The effect of ultrasound combined with continuous passive movement on the spasticity and motor function of triceps crus in children with spastic cerebral palsy
10.3760/cma.j.cn421666-20240117-00060
- VernacularTitle:超声波联合持续被动运动对痉挛型脑瘫患儿小腿三头肌痉挛及运动功能的影响
- Author:
Songtao WEI
1
;
Huawei LI
;
Hongbo LI
;
Wei ZHANG
Author Information
1. 河南中医药大学第一附属医院儿科医院，郑州 450000
- Publication Type:Journal Article
- Keywords:
Ultrasound;
Continuous passive movement;
Cerebral palsy;
Spasticity;
Motor function
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2025;47(1):46-51
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of combining ultrasound stimulation with continuous passive movement (CPM) on triceps crus spasms and the motor functioning of children with spastic cerebral palsy.Methods:Sixty children with spastic cerebral palsy were randomly divided into a control group, a CPM group, and a combined treatment group, each of 20. All received routine rehabilitation treatment (including exercise therapy, electrical stimulation and massage), while the CPM and combined groups were additionally provided with CPM and CPM + ultrasound stimulation, respectively. All of the children were treated once a day, 6 times a week, for 4 consecutive weeks. Before and after the treatment, the Tardieu scale (MTS) was used to assess the degree of triceps spasm, and the Berg Balance Scale (BBS), the Gross Motor Function Test (GMFM-88), and 10m walking speed (10MWT) were employed to assess motor function.Results:After the treatment, the average MTS scores, BBS scores and GMFM-88 scale scores in the D and E areas of all 3 groups had improved significantly compared with before the treatment, with those of the observation and CPM groups significantly better than among the control group. With the knee flexed and extended, the Tardiu scale R1, R2 and X values of the combined treatment group were significantly better than those of the CPM group, on average. The combined group′s average BBS score and its average score in the D-zone of the GMFM-88 were also significantly better than the CPM group′s averages.Conclusions:Ultrasound combined with continuous passive movement can effectively relieve triceps spasm in children with cerebral palsy, and improve their static posture control during squatting, sitting and standing.
