Efficacy Of Transcutaneous Electrical Acupoint Stimulation In Rehabilitation Of Patients With Cerebral Palsy After

Background:Since 1908, Foerster applied spinal posterior rhizotomy to treat limb spasm for the first time, scholars began to apply the technology in the field of surgical treatment for spastic cerebral palsy. In 1990, Xu Lin’ team, for the first time, applied selective posterior rhizotomy (SPR) to treat spastic cerebral palsy in Asia. Many years of clinical practice proved that SPR could clear limb spasm safely and effectively, improve motor function of the limbs. On the the basis of spasm relief, long-term regular rehabilitation training can improve the limb movement function more effectively. TEAS is one of the characteristic of traditional Chinese medicine therapy in rehabilitation. According to the study, TEAS plays an important role in improving the limb movement function, however, lack of control studies proves its effect. This topic through the prospective study analysis TEAS therapeutic effect on improving the limb movement function in cerebral palsy after SPR.Objective:To observe the therapeutic effect of transcutaneous electrical acupoint stimulation in rehabilitation of patient with cerebral palsy after SPR.Method:Choose 45 cases from December 2013 to December 2014 at our hospital carried SPR of patients with cerebral palsy, divided into three groups (A、B、C), group A to TEAS, group B to FES, group C to control. Group A and B are given to relative treatment,30 mins a day, treatment of 20 days each mouth, six consecutive months. Three groups are evaluated on the GMFM-66 items score, Holden walking function score, muscle tone score, muscle strength score (quadriceps, posterior, tibialis anterior, Triceps). The data was analysed by SAS8.2 statistical software, managed by repeated measures design analysis and conventional T-test analysis.Results:All the patients were followed up.1.The T-test results in muscle tone showed that there was significantly difference in every group after treatment. SPR can reduce muscle tension effectively, and rehabilitation training also decrease the muscle tone.2.The T-test results and repeated measure analysis in GMFM66 score showed that there was significantly difference between group A and There was no difference in other ways. But, the repeated measures score trend chart showed that group A was better than the rest in GMFM66. SPR combined postoperative rehabilitation training can obviously improve the motor function of patients, and the TEAS had better therapy effect.3.The T-test results in Holden walking function and muscle strength showed that there was significantly difference in every group after treatment. SPR combined postoperative rehabilitation training can effectively improve the walking function and part of the lower limb muscle.4.The repeated measure analysis in walking function, muscle tone, muscle strength showed that there was no difference between every two groups. However, the repeated measures score trend chart showed that group A was better than the rest in those aspects.Conclusion:SPR combined postoperative rehabilitation training can obviously reduce muscle tension and improve the motor function of patients. Compared with the rest, the TEAS has bet-ter therapy effect.