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论著·临床研究 | 更新时间:2026-10-30
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头针治疗联合多通道功能性电刺激循环踏车训练对脑性瘫痪患儿下肢运动功能障碍的治疗效果
Therapeutic effect of scalp acupuncture therapy combined with multichannel functional electrical stimulation cycling training on lower limb motor dysfunction in children with cerebral palsy

广西医学 页码:1453-1458

作者机构:王晶,硕士,主管技师,研究方向为脑瘫康复治疗。

基金信息:江苏省卫生健康委科研项目(M2022022)

DOI:10.11675/j.issn.0253⁃4304.2026.10.10

  • 中文简介
  • 英文简介
  • 参考文献

目的 探讨头针治疗联合多通道功能性电刺激循环踏车训练对脑性瘫痪患儿下肢运动功能障碍的治疗效果。方法 选取84例脑性瘫痪患儿作为研究对象,采用随机数字表法将其分为对照组与联合组,每组42例。对照组实施头针治疗,联合组实施头针治疗联合多通道功能性电刺激循环踏车训练。比较两组患儿治疗前后的下肢运动功能[粗大运动功能量表-88(GMFM-88)评分],关节活动度(腘窝角、髋内收肌角及足背屈角),腓肠肌、腘绳肌、髋内收肌肌张力[改良Ashworth量表(MAS)分级],以及日常生活能力(ADL)量表评分。结果 治疗后,两组患儿的GMFM-88 D能区评分、E能区评分及总分,ADL量表评分,腘窝角、髋内收肌角和足背屈角均高于或大于治疗前,腓肠肌、腘绳肌、髋内收肌肌张力MAS分级均低于治疗前,且联合组上述指标改善程度优于对照组(P<0.05)。结论 头针治疗联合多通道功能性电刺激循环踏车训练可改善脑性瘫痪患儿的下肢运动功能、关节活动度、下肢肌张力及日常生活活动能力,效果优于单纯头针治疗。

Objective To investigate the therapeutic effect of scalp acupuncture therapy combined with multichannel functional electrical stimulation cycling training on lower limb motor dysfunction in children with cerebral palsy. Methods A total of 84 children with cerebral palsy were selected as the research subjects, and they were assigned to control group or combined group employing the random number table method, with 42 cases in each group. The control group was treated with scalp acupuncture, whereas the combined group received scalp acupuncture therapy combined with multichannel functional electrical stimulation cycling training. Lower limb motor function (Gross Motor Function Measure⁃88 [GMFM⁃88] score), range of motion (popliteal angle, hip adductor angle, and foot dorsiflexion angle), muscle tension in gastrocnemius, hamstring, and hip adductor (Modified Ashworth Scale [MAS] classification), as well as Activities of Daily Living (ADL) scale score were compared between the two groups before and after treatment. Results After treatment, the D energy score, E energy score and total score of GMFM⁃88, ADL scale score, popliteal angle, hip adductor angle and foot dorsiflexion angle were higher or greater than those before treatment in the two groups, and the MAS classification of gastrocnemius muscle tension, hamstring muscle tension and hip adductor muscle tension in the two groups were lower than those before treatment, and the combined group exhibited superior improvement in the aforementioned indices as compared with the control group (P<0.05). Conclusion Scalp acupuncture combined with multichannel functional electrical stimulation cycling training can ameliorate lower limb motor function, range of motion, lower limb muscle tension and ability of activities of daily living in children with cerebral palsy, with superior effect to single scalp acupuncture therapy.

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