Effects of Veritical Whole-Body Vibration Therapy Combined with Myoelectric Biofeedback on Fine Motor Function and Walking Function in Children with Spastic Cerebral Palsy
Objective:To analyze the effects of veritical whole-body vibration therapy combined with myoelectric biofeedback on fine motor function and walking function in children with spastic cerebral palsy.Methods:106 children with spastic cerebral palsy admitted in our hospital from March 2022 to July 2023 selected as the research object and randomly divided into the control group and the observa-tion group,with 53 cases in each group.The control group was treated with myoelectric biofeedback therapy,and the observation group was treated with vertical whole-body vibration therapy+myoelectric biofeedback therapy.The lower limb joint motion,balance ability[Berg balance scale(BBS)],spasticity degree[modified Ashworth scale(MAS)],fine motor function[fine motor function measure scale(FMFM)],walking function[functional ambulation category(FAC),6-min walk distance(6MWD)]of the two groups of patients were compared before and after the treatment.Results:After 1 month and 3 months of treatment,the foot dorsiflexion angle of patients in both groups decreased compared with that before treatment,and the foot dorsiflexion angle of patients in the observation group was smaller than that of the control group(P<0.05),and the popliteal fossa angle and thigh adductor angle of patients in both groups increased compared with those before treatment,and the popliteal fossa angle and thigh adductor angle of patients in the observation group were larger than those of the control group(P<0.05).After 1 month and 3 months of treatment,the BBS score of patients in both groups were higher than those before treatment,and the BBS score of patients in the observation group was higher than that of the control group(P<0.05),and the MAS score of patients in both groups decreased,and the MAS score of patients in the observation group was lower than that of the control group(P<0.05).Compared with before treatment,the FMFM score of patients in both groups increased after 1 month and 3 months of treatment,and the FMFM score of patients in the observation group was higher than that of the control group(P<0.05).After 1 month and 3 months of treatment,the FAC score and 6MWD of patients in both groups were higher than those before treatment and the FAC score and 6MWD of patients in the observation group were higher than those of the control group(P<0.05).Conclusion:Veritical whole-body vibration therapy combined with myoelectric biofeedback therapy for children with spastic cere-bral palsy can reduce the degree of muscle spasm,improve balance ability,adjust lower limb joint motion,and promote the recovery of fine motor function,walking function and balance ability.
Spastic cerebral palsyVeritical whole-body vibration therapyMyoelectric biofeedbackFine motor functionWalking function
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