Effects of transcutaneous auricular vagus nerve stimulation matched with rehabilitative training on upper limb function in children with spastic hemiplegic cerebral palsy
10.3969/j.issn.1001-1242.2024.11.011
- VernacularTitle:耳穴迷走神经电针刺激配合康复训练对痉挛型偏瘫脑性瘫痪儿童上肢功能的影响
- Author:
Yufei NI
1
;
Xiangyang GE
;
Qiuyan GU
Author Information
1. 南通大学附属妇幼保健院(南通市妇幼保健院),江苏省南通市,226000
- Keywords:
vagus nerve stimulation;
cerebral palsy;
spastic hemiplegia;
upper limb motor function
- From:
Chinese Journal of Rehabilitation Medicine
2024;39(11):1632-1637
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe the effects of transcutaneous auricular vagus nerve stimulation(taVNS)matched with re-habilitation training on upper limb function in children with spastic hemiplegic cerebral palsy. Method:A total of 50 children with spastic hemiplegic cerebral palsy were randomly divided into treatment group(n=25)and control group(n=25).The treatment group received conventional rehabilitation training com-bined with taVNS,while the control group received conventional rehabilitation training combined with sham-taVNS.The upper limb flexor muscle tension and upper limb function of the two groups were analyzed by the modified Ashworth scale(MAS),Carroll Upper Extremities Functional Test(UEFT),Peabody Developmen-tal Motor Scales-Fine Motor(PDMS-FM)and Function Independence Measure for Children(WeeFIM)before and after 12 weeks of treatment respectively.In addition,any adverse reactions that occurred during the treat-ment process was closely monitored and recorded. Result:A total of 5 subjects dropped out,including 3 subjects in the treatment group and 2 subjects in the control group.After treatment,there was no significant difference in MAS classification of hemiplegic side in the two groups(P＞0.05),and there was no significant difference between the treatment group and the control group(P=0.065).However,both groups showed significant improvements in UEFT score,PDMS-FM and WeeFIM scores compared to before treatment(P＜0.05),with the treatment group scoring better than the con-trol group(P＜0.05). Conclusion:Conventional rehabilitation training combined with taVNS can effectively improve the affected up-per limb motor function in children with spastic hemiplegic cerebral palsy,without significant adverse effects.
