头皮针刺治疗痉挛型脑瘫患儿运动功能障碍的疗效：一项多中心随机对照试验

IF 1.7 Q2 Medicine

Advances in integrative medicine Pub Date : 2025-05-21 DOI:10.1016/j.aimed.2025.100505

Jun Wang , Xueyan Li , Wei Shi , Bingpei Shi , Xiaojuan Shi , Dandan Luo , Xiushu Shen , Chun Zhai , Lei Xu , Meirong Li , Nan Su , Rencai Deng , Huayu Huang , Jian Li , Yin Wang , Hong Yang

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引用次数: 0

摘要

头皮针刺已被广泛用于治疗脑瘫（CP）患儿的运动功能障碍。以前的研究没有提供高质量的证据来证明这种治疗对CP儿童的有效性。迄今为止，尚无关于头皮针灸的高质量随机对照试验的报道。本研究旨在评价焦氏头皮针治疗小儿痉挛性脑瘫运动障碍的疗效。方法采用随机对照试验。100名CP患者被随机分配到治疗组和对照组。对照组接受常规康复治疗，治疗组在常规康复治疗的基础上同时进行焦氏头皮针刺治疗。在12周的时间内进行了36次治疗。在基线、第4周、第8周、第12周（治疗后）和第24周（随访）时，使用大运动功能量表(GMFM)-66和精细运动功能量表（FMFM）评估结果。结果通过GMFM-66和FMFM评估，两组患者的运动功能均有显著改善（p <； 0.01）。与对照组相比，治疗组在粗大和精细运动功能方面均表现出更大的改善（p <； 0.05）。结论头皮针运动区针刺可显著改善痉挛性脑瘫患儿的运动功能，头皮针治疗可作为该人群运动功能障碍常规康复的有益辅助。临床试验注册：clinicaltrials .gov, NCT03921281。

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Effects of scalp acupuncture treatment on motor dysfunction in children with spastic cerebral palsy: A multicenter randomized controlled trial

Introduction

Scalp acupuncture has been widely used as a treatment for motor dysfunction in children with cerebral palsy (CP). Previous studies have not provided high-quality evidence to demonstrate the effectiveness of this treatment in children with CP. To date, no high-quality randomized controlled trials on scalp acupuncture have been reported. The present study aims to evaluate the effectiveness of Jiao's scalp acupuncture for the treatment of motor dysfunction in children with spastic CP.

Methods

This was a randomized controlled trial. One hundred CP patients were randomly allocated to either the treatment or control group. The control group received conventional rehabilitation treatment, while the treatment group received both conventional rehabilitation treatment and Jiao’s scalp acupuncture. Thirty-six treatment sessions were conducted over a 12-week period. Outcomes were assessed using the Gross Motor Function Measure (GMFM)-66 and the Fine Motor Function Measure (FMFM) at baseline, week 4, 8, 12 (post-treatment) and week 24 (follow-up).

Results

Both groups showed significant improvements in motor function (p < 0.01), as assessed by the GMFM-66 and the FMFM. Compared to the control, the treatment group demonstrated a significantly greater improvement in both gross and fine motor function (p < 0.05).

Conclusions

Acupuncture in the motor area of Jiao's scalp acupuncture significantly improved motor function in children with spastic CP. Scalp acupuncture treatment may serve as a beneficial adjunct to conventional rehabilitation for motor dysfunction in this population.

Trial registration

ClinicalTrials.gov, NCT03921281.

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来源期刊

Advances in integrative medicine INTEGRATIVE & COMPLEMENTARY MEDICINE-

CiteScore

3.20

自引率

11.80%

发文量

审稿时长

15 weeks

期刊介绍： Advances in Integrative Medicine (AIMED) is an international peer-reviewed, evidence-based research and review journal that is multi-disciplinary within the fields of Integrative and Complementary Medicine. The journal focuses on rigorous quantitative and qualitative research including systematic reviews, clinical trials and surveys, whilst also welcoming medical hypotheses and clinically-relevant articles and case studies disclosing practical learning tools for the consulting practitioner. By promoting research and practice excellence in the field, and cross collaboration between relevant practitioner groups and associations, the journal aims to advance the practice of IM, identify areas for future research, and improve patient health outcomes. International networking is encouraged through clinical innovation, the establishment of best practice and by providing opportunities for cooperation between organisations and communities.