Effects of Repetitive Transcranial Magnetic Stimulation Combined with Core Muscle Rehabilitation Training on Motor Function and Balance in Children with Spastic Cerebral Palsy
Objective To investigate the effects of repetitive transcranial magnetic stimulation combined with core muscle rehabilitation training on motor function and balance ability of children with spastic cerebral palsy.Methods A total of 82 children with spastic cerebral palsy admitted to our hospital from June 2022 to June 2023 were selected as the research objects and divided into the conventional group and the combined group,with 41 cases in each group According to random number table method.The conventional group was treated with repetitive transcranial magentic stimulation,while the combined group was treated with repetitive transcranial magentic stimulation combined with core muscle rehabilitation training.The motor function,muscle tone,balance ability,activity of daily living,cerebral hemodynamic index[mean cerebral artery flow velocity(Vm),vascular resistance index(RI)]and rehabilitation effect of the two groups were compared.Results After intervention,the Gross Motor Function Measure score of the combined group was(209.05±25.76)points,which was higher than(174.81±23.52)points of the conventional group,and the Modmed Ashworth Scale score was(2.29±0.43)points,which was lower than(2.92±0.57)points of the conventional group,with statistically significant differences between the groups(P＜0.05);the Berg Balance Scale score was(45.96±6.08)points of the combined group,which was higher than(39.15±5.63)points of the conventional group,and the Activities of Daily Living Scale score was(25.01±3.48)points,which was higher than(20.63±3.05)points of the conventional group,with statistically significant differences between the groups(P＜0.05);the Vm was(74.38±6.12)cm/s of the combined group,which was faster than(67.51±5.36)cm/s of the conventional group,and the RI was(5.37±0.36),which was lower than(5.83±0.41)of the conventional group,with statistically significant differences between the groups(P＜0.05).The total effective rate of rehabilitation in the combined group was 87.80%,which was higher than 68.29%in the conventional group,and the difference was statistically significant(P＜0.05).Conclusion The application of repetitive transcranial magnetic stimulation instrument combined with core muscle rehabilitation training in spastic cerebral palsy can not only improve the motor function and cerebral hemodynamic indexes,but also improve the balance ability,the ability of daily living activities and the rehabilitation effect of children,which can be extended.
Spastic cerebral palsyRepetitive transcranial magnetic stimulationCore muscle groupRehabilitation trainingMotor function
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