Repetitive transcranial magnetic stimulation can improve the effectiveness of constraint-induced movement therapy for hemiplegic children with cerebral palsy
10.3760/cma.j.issn.0254-1424.2020.06.007
- VernacularTitle:重复经颅磁刺激联合强制性诱导疗法对偏瘫型脑瘫患儿上肢功能的影响
- Author:
Guanjun LIANG
1
;
Qin GU
;
Mingdi LI
;
Min SU
Author Information
1. 苏州大学附属第一医院康复医学科 215000；苏州大学附属儿童医院康复医学科 215004
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2020;42(6):515-518
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of combining repetitive transcranial magnetic stimulation (rTMS) with constraint-induced movement therapy (CIMT) in rehabilitating the upper limb functioning of children with hemiplegic cerebral palsy.Methods:Sixty children with hemiplegic cerebral palsy were recruited and randomly divided into a control group ( n=30) and an experimental group ( n=30). Both groups were given conventional rehabilitation therapy and intensive one-to-one CIMT of the affected hand for 30 minutes 5 times a week for 4 successive weeks. The healthy hand was immobilized in a hand cushion for 3 hours. The experimental group was additionally provided with 20 minutes of rTMS at 1.0Hz, 5 times a week for the same 4 weeks. Before and after the treatment, both groups were evaluated using the Peabody Developmental Motor Scales (PDMS-2 FM) and an upper extremities function test (UEFT). Results:After 4 weeks of treatment there was significant improvement in both groups with regard to the average PDMS-2 FM and UEFT scores. The improvement in the experimental group was significantly better.Conclusions:rTMS combined with CIMT can effectively improve upper limb motor function and promote the fine motor development of children with hemiplegic cerebral palsy.
