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头皮运动区针刺治疗脑瘫患儿运动功能障碍的多中心随机对照研究方案。

Acupuncture treatment on the motor area of the scalp for motor dysfunction in children with cerebral palsy: study protocol for a multicenter randomized controlled trial.

机构信息

Department of Rehabilitation, Children's Hospital, Fudan University, Shanghai, 201102, China.

School of Medicