Citation: | ZHAO Bin, GAO Jing, WANG Lina, ZHOU Yu, WU Yunlan, HE Luna. Effect of multi-channel functional electrical stimulation cycling ergometer in treatment of children with spastic cerebral palsy[J]. Journal of Clinical Medicine in Practice, 2024, 28(13): 77-81. DOI: 10.7619/jcmp.20241317 |
To explore the clinical efficacy of multi-channel functional electrical stimulation cycling ergometer for children with spastic cerebral palsy.
A total of 60 children with rehabilitation treatment for spastic cerebral palsy in Outpatient Department were selected and randomly divided into observation group and control group, with 30 cases in each group. The control group received conventional rehabilitation treatments such as exercise therapy, occupational therapy and Chinese medicine massage, while the observation group received multi-channel functional electrical stimulation cycling ergometer training on the basis of the conventional rehabilitation treatments. Before treatment and 12 weeks after treatment, the Gross Motor Function Measure (GMFM-88), Peabody Developmental Measure Scale-Gross Motor (PDMS-GM), Berg Balance Scale (BBS), and Activities of Daily Living (ADL) were used to assess the gross motor function, balance function, and activities of daily living of the children in both groups.
Before treatment, there were no significant differences in GMFM-88 (D area, E area score, and total score), PDMS-GM (posture score, mobility score, and manipulation score), BBS, and ADL scores between the two groups (P>0.05). After treatment, the GMFM-88 (D area, E area score and total score), PDMS-GM (posture score, mobility score and manipulation score), BBS and ADL scores in both groups improved significantly compared with those before treatment, and all the scores in the observation group were significantly better than those in the control group (P < 0.05).
Multi-channel functional electrical stimulation cycling ergometer can effectively improve the gross motor function, balance function, and activities of daily living of children with spastic cerebral palsy.
[1] |
唐久来, 秦炯, 邹丽萍, 等. 中国脑性瘫痪康复指南(2015): 第一部分[J]. 中国康复医学杂志, 2015, 30(7): 747-754. doi: 10.3969/j.issn.1001-1242.2015.07.028
|
[2] |
范桃林, 朱乐英, 戴金娥, 等. 以家庭为中心的任务导向性训练计划对痉挛型脑瘫患儿功能独立性和生活质量的影响[J]. 中华物理医学与康复杂志, 2022, 44(2): 138-142.
|
[3] |
汪小艳, 艾坤, 周璐, 等. 针灸联合任务导向性训练对痉挛型脑瘫患儿运动功能及肌张力的影响[J]. 现代中西医结合杂志, 2023, 32(17): 2432-2436. doi: 10.3969/j.issn.1008-8849.2023.17.018
|
[4] |
李晓捷, 梁玉琼. 基于循证医学的脑性瘫痪康复治疗新进展[J]. 中华实用儿科临床杂志, 2020, 35(12): 885-889. doi: 10.3760/cma.j.cn101070-20200520-00854
|
[5] |
张秋, 李卫平, 虞记华, 等. 低频重复经颅磁刺激联合任务导向性训练对痉挛型偏瘫脑瘫患儿下肢粗大运动及其步行功能的疗效分析[J]. 中国儿童保健杂志, 2023, 31(11): 1248-1253. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO202311017.htm
|
[6] |
严善钟, 金娟, 陈世动, 等. 全身振动训练对痉挛型脑瘫患儿20例步行速度及粗大运动功能影响研究[J]. 中国实用儿科杂志, 2021, 36(1): 33-37. https://www.cnki.com.cn/Article/CJFDTOTAL-ZSEK202101008.htm
|
[7] |
胡淑珍, 尹宏伟, 阮雯聪, 等. 悬吊训练对痉挛型脑瘫患儿平衡功能和粗大运动功能的影响[J]. 中华物理医学与康复杂志, 2020, 6(11): 1011-1013. doi: 10.3760/cma.j.issn.0254-1424.2020.11.012
|
[8] |
张莉莉, 刘一苇, 叶常州, 等. 悬吊运动训练结合家庭姿势管理对痉挛型脑瘫儿童粗大运动功能、平衡功能和日常生活活动能力的影响[J]. 中华物理医学与康复杂志, 2021, 7(10): 927-929. doi: 10.3760/cma.j.issn.0254-1424.2021.10.015
|
[9] |
王仪, 张跃. 痉挛型脑瘫神经肌肉功能对步态的影响及针对性干预的研究进展[J]. 中国康复理论与实践, 2021, 27(3): 310-315. https://www.cnki.com.cn/Article/CJFDTOTAL-ZKLS202103010.htm
|
[10] |
TUNCER A, UZUN A, TUNCER A H, et al. Bruxism, parafunctional oral habits and oral motor problems in children with spastic cerebral palsy: a cross-sectional study[J]. J Oral Rehabil, 2023, 50(12): 1393-1400.
|
[11] |
宋达, 陈兰, 陈煜, 等. 多通道FES踏车训练对脑卒中患者下肢感觉-运动能力的临床影响[J]. 中国康复, 2021, 36(10): 589-593. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLKF202110003.htm
|
[12] |
魏新春, 周云, 吴建贤, 等. 多通道功能性电刺激在临床康复中的应用及研究进展[J]. 中国康复, 2019, 34(6): 333-336. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLKF201906023.htm
|
[13] |
王欣欣, 王强, 吴玉斌, 等. 多通道功能性电刺激对脑卒中偏瘫患者下肢功能的影响[J]. 中华物理医学与康复杂志, 2018, 40(5): 345-347. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGUD202413007.htm
|
[14] |
CHOU C H, WANG T, SUN X P, et al. Automated functional electrical stimulation training system for upper-limb function recovery in poststroke patients[J]. Med Eng Phys, 2020, 84: 174-183.
|
[15] |
刘加鹏, 王卫宁, 梁思捷, 等. 多通道功能性电刺激踏车训练对脑卒中患者步行功能的影响[J]. 中国康复医学杂志, 2021, 36(2): 182-185. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGKF202102010.htm
|
[16] |
FRAZÃO M, WERLANG L A, AZEVEDO C, et al. Metabolic, ventilatory and cardiovascular responses to FES-cycling: a comparison to NMES and passive cycling[J]. Technol Health Care, 2022, 30(4): 909-918.
|
[17] |
ARMSTRONG E L, BOYD R N, KENTISH M J, et al. Effects of a training programme of functional electrical stimulation (FES) powered cycling, recreational cycling and goal-directed exercise training on children with cerebral palsy: a randomised controlled trial protocol[J]. BMJ Open, 2019, 9(6): e024881.
|
[18] |
王静, 岳玲, 陈智红, 等. 悬吊训练联合MOTOmed智能训练应用于痉挛型脑瘫儿童的康复疗效研究[J]. 中国儿童保健杂志, 2022, 30(3): 240-243, 263. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO202203003.htm
|
[19] |
高晶, 王丽娜, 赵斌, 等. MOTOmed虚拟情景训练对痉挛型脑瘫患儿运动功能及日常生活活动能力的影响[J]. 中华现代护理杂志, 2015, 21(35): 4293-4295.
|
[20] |
ÖZEN N, UNLU E, KARAAHMET O Z, et al. Effectiveness of functional electrical stimulation - cycling treatment in children with cerebral palsy[J]. Malawi Med J, 2021, 33(3): 144-152.
|
[21] |
姜艳, 刘月芬, 王艳波, 等. 多通道功能性电刺激对脑性瘫痪青少年下肢运动和平衡功能的影响[J]. 中国康复理论与实践, 2016, 22(9): 1056-1058. https://www.cnki.com.cn/Article/CJFDTOTAL-ZKLS201609017.htm
|
[22] |
ARMSTRONG E L, BOYD R N, HORAN S A, et al. Functional electrical stimulation cycling, goal-directed training, and adapted cycling for children with cerebral palsy: a randomized controlled trial[J]. Dev Med Child Neurol, 2020, 62(12): 1406-1413.
|
[23] |
KARABAY Ī, DOGAN A, ARSLAN M D, et al. Effects of functional electrical stimulation on trunk control in children with diplegic cerebral palsy[J]. Disabil Rehabil, 2012, 34(11): 965-970.
|