超越儿科:无创脊髓神经调控改善了一名成年脑瘫患者的运动功能。

Rahul Sachdeva, Kristin Girshin, Yousef Shirkhani, Parag Gad
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引用次数: 0

摘要

对脑瘫(CP)患者恢复运动功能的研究主要集中在儿童身上,导致成人在研究工作中的代表性不足。我们测试了无创脊髓神经调控与神经康复(儿科脊髓创新;SCiP™疗法)的疗效。一名 60 岁的脊髓灰质炎患者接受了 8 周的 SCiP™ 治疗,运动功能显著恢复,粗大运动功能测量(GMFM-88)得分提高了 14.2 分,是 5 分最小临床意义差异(MCID)的三倍。这表明患者在跪姿、坐姿和行走功能方面都有所提高。在最后一次治疗二十周后的随访中,GMFM-88 分值的提高仍保持在 MCID 以上(比基线高出 10.3 分),这表明该疗法具有持续效果。我们的初步研究结果表明,SCiP™疗法有望增强成年脊髓灰质炎患者的运动功能。要确定其更广泛的适用性,还需要进行更广泛的调查。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Beyond pediatrics: noninvasive spinal neuromodulation improves motor function in an adult with cerebral palsy.

Regaining motor function in individuals with cerebral palsy (CP) has been predominantly studied in children, resulting in an underrepresentation of adults in research efforts. We tested the efficacy of noninvasive spinal neuromodulation with neurorehabilitation (Spinal Cord Innovation in Pediatrics; SCiP™ therapy). A 60-year-old CP participant underwent 8 weeks of SCiP™ therapy, resulting in significant motor recovery measured by 14.2-points increase in gross motor function measure (GMFM-88) score, ~ three times the Minimal Clinically Important Difference (MCID) of 5-points. This represented gains in kneeling, sitting, and walking functions. The improvement in GMFM-88 score was maintained above the MCID at the follow up visit (10.3 points above the baseline), twenty weeks following the last therapy session, indicating a persistent effect of the therapy. Our preliminary findings support the therapeutic promise of SCiP™ therapy for enhancing motor function in CP adults. Broader investigations are needed to establish its wider applicability.

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来源期刊
CiteScore
6.90
自引率
0.00%
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审稿时长
8 weeks
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