Effects of repetitive peripheral magnetic stimulation combined with conventional rehabilitation training on lower limb motor function after treatment of botulinum toxin type A in children with bilateral spastic cerebral palsy
WANG LI
LI Xinjian
WU Ye
QIU Aizhen
ZHANG Mengran
Abstract：Objective To observe the effects of repetitive peripheral magnetic stimulation(rPMS)combined with conventional rehabilitation training on lower limb motor function after treatment of botulinum toxin type A(BoNT-A)in children with bilateral spastic cerebral palsy.Methods Sixty pediatric patients with bilateral spastic cerebral palsy who were admitted to Xuzhou Children's Hospital Affiliated to Xuzhou Medical University from June 2023 to June 2024 were recruited.All the pediatric patients were treated with BoNT-A after enrollment.The pediatric patients were divided into observation group(undergoing rPMS combined with conventional rehabilitation training)and control group(undergoing conventional rehabilitation training)by using random number table method,with 30 cases in each group.The pediatric patients'balance function was assessed by using Pediatric Balance Scale(PBS)scores,and their lower limb motor function was assessed by using the Gross Motor Function Measure-88 Dimensions D and E(GMFM-88 D/E)scores,and their walking ability was assessed by using 1-Minute Walk Test(1MWT)before treatment of BoNT-A and 3 months after rehabilitation therapy,respectively.Results Before treatment of BoNT-A,there were no significant differences in PBS scores,1-minute walking distance,GMFM-88 D/E scores and total scores between the two groups(P＞0.05).After 3 months of rehabilitation therapy,the PBS scores,GMFM-88 D/E scores and total scores in both groups were higher than those before treatment of BoNT-A,and the PBS scores,GMFM-88 D/E scores and total scores in the observation group were higher than those in the control group,and the 1-minute walking distance in both groups was longer than that before treatment of BoNT-A,and the 1-minute walking distance in the observation group was longer than that in the control group,with statistically significant differences between the two groups(P＜0.05).Conclusion After treatment of BoNT-A,the pediatric patients with bilateral spastic cerebral palsy who are assisted with rPMS combined with conventional rehabilitation training can get the improvement in their walking stability and lower limb motor function.
Keywords：Cerebral palsyBilateral spastic cerebral palsyRepetitive peripheral magnetic stimulation(rPMS)Core musclesBotulinum toxin type A(BoNT-A)Lower limb motor function
Publication Date：2025-04-30
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 425-429 )