重复经颅磁刺激联合强制性诱导疗法对偏瘫型脑瘫患儿患侧上肢手部精细运动功能的影响

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中文摘要：目的探讨重复经颅磁刺激(rTMS)联合强制性诱导疗法(CIMT)应用在偏瘫型脑瘫(HCP)患儿中的效果及对改善患侧上肢手部精细运动功能的作用.方法选取 2021 年 3-12 月广西医科大学第二附属医院收治的 75 例HCP患儿为研究对象,按照随机数字表法将其分为对照组(n=38)和观察组(n=37).对照组采用CIMT治疗,观察组采用rTMS联合CIMT治疗,两组均持续治疗 12 周.比较两组患者的上肢功能、精细运动功能发育状况、腕屈肌、肘屈肌肌张力与功能独立性.结果治疗 12 周后,观察组Carroll上肢功能测试量表、Peabody精细发育量表评分均高于对照组,组间差异有统计学意义(P<0.05);观察组腕屈肌、肘屈肌改良Ashworth量表评分均低于对照组,组间差异有统计学意义(P<0.05);观察组儿童功能独立性评定量表评分为(88.47±5.01)分,高于对照组的(80.37±4.73)分,差异有统计学意义(P<0.05).结论对HCP患儿实施rTMS联合CIMT治疗,可以改善上肢功能、精细运动功能、肌张力,提高功能独立性,有临床借鉴意义.

外文标题：Effect of Repeated Transcranial Magnetic Stimulation Combined with Constraint-Induced Movement Therapy on Fine Motor Function of Hand on Affected Upper Limb in Children with Hemiplegic Cerebral Palsy

外文摘要：Objective To investigate the effect of repeated transcranial magnetic stimulation(rTMS)combined with constraint-induced movement therapy(CIMT)on hemiplegic cerebral palsy(HCP)children and improve the fine motor function of the affected upper limb.Methods Seventy-five children with HCP admitted to the Second Affiliated Hospital of Guangxi Medical University from March to December 2021 were selected as the research objects and were divided into a control group(n=38)and an observation group(n=37)according to random number table method.The control group was treated with CIMT,and the observation group was treated with rTMS combined with CIMT,both groups were treated for 12 weeks.The upper limb function,fine motor function development,muscle tension and functional independence of wrist flexor and elbow flexor were compared between the two groups.Results After 12 weeks of treatment,the scores of Carroll Upper Extremities Function Test and Modmed Ashworth Scale in the observation group were higher than those in the control group,and the differences between the groups were statistical significance(P<0.05);Modmed Ashworth Scale scores of between the groups wrist flexor and elbow flexor in the observation group were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05);the functional independence measure for children scale score of the observation group was(88.47±5.01)points,which was higher than(80.37±4.73)points of the control group,and the difference was statistically significant(P<0.05).Conclusion rTMS combined with CIMT therapy for HCP children can improve upper limb function,fine motor function,muscle tone,and functional independence,which has clinical reference significance.

外文关键词：

Hemiplegic cerebral palsyAffected upper limbRepetitive transcranial magnetic stimulationConstraint-induced movement therapyFine motor function of hands

作者：

莫丽华、龙耀斌、罗水明

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作者单位：

广西医科大学第二附属医院康复医学科,广西南宁 530007

关键词：

偏瘫型脑瘫患侧上肢重复经颅磁刺激强制性诱导疗法手部精细运动功能

基金：

广西壮族自治区医疗卫生重点学科建设项目广西壮族自治区卫健委自筹经费课题广西壮族自治区卫健委自筹经费课题

项目编号：

桂卫科教发[2022]4号Z20211048Z20210649

出版年：

2024

反射疗法与康复医学

ISSN：

年,卷(期)：2024.5(11)