| Objective: To study the effects of repetitive transcranial magnetic stimulation (rTMS) on spasticity and motor function of children with spastic cerebral palsy. Method: Forty children with spastic cerebral palsy participated in this study, and randomly divided into observation group and control group (n=20 each). All patients received conventional treatment, and the observation group received rTMS additionally. Two groups were evaluated by Ashworth scale, range of motion of ankle and gross motor function scale before and 2 and 4 weeks after treatment. Results: The difference in Ashworth scale of triceps between two groups (including comparison between two groups and comparison before and after treatment in two groups) did not reach statistical significance. Two and four weeks after treatment, the range of motion of ankle dorsiflexion in the observation group was gradually increased, and the difference was statistically significant (P<0.01), no significant difference was found in the control group before and after treatment, and the significant difference was found 4 weeks after treatment between two groups (P<0.01). No significant difference in D and E score of gross motor function scale in the observation group was found before and two weeks after treatment, and significant difference was found between treatments at 4th week and 2nd week (P<0.05); the difference in control group did not reach statistical significance before and after treatment. There was no significant difference in D and E scores at 2nd week after treatment between two groups, and significant difference was found between them at 4th week after treatment (P<0.05). Conclusion: rTMS combined with conventional treatment can effectively relieve spasticity and improve the motor function of children with spastic cerebral palsy. |
