinical application.
作者
王莉
王敏
王涛涛
武改
WANG Li;WANG Min;WANG Taotao;WU Gai(Department of Rehabilitation,Xuzhou Children's Hospital,Xuzhou Jiangsu,221000,China)
出处
《反射疗法与康复医学》
2021年第9期142-145,共4页
Reflexology And Rehabilitation Medicine
关键词
经颅磁刺激
痉挛型双瘫
肌肉痉挛
运动功能
Transcranial magnetic stimulation
Spastic diplegia
Muscle spasm
Motor function
作者简介
王莉(1986-),女,江苏沭阳人,本科,主治医师,研究方向:儿童康复。
