Key Words: Cerebral palsy;Acupuncture;Nerve repair;remodeling;motor function
Objective: To investigate the effect of AcupAcupuncturebrain plasticity and motor development in children with cerebral palsy. Investigate the impact on the mechanism of apoptosis of brain nerve cells, regulating the expression of neurotrophic factors and promoting the remodeling of nerve synaptic structure and motor development in young rats with cerebral palsy. Two: To evaluate the effect and mechanism of acupAcupuncturecerebral palsy.Three: The nerve repair effect of acupuncture cerebral palsy.Methods: In this study, 146 cases of brain injury and 1078 cases of cerebral palsy were included by randomized controlled study with ICF Gross motor function measure, Peabody fine motor function, Gesell, muscle tension, joint activity, the activity of daily living transcranial doppler, skull B ultrasound, Brain Nuclear Magnetic Resonance Imaging MRI, Positron Emission Tomography SPECT, Diffusion tensor tractography evaluation method.
Results: the recovery rate of extracellular space (92.3%) was significantly higher than that of the control group (70.8%) (P <0.05), Transcranial Doppler, TCD total efficiency (79.3%) was considerably higher than that in the control group (51.8%) (P <0.05). Acupuncture promotes the development of neurological and cognitive movement in children under 6 months, effectively reducing neurological sequelae. The total effective rate of the children with cerebral palsy was 87% in the acupuncture group, which was significantly higher than that of the control group (P
<0.01). The total effective rate of Brain MRI was 59.55% in the acupuncture group and 13.25% higher than that in the control group (P <0.01). The total effective rate was 91.3% in the 1-year follow-up group, significantly higher than in the control group (P <0.01). The FA value of the white matter fiber bundle was considerably higher than that of acupAcupuncture60 times (P <0.05). The recovery rate of ultrasonic brain injury (86.7%) in the acupuncture group was significantly higher than that in the control group (64.4%) (P <0.05). The recovery rate of brain SPECT in the acupuncture group was 96.4%, significantly higher than in the control group (P <0.01).
Conclusion: Acupuncture rehabilitation not only promotes the development of white matter and gray matter in children with cerebral palsy but also promotes the brain function of children with cerebral palsy remodeling and compensation and promotes social adaptation, language, and other cognitive functions development in children with cerebral palsy movement and Fine motor function development and recovery, improve the children's self-care ability.