郑继青,龙耀斌,李鑫,等.绳带联合重复经颅磁刺激治疗感觉统合失调儿童的疗效观察[J].中华物理医学与康复杂志,2026,48(5):424-429
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| 绳带联合重复经颅磁刺激治疗感觉统合失调儿童的疗效观察 |
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| DOI：10.3760/cma.j.cn421666-20250726-00628 |
| 中文关键词: 绳带疗法 重复经颅磁刺激 感觉统合障碍 |
| 英文关键词: Rope band therapy Repetitive transcranial magnetic stimulation Sensory integration |
| 基金项目:广西医疗卫生适宜技术开发与推广应用项目（S2024050）；广西自然科学基金区域高发疾病研究联合专项资助项目（2023GXNSFBA026119）；广西自然科学基金项目（2022GXNSFAA035511）；广西壮族自治区医疗卫生重点学科建设项目［桂卫科教发（2022）4号］；广西医科大学青年科学基金项目（GXMUYSF202342） |
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| 中文摘要: |
| 目的 探讨绳带联合重复经颅磁刺激（rTMS）对感觉统合失调（SID）儿童的治疗效果。 方法 采用随机数字表法将90例SID儿童分为绳带组、rTMS组、联合组，每组30例。3组患儿均给予常规感觉统合训练，在此基础上，绳带组增加绳带训练，rTMS组增加rTMS治疗，联合组增加绳带训练及rTMS治疗，疗程均为2个月。治疗前及治疗2个月后（治疗后），分别采用儿童平衡量表（PBS）、儿童感觉统合能力发展评定量表、Conners′父母症状问卷（PSQ）评定3组患儿的疗效。 结果 与组内治疗前比较，3组患儿治疗后的PBS评分均增加（P＜0.05），儿童感觉统合能力发展评定量表中的前庭功能、触觉防御、本体感、学习能力评分均增加（P＜0.05），PSQ中的品学行为障碍、学习障碍、心身障碍、冲动/多动、焦虑及多动指数评分均降低（P＜0.05）。绳带组与rTMS组治疗后的上述各项指标差异无统计学意义（P＞0.05）。与绳带组、rTMS组比较，联合组治疗后的PBS评分［(46.60±4.27)分］较高，儿童感觉统合能力发展评定量表中的前庭功能［(54.53±10.72)分］、触觉防御［(74.10±14.44)分］、本体感［(43.63±9.60)分］、学习能力评分［(29.03±5.65)分］较高，PSQ中的品学行为障碍［14.00(10.00，16.75）分］、学习障碍［(3.83±2.25)分］、心身障碍［(4.97±2.67)分］、冲动/多动［(3.87±2.24)分］、焦虑［(4.10±2.26)分］及多动指数评分［11.50(8.00，14.50）分］较低（P＜0.05）。 结论 绳带疗法与rTMS对SID儿童均具有积极的临床疗效，两者联合应用可进一步改善患儿的SID症状。 |
| 英文摘要: |
| Objective To document any therapeutic effects of combining rope band therapy with repeated transcranial magnetic stimulation (rTMS) in treating children with sensory integration dysfunction (SID). Methods Ninety children with SID were randomly divided into a rope band group, an rTMS group and a combination group, each of 30. In addition to conventional sensory integration training, the rope band group was given rope band training, the rTMS group underwent rTMS therapy, and the combination group was provided with both. The experiment lasted 2 months. Before and after the treatment, all were evaluated using the Pediatric Balance Scale (PBS), the Children′s Sensory Integration Ability Development Rating Scale, and Conners′ Parent Symptom Questionnaire (PSQ). Results A significant increase in the PBS scores was observed after the treatment, as well as in the scores for vestibular function, tactile defense, proprioception, and learning ability in the Children′s Sensory Integration Ability Development Rating Scale. This was true of all three groups. There was also a significant decrease in conduct problems, learning problems, psychosomatic problems, impulsivity/hyperactivity, anxiety, and hyperactivity indices. However, no significant differences in those indicators were measured between the rope band group and the rTMS group after the treatment. Compared with the rope band group and the rTMS group, the combination group showed significantly higher PBS scores, higher scores on vestibular function, tactile defense, proprioception, and learning ability in the Children′s Sensory Integration Ability Development Rating Scale. They too had fewer conduct problems, learning problems and psychosomatic problems, less impulsivity, hyperactivity and anxiety, and a lower average hyperactivity index in the PSQ. Conclusions Both rope band therapy and rTMS have positive clinical effects on SID children, and their combined application can further relieve their SID symptoms. |
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