| 王 鹏,刘新宝,孙争锋,钞 敏,鲁化芳.经颅直流电刺激干预联合康复训练对痉挛型脑瘫患儿精细运动功能的影响[J].,2023,(10):1894-1897 |
| 经颅直流电刺激干预联合康复训练对痉挛型脑瘫患儿精细运动功能的影响 |
| Effect of Transcranial Direct Current Stimulation Combined with Rehabilitation Training on Fine Motor Function in Children with Spastic Cerebral Palsy |
| 投稿时间：2022-11-28 修订日期：2022-12-24 |
| DOI：10.13241/j.cnki.pmb.2023.10.016 |
| 中文关键词: 经颅直流电刺激 康复训练 痉挛型脑瘫 精细运动功能 |
| 英文关键词: Transcranial direct current stimulation Rehabilitation training Spastic cerebral palsy Fine motor function |
| 基金项目:陕西省科技研发计划项目（2018-243） |
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| 中文摘要: |
| 摘要 目的：探究经颅直流电刺激干预联合康复训练对痉挛型脑瘫患儿精细运动功能的影响。方法：选取2020年7月至2022年6月在我院儿童康复科收治的痉挛型脑瘫患儿116例为研究对象，按随机数字表法将患儿随机分为观察组、对照组，每组58例，对照组采用常规康复训练，观察组在对照组的基础上采用tDCS治疗。采用采用关节活动度量角器测定腕关节背伸关节活动度(AROM) ，采用脑瘫患儿精细运动功能测试量表（FMFM）评估患儿的双上肢精细操作能力，采用Peabody 精细运动发育量表(PDMS-FM)评定双手精细运动功能，采用改良Ashworth肌张力评定量表(MAS)评估患儿患侧上肢肘关节肌张力状况，比较两组治疗前后的各项指标差异变化。结果：治疗后两组患儿AROM评分较治疗前均显著增加，且观察组AROM评分显著高于对照组，差异具有统计学意义（P＜0.05）。治疗后两组患儿FMFM评分较治疗前均显著增加，且观察组FMFM评分显著高于对照组，差异具有统计学意义（P＜0.05）。治疗后两组患儿FMQ评分较治疗前均显著增加，且观察组FMQ评分显著高于对照组，差异具有统计学意义（P＜0.05）。治疗后两组患儿MAS评分较治疗前均显著降低，且观察组MAS评分显著低于对照组，差异具有统计学意义（P＜0.05）。结论：经颅直流电刺激干预联合康复训练可以显著改善痉挛型脑瘫患儿腕关节背伸关节活动度、双上肢精细操作能力、双手精细运动功能和患侧上肢肘关节肌张力，对精细运动功能具有改善作用。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the effect of transcranial direct current stimulation (TCDC) combined with rehabilitation training on fine motor function of children with spastic cerebral palsy. Methods: 116 children with spastic cerebral palsy who were admitted to the Children's Rehabilitation Department of our hospital from July 2020 to June 2022 were selected as the research objects. The children were randomly divided into the observation group and the control group according to the random number table, with 58 cases in each group. The control group was treated with conventional rehabilitation training, and the observation group was treated with tDCS on the basis of the control group. The degree of motion (AROM) of wrist dorsiflexion joint was measured with a goniometer, the fine motor function test scale (FMFM) for children with cerebral palsy was used to assess the fine motor ability of both upper limbs, the Peabody fine motor development scale (PDMS-FM) was used to assess the fine motor function of both hands, and the modified Ashworth muscular tension scale (MAS) was used to assess the muscular tension of the affected side of the elbow joint, The difference of each index between the two groups before and after treatment was compared. Results: After treatment, the AROM score of the two groups was significantly increased compared with that before treatment, and the AROM score of the observation group was significantly higher than that of the control group, with a statistically significant difference(P<0.05). After treatment, the FMFM scores of the two groups were significantly increased compared with those before treatment, and the FMFM scores of the observation group were significantly higher than those of the control group, with a statistically significant difference (P<0.05). After treatment, the FMQ scores of the two groups were significantly increased compared with those before treatment, and the FMQ scores of the observation group were significantly higher than those of the control group, with a statistically significant difference(P<0.05). After treatment, the MAS scores of children in the two groups were significantly lower than those before treatment, and the MAS scores in the observation group were significantly lower than those in the control group, with a statistically significant difference(P<0.05). Conclusion: Transcranial direct current stimulation intervention combined with rehabilitation training can significantly improve the range of motion of wrist dorsal extension joint, the fine manipulation ability of both upper limbs, the fine motor function of both hands, and the muscle tension of the affected upper limb elbow joint in children with spastic cerebral palsy, and can improve the fine motor function. |
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