Clinical observation on Governor Vessel-unblocking and brain-refreshing scalp acupuncture for cerebral palsy complicated with intellectual disabilities
- 14 Downloads
To observe the clinical efficacy of Governor Vessel-unblocking and brain-refreshing scalp acupuncture for cerebral palsy (CP) complicated with intellectual disabilities.
A total of 300 CP cases aged between 1 and 5 years were randomly allocated into a treatment group (n=150) and a control group (n=150). Patients in the treatment group were treated with Governor Vessel-unblocking and brainrefreshing scalp acupuncture combined with rehabilitation training, whereas patients in the control group received rehabilitation training alone. The Beijing Gesell developmental (Gesell) scale and gross motor function measure (GMFM) scale were used to assess the motor and intellectual development before and 3 months after the treatment. In addition, the head CT/MRI examination was applied to assess the brain nerve repair before and after the treatment.
After the treatment, the total effective rate in the treatment group was 78.0%, versus 42.7% in the control group, showing a statistical significance (P<0.05). As for scores of five subscales in the Gesell scale, there were significant intra-group differences in the treatment group (all P<0.05); and the scores in the treatment group were significantly better than those in the control group (all P<0.05). As for scores of five dimensions in GMFM scale, there were significant intra-group differences in the treatment group (all P<0.05); and the scores in the treatment group were significantly better than those in the control group (all P<0.05). According to the head CT/MRI findings, the total effective rate was 73.3% in the treatment group, versus 62.0% in the control group, showing a statistical significance (P<0.05).
When used in combination with rehabilitative training, Governor Vessel-unblocking and brain-refreshing scalp acupuncture can significantly improve the clinical efficacy for cerebral palsy complicated with intellectual disabilities. It can also improve the patients’ motor function, intelligence and language ability.
KeywordsAcupuncture Therapy Scalp Acupuncture Electroacupuncture Scalp Stimulation Areas Points Head & Neck Cerebral Palsy Intellectual Disability Child Preschool
将纳入研究的300例1~5岁CP患儿随机分为两组, 治疗组(150例)采用通督醒脑头针治疗, 并配合康复训练; 对照组(150例)仅接受康复训练。分别于治疗前及治疗后3个月使用北京盖什尔量表(Gesell)、神经发育评定量表及美国粗大运动功能量表(GMFM)评定患儿在运动、智力发育的变化情况, 并应用头颅CT/MRI检查评估患儿治疗前后脑神经修复情况。
治疗后, 治疗组总有效率78.0%, 明显高于对照组的42.7% (P<0.05)。在Gesell量表五个能区评分方面, 治疗组治疗前后差异均有统计学意义(均P<0.05); 治疗后, 治疗组Gesell量表五个能区的评分均优于对照组(均P<0.05)。在GMFM量表五个能区评分方面, 治疗组治疗后均比本组治疗前有显著提高(均P<0.05)。头颅影像学检查显示治疗后治疗组有效率为73.3%, 对照组有效率为62.0%, 差异具有统计学意义(P<0.05)。
关键词针刺疗法 头针 电针 头针刺激区 穴位 头颈部 脑性瘫痪 智力障碍 儿童 学龄前
Unable to display preview. Download preview PDF.
This work was supported by Project of Guangdong Provincial Administration of Traditional Chinese Medicine (广东省中医药管理局课题项目, No. 20131055).
- Compiling Committee of China Guidelines for Rehabilitation of Children with Cerebral Palsy. China guidelines for rehabilitation of children with cerebral palsy (2015): part 1. Zhongguo Kangfu Yixue Zazhi, 2015, 30(7): 747–753.Google Scholar
- Hu YN, Wu WH, Li YC, Lu HB, Liu JJ, Zhang Y. Evaluation of intelligence of children with cerebral palsy. Zhongguo Kangfu Lilun Yu Shijian, 2005, 11(8): 647–648.Google Scholar
- Li XJ, Tang JL, Ma BX, Qin J, Zou LP, Wang JQ. Definition, diagnostic criteria and clinic classification of cerebral palsy. Zhongghua Shiyong Erke Linchuang Zazhi, 2014, 29(19): 1520.Google Scholar
- Hu NN, Wang XF. Five kinds of retardation, five kinds of flaccidities, five kinds of stiffness and cerebral palsy. Zhongguo Zhongxiyi Jiehe Erke Xue, 2009, 1(2): 153–155.Google Scholar
- Liu ZH, Tian H, Li N. Application of Governor Vesselunblocking, kidney-tonifying and spleen-fortifying theory in TCM rehabilitative care for infantile cerebral palsy. Guangzhou Zhongyiyao Daxue Xuebao, 2013, 30(5): 677–680.Google Scholar
- Zhang L, Chen X. Correlation between ischemic brain injury and frontal lobe-related nerve cognitive disorder. Guoji Shenjingbing Xue Shenjing Waike Xue Zazhi, 2009, 36(3): 245–248.Google Scholar
- Zhao YL, Li N, Liu ZH, Jin BX. Scalp acupuncture combined with auricular point pressure treating 24 cases of children with autism. Zhongyi Erke Zazhi, 2011, 7(4): 51–53.Google Scholar
- Li M, Wang XY. Electroacupuncture combined with repetitive transcranial magnetic stimulation for cognitive impairment in 32 schizophrenia cases. Shaanxi Zhongyi, 2011, 32(6): 729–731.Google Scholar
- Zhang CX, Gao J, He LN. Effect of kinesiotherapycombined scalp acupuncture plus rehabilitation on the joint range of motion and activities of daily life in spastic cerebral palsy. Shanghai Zhenjiu Zazhi, 2016, 35(6): 674–676.Google Scholar
- Liu J, Zeng TJ, Zhang C, Mai BR. Acupuncture in patients with spinocerebellar ataxia’ brain three needle’ acupuncture resting fMRI brain imaging studies. Guangdong Weiliang Yuansu Kexue, 2015, 21(9): 34–38.Google Scholar
- Qi F. Clinical treatment on treating cerebral palsy and mental retardation by acupuncture. Zhongyi Linchuang Yanjiu, 2015, 5(26): 45–46.Google Scholar
- Wang QY, Wang WH, Jin R. Effects of acupuncture on GFAP expression in asphyxial cerebral paralysis rats. Zhongguo Kangfu Yixue Zazhi, 2005, 20(6): 423–425, 481.Google Scholar
- Li N, Liu ZH, Qian XG, Fu WJ, Zhang Y, Luo GJ, Zhao WJ. Analysis on acupuncture and rehabilitation training for treatment of cerebral palsy in 300 patients. Zhonghua Zhenjiu Dianzi Zazhi, 2014, 2(3): 1–4.Google Scholar