scholarly journals The Clinical and Experimental Study Acupuncture for Children with Cerebral Palsy

2021 ◽  
pp. 1-1
Author(s):  
Liu Zhenhuan ◽  

Objective One: To investigate the effect of JianPiYiShen and TongDuXingNaoAcupuncture on brain plasticity and motor development in children with cerebral palsy. Two: To evaluate the effect and mechanism of acupuncture and moxibustion on cerebral palsy. Three: The nerve repair effect of acupuncture on cerebral palsy. Methods: In this study, 146 cases of brain injury and 1078 cases of cerebral palsy were included by randomized controlled study with ICF (GMFM, Peabody fine motor function, Gesell, muscle tension, joint activity, ADL, TCD, skull B ultrasound, head CT / MRI, SPECT, DTI) evaluation method. Results: One: the recovery rate of extracellular space (92.3%) was significantly higher than that of the control group (70.8%) (P <0.05), TCD total efficiency (79.3%) was significantly higher than that in the control group (51.8%) (P <0.05). Acupuncture to promoting the development of neurological and cognitive movement under 6 months children, effectively reduce the neurological sequelae.Two: The total effective rate of the children with cerebral palsy was 87% in the acupuncture group, which was significantly higher than that of the control group (P <0.01). The total effective rate of CT / MRI was 59.55% in the acupuncture group and 13.25% higher than that in the control group (P <0.01). The total effective rate was 91.3% in the 1 year follow-up group, which was significantly higher than that in the control group (P <0.01). the FA value of white matter fiber bundle was significantly higher than that of acupuncture at 60 times (P <0.05). The recovery rate of ultrasonous brain injury (86.7%) in acupuncture group was significantly higher than that in control group (64.4%) (P <0.05). The recovery rate of SPECT in acupuncture group was 96.4%, which was significantly higher than that in the control group (P <0.01). Conclusion: Acupuncture rehabilitation not only promote the development of white matter and gray matter in children with cerebral palsy, but also promote the brain function of children with cerebral palsy remodeling and compensation, and promote social adaptation, language and other cognitive function development, children with cerebral palsy movement and Fine motor function development and recovery, improve the children’s self-care ability

2020 ◽  
Vol 185 ◽  
pp. 03016
Author(s):  
Xiaosu Jie ◽  
Haijun Shan ◽  
Yujin Hou ◽  
Hua Shi ◽  
Yuanjun Lou ◽  
...  

Objective: To explore the effect of combining modern rehabilitation concepts with acupuncture and massage therapy on the rehabilitation of children with cerebral palsy. Methods: Research work was carried out in our hospital. The work was carried out from September 2018 to September 2019. A total of 100 patients were selected, all of whom were children with cerebral palsy. The 100 patients with cerebral palsy were divided into two groups:the control group who was given modern rehabilitation concept intervention, and the intervention group who was given modern rehabilitation concept combined with acupuncture and massage. The recovery condition of the two groups of cerebral palsy children was compared and analyzed. Results: There were 5 patients in the treatment group who were ineffective, the effective rate was 90.00%, and 11 people in the control group were ineffective, the effective rate was 78.00% which has existential meaning. The incidence of sequelae of the children in the experimental group was 14.00%, and the incidence of sequelae of the children in the control group was 32.00%. In contrast, the incidence of the experimental group was low and the effect was good. The difference in data was significant (P <0.05). Conclusion: The combination of modern rehabilitation concepts and TCM acupuncture and massage intervention methods in children with cerebral palsy has a significant effect, which can improve the child ’s adverse conditions, promote the child ’s recovery, and improve the child ’s motor function, it can be promoted.


2021 ◽  
Author(s):  
M. Rauchenzauner ◽  
K. Schiller ◽  
M. Honold ◽  
I. Baldissera ◽  
R. Biedermann ◽  
...  

Abstract Background Cerebral palsy (CP) is the most common motor impairment in childhood and often accompanied by a broad spectrum of comorbidities. Data are sparse concerning visual impairment (VI) and functional classification among CP children. Objective The objective of this study was to analyze the prevalence of VI among children with CP and to investigate a possible association between VI and Gross Motor Function Classification System (GMFCS) and the Bimanual Fine Motor Function (BFMF). Methods In this hospital-based study, records of 200 children with CP aged 2 to 17 years were reviewed. Results Overall, VI was found in 59.5% of children with CP. Prevalence of VI was higher when compared with non-CP children. A correlation between GMFCS as well as BFMF and severity of VI was found. Children with severe CP were at greater risk for severe VI, especially cerebral VI compared with children with mild CP. Conclusion VI is a significant problem in children with CP and is correlated with motor function. Children with CP should undergo detailed ophthalmologic and orthoptic assessment to enable early intervention.


Author(s):  
Luo Rong

Objective: To describe the subtypes, motor function, and comorbidities of cerebral palsy (CP) in children in Chengdu, China.Methods: A cross-sectional survey of children with CP was performed in 2013 and participants were enrolled from the branches of China Disabled Persons’ Federation in Chengdu. Diagnosis, clinical subtypes, gross and fine motor function outcomes, and comorbidities of CP were determined through caregiver interviews, evaluation of medical records, and thorough physical examinations.Results: Four-hundred and twenty-two children were diagnosed with CP (mean age, 7.7 ± 3.8 years). Spastic diplegia was the predominating subtype (35%). Mild impairments in gross and fine motor function were present in 45% and 52% of the patients, respectively. Cognitive impairment (60%) was the most common comorbidity, and was followed by language disorder (41%) and microcephaly (35%). About 79% of children with cerebral palsy had at least one comorbidity, and the number of cumulative comorbidities was positively correlated with Gross Motor Function Classification System and Manual Ability Classification System scores. Preterm birth (52%) was the most common risk factor, and was followed by low birth weight (42%) and birth asphyxia (27%).Conclusion: Distributions of CP subtypes, motor functions, and comorbidities in a Chinese population were similar to those in developed countries, but different from those in other developing countries. The trend for decreased numbers of children with preterm CP since 2009 indicates an improvement in neonatal care. However, perinatal healthcare should still be improved to reduce the occurrence of birth asphyxia.


