The effects of interactive scalp acupuncture and constraint-induced movement therapy for children with spastic hemiplegic cerebral palsy
10.3760/cma.j.cn421666-20240202-00107
- VernacularTitle:互动式头针联合强制性诱导疗法对痉挛型偏瘫脑瘫儿童上肢功能的影响
- Author:
Xuesong REN
1
;
Zhijun CAI
1
;
Houqin ZHOU
1
;
Keke LI
1
;
Yueqin LI
1
;
Xijun LIU
1
;
Dengna ZHU
1
Author Information
1. 郑州大学第三附属医院儿童康复科，河南省小儿脑损伤重点实验室，郑州市儿童脑瘫防治重点实验室，郑州 450000
- Publication Type:Journal Article
- Keywords:
Cerebral palsy;
Interactive scalp acupuncture;
Constraint-induced movement therapy;
Upper extremity function
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2025;47(1):41-45
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe any effect of combining interactive scalp acupuncture with constraint-induced movement therapy (CIMT) in treating the upper extremity motor function of children with spastic hemiplegic cerebral palsy.Methods:Fifty-seven children with spastic hemiplegic cerebral palsy were randomly divided into a control group of 28 and an observation group of 29. The control group was given conventional rehabilitation and routine CIMT, while the observation group was additionally provided with interactive scalp acupuncture. In the observation group the CIMT lasted for 30 minutes while the needles were retained. Then, after the needles were removed, the family administered simple rehabilitation training for 2.5 hours guided by a rehabilitation therapist. The treatments were administered 5 days per week for 3 weeks as a session, and the whole treatment consisted of 3 sessions. Before, as well as 1 month and 3 months after the treatment, upper extremity motor function in both groups was evaluated using the Melbourne assessment scale 2 (MA2) and the fine motor Peabody developmental motor scales. Muscle tone in the children′s elbow flexors was assessed using the modified Ashworth scale (MAS).Results:After both 1 and 3 months of treatment, the average MA2 scores of both groups were significantly better than those before treatment, with those of the observation group significantly superior to the control group′s averages. After both 1 and 3 months, both groups′ visual-motor integration scores, grasping ability scores and total scores had improved significantly, with those of the observation group significantly better than in the control group, on average. The MAS scores of both groups were also significantly better than before the treatment, but with no significant differences between the two groups at either time point.Conclusions:Interactive scalp acupuncture combined with constraint-induced movement therapy can significantly improve the upper extremity motor functioning and fine motor ability of children with spastic hemiplegic cerebral palsy.
