Analysis of the effect of median nerve repetitive peripheral magnetic stimulation combined with conventional rehabilitation training on upper limbs and hand function in pediatric patients with spastic hemiplegia

WANG Min; QIU Aizhen; WU Ye; MENG Lulu

doi:10.3969/j.issn.1674-3806.2024.03.11

Abstract：Objective To analyze the effect of median nerve repetitive peripheral magnetic stimulation(rPMS)combined with conventional rehabilitation training on upper limbs and hand function in pediatric patients with spastic hemiplegia.Methods A total of 61 pediatric patients with spastic hemiplegia who were admitted to the De-partment of Rehabilitation of Xuzhou Children's Hospital from June 2022 to June 2023 were recruited.The pediatric patients were divided into observation group(30 cases)and control group(31 cases)by random number table method.The pediatric patients in both groups received conventional rehabilitation training.The observation group received medi-an nerve rPMS before the conventional rehabilitation training,and the control group received median nerve magnetic pseudo-stimulation before the conventional rehabilitation training.Caroll Upper Extremity Functional Test(UEFT),Box and Block Test(BBT)and Fudan Infant Hand Function Assessment(Chinese version)—Mini-Manual Ability Classification System(Mini-MACS)were used to evaluate the effects of upper limbs and hand function in pediatric patients with spas-tic hemiplegia before treatment and 4 weeks after treatment,respectively.Results Compared with those before treatment,the grasping ability and coordination of the pediatric patients in the two groups were significantly improved after treat-ment,and their UEFT total scores and BBT scores were significantly elevated,and the differences were statistically significant(P＜0.05).After treatment,the improvement of grasping ability in the observation group was better than that in the control group,and the UEFT total scores and BBT scores in the observation group were higher than those in the control group,and the differences were statistically significant(P＜0.05).There was no significant difference between pre-therapeutic Mini-MACS grading and post-therapeutic Mini-MACS grading in the two groups(P＞0.05).After treatment,the Mini-MACS grading in the observation group was significantly better than that in the control group(P＜0.05).Con-clusion Median nerve rPMS combined with conventional rehabilitation training can effectively improve upper limbs and hand function in pediatric patients with spastic hemiplegia.