A comparative study on effects of portable functional electrical stimulator combined with scalp acupunc-ture on walking function and plantar pressure in children with spastic cerebral palsy
Objective:To observe the clinical effect of portable functional electrical stimulator(FES)combined with scalp acupuncture therapy on walking function and plantar pressure in children with spastic cerebral palsy.Method:Total 40 children with spastic cerebral palsy were divided into experimental group(FES combined with scalp acupuncture group)and control group(scalp acupuncture group),with 20 cases in each group.The former was treated with scalp acupuncture combined with FES and conventional rehabilitation treatment.The control group was given scalp acupuncture and conventional rehabilitation treatment.FES was treated once every other day,20 minutes each time,10 times for a small course of treatment,1 small course in total.10-meter walking speed,gross motor function test(GMFM-88)and plantar stress test scores were observed to evaluate the changes of walking function and plantar pressure before and after treatment.Result:After treatment,the C score,E score and total score of GMFM-88 in experimental group were in-creased,the 10-meter walking speed was increased,the deviation of left and right plantar pressure was de-creased,and the differences were statistically significant(P<0.05).After treatment,the E score and total score of GMFM-88 in the control group were also increased with statistically significant differences(P<0.05).Com-pared with the control group,the E score,the total score of GMFM-88 and 10min walking speed in the ex-perimental group were significantly increased after treatment,and the difference was statistically significant(P<0.05).However,there was no statistically significant difference in the left and right foot plantar pressure devia-tion and body weight movement range between the two groups after treatment(P>0.05).Conclusion:The combination of limb FES and scalp acupuncture can improve the rehabilitation effect,walk-ing function and plantar pressure in children with spastic hemiplegia to some extent.
portable functional electrical stimulationhead needlechildrencerebral palsyspastic hemiplegiamotor function