2020 ◽  
Vol 185 ◽  
pp. 03010
Author(s):  
Yujin Hou ◽  
Xiaosu Jie ◽  
Xin Guo ◽  
Yingying Zhang ◽  
Hua Shi ◽  
...  

Objective: To explore the effect of applying acupuncture on children with cerebral palsy dyskinesia. Methods: Research work was carried out in our hospital. The work was carried out from November 2018 to November 2019. A total of 100 patients were selected, all of whom were children with cerebral palsy, accompanied by dyskinesia. They were randomly divided into two groups, and were given conventional rehabilitation training and acupuncture treatment respectively, named the control group and the experimental group, and the clinical efficacy of the two groups of patients was analyzed. Results: There was no significant difference in the MAS scores of the two groups of children before treatment, which was expressed as P> 0.05. After treatment intervention, the scores of the two groups of children were improved, in contrast, the improvement effect is more significant for the experimental group, the data difference is large, P <0.05, which is significant. The treatment effective rate of the children in the experimental group was 92.00%, and the treatment effective rate of the children in the control group was 76.00%, there is a big difference between the two groups of data, P <0.05, which is significant. Conclusion: The application of acupuncture and moxibustion therapy in children with cerebral palsy movement disorders can improve the adverse symptoms of children and promote the recovery of patients, which has positive significance for clinical development.


2014 ◽  
Vol 36 (1) ◽  
pp. 1-16 ◽  
Author(s):  
Ann-Kristin G. Elvrum ◽  
Guro L. Andersen ◽  
Kate Himmelmann ◽  
Eva Beckung ◽  
Ann-Marie Öhrvall ◽  
...  

2020 ◽  
Vol 7 (4) ◽  
pp. 79-86
Author(s):  
Vladimir M. Kenis ◽  
Svetlana L. Bogdanova ◽  
Tatyana N. Prokopenko ◽  
Andrei V. Sapogovskiy ◽  
Tatyana I. Kiseleva

Backgrоund. Osteoporosis is an important factor in the pathogenesis of orthopedic manifestations in children with cerebral palsy. It was previously demonstrated that children with cerebral palsy have specific changes in bone metabolism, which can cause changes in laboratory parameters compared with other orthopedic patients without neurological backgrounds. Aim. The aim of this study was to assess bone metabolism biomarkers in children with cerebral palsy, identifying distinguishing characteristic patterns in comparison with patients with orthopedic pathology without neurological backgrounds. Materials and methods. This study evaluated the concentrations of calcium, phosphorus, -cross laps, osteocalcin, vitamin D, CICP, and alkaline phosphatase in the blood serum of 50 children with cerebral palsy aged between 6 to 12 years with GMFCS levels IIII. The control group consisted of 50 patients with plano-valgus deformities of the feet. Results. The alkaline phosphatase activity in the group of children with cerebral palsy was 170.25 59.35 u/L, while in the control group it was 145.58 46.29 u/L; the CICP concentration in the study group was higher than in the control group (324.01 174.10 and 269.68 240.98, respectively). The concentration of -cross laps, osteocalcin, calcium, and vitamin D in the study group was lower than in children with flat feet. Conclusions. This study demonstrated multidirectional changes in the biomarkers of bone metabolism that are characteristic of walking children with cerebral palsy. These changes are characterized by a corresponding increase in the activity of osteoresorption and osteoreparation. This makes it possible to justify the combined use of metabolites and metabolic activators (calcium and vitamin D) and drugs that suppress osteoresorption (bisphosphonates) for the prevention and treatment of osteoporosis in children with cerebral palsy.


Author(s):  
Arūnė Dūdaitė ◽  
Vilma Juodžbalienė

Research background. Virtual reality and visual feedback improve motor performance, motor function and balance, so we want to fnd if it affects the function of legs and balance of children with spastic hemiplegia. Research aim was to establish if the use of virtual reality and visual feedback with traditional physiotherapy improve the function of legs and balance of children with cerebral palsy. Methods. Nine children with cerebral palsy participated in the research. Participants were randomly divided into two groups – virtual reality group (n = 6) and control (n = 3). Virtual reality group practised exergaming and stretching exercises for 10 weeks, twice a week. Control group practiced conventional physiotherapy and stretching exercises for 6 weeks, twice a week. We measured the range of motion of the lower limb, spasticity of the lower limb using Modifed Ashworth’o Scale, static, dynamic balance, trunk coordination using Trunk Impairment Scale at the start and the end of the research, and balance using Pediatric Balance Scale. Results. Virtual reality and visual feedback reduced the spasticity of the lower limb, improved balance and postural control for children with cerebral palsy, but it did not improve the range of motion of the lower limb of children with cerebral palsy. Conclusions. Virtual reality and visual feedback did not improve the range of motion of the lower limb of children with cerebral palsy. Virtual reality and visual feedback reduced spasticity of the lower limb, improved balance and postural control for children with cerebral palsy.Keywords. Cerebral palsy, virtual reality, visual feedback, postural control, muscle architecture.


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