针灸联合MOTOmed智能运动训练对痉挛型脑瘫患儿下肢运动功能和脑血流量的影响

目的：观察针灸联合MOTOmed智能运动训练对痉挛型脑瘫患儿下肢运动功能和脑血流量的影响。方法：选取2015年3月至2017年3月焦作市中医院收治的痉挛型脑瘫患儿96例为研究对象,按随机数字表法随机分为观察组和对照组，每组48例，在常规康复治疗基础上，对照组给予MOTOmed智能运动训练，观察组在对照组治疗的基础上给予针灸治疗，2组均治疗10个疗程。比较2组治疗前后下肢股内收肌群和腓肠肌改良Ashworth量表(MAS)的疗效、下肢粗大运动功能(GMFM)评分和脑血流动力学指标变化的情况。结果：观察组治疗后股内收肌群和腓肠肌MAS的总有效率显著高于对照组（P均<0.05）；2组治疗后GMFM评分均明显提高，观察组上述评分显著优于对照组（P<0.05）；2组治疗后脑血流动力学指标大脑前、中、后动脉的收缩期峰值流速和平均血流速度均明显增加，观察组上述指标显著优于对照组（P均<0.05）。结论：针灸联合MOTOmed智能运动训练能够显著提高痉挛型脑瘫患儿的临床疗效，改善下肢运动功能，具体机制可能与脑血流量改善有关。

Effects of Acupuncture Combined with MOTOmed Intelligent Sports Training on Motor Function and Cerebral Blood Flow of Lower Limbs in Children with Spastic Cerebral Palsy

To investigate the effects of acupuncture combined with MOTOmed intelligent sports training on motor function and cerebral blood flow of lower extremity in children with spastic cerebral palsy.Methods:Ninety-six children with spastic cerebral palsy were randomly divided into the observation group (48 cases) and the control group (48 cases).On the basis of routine rehabilitation, the control group was given MOTOmed intelligent exercise training.The observation group was given acupuncture treatment on the basis of the control group.Both groups were treated with 10 courses.The curative effect of modified Ashworth scale (MAS), the gross motor function (GMFM) score of lower extremity and the changes of cerebral hemodynamics were compared between the two groups before and after treatment.Results:After treatment, the total effective rate of adductor and gastrocnemius MAS in observation group was significantly higher than that in control group (all P<0.05).The GMFM scores of both groups were significantly increased after treatment, and the above scores in observation group were significantly better than those in control group (P<0.05).The peak systolic velocity and mean velocity of cerebral blood flow in the anterior cerebral artery, middle cerebral artery and posterior cerebral artery in both groups were significantly increased after treatment.The above indexes in the observation group were significantly better than those in the control group (all P<0.05).Conclusion:Acupuncture and moxibustion combined with MOTOmed intelligent exercise training can significantly improve clinical efficacy and improve motor function in children with spastic cerebral palsy.The specific mechanism may be related to the improvement of cerebral blood flow.