摘要
Abstract
Objective:To investigate the effects of hand-arm bilateral intensive training(HABIT)combined with repetitive transcranial magnetic stimulation(rTMS)on the fine motor function of upper limbs in children with spastic hemiplegic cerebral palsy.Method:Clinical data of 84 children with spastic hemiplegic cerebral palsy admitted to the Department of rehabilitation of Quanzhou Woman's and Children's Hospital from January 2022 to March 2023 were retrospectively analyzed.They were divided into two groups according to different treatment plans,with 42 cases in each group.Both groups were given routine rehabilitation treatment,the control group was treated with rTMS,and the observation group was treated with HABIT on the basis of the control group.The scores of fine motor function measure scale(FMFM)percentage and Peabody motor development scale before and after treatment were compared between the two groups.Result:Before treatment,there were no significant differences in FMFM score and Peabody motor development scale score between the two groups(P>0.05).After treatment,there were no significant differences in the scores of A area,B area and total percentage of FMFM between the two groups(P>0.05).After treatment,the scores in C area,D area and E area of FMFM scale in observation group were higher than those in control group,and the differences were statistically significant(P<0.05).After treatment,the scores of grasping,visual-motor integration and fine motor quotient in both groups were higher than those before treatment,and which in the observation group were significantly higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion:HABIT combined with rTMS can improve the fine motor function of upper limbs in children with spastic hemiplegic cerebral palsy.关键词
脑瘫/患儿/重复经颅磁刺激/手-臂双侧强化训练/上肢精细运动功能Key words
Cerebral palsy/Children/Repetitive transcranial magnetic stimulation/Hand-arm bilateral strengthening training/Fine motor function of upper limbs
