Objective To observe the clinical effect of repetitive transcranial magnetic stimulation (rTMS) combined with extracorporeal shock wave (ESW) treatment on the lower limb function of children with hemiplegia, so as to provide scientific reference for the rehabilitation of these children. Methods A total of 60 children with hemiplegic cerebral palsy were randomly assigned to the study group and control group.Both groups received conventional rehabilitation therapy and extracorporeal shock wave therapy, while participants in the intervention group underwent rTMS treatment additionally.Muscle tone, plantar pressure, plantar area and GMFM-88 of the children in two groups were evaluated before and after treatment. Results After treatment, muscle tone (t=4.521,3.789), plantar pressure (t=8.412,7.354), plantar area (t=4.585,10.251)and GMFM-88 D and E scores (t=11.247,9.254,8.738,6.254) in both groups were significantly improved compared with baseline (P<0.05).After treatment, muscle tone of children in the study group was significantly lower than that of the control group, plantar pressure, plantar area, GMFM-88 D and E scores of study group were significantly higher than those in control group (t=7.213, 5.134, 4.233, 8.646, 7.463, P<0.05). Conclusion rTMS combined with ESW therapy can effectively improve the lower limb motor function and gait performance in children with hemiplegia.
Key words
repetitive transcranial magnetic stimulation /
extracorporeal shock wave treatment /
hemiplegia
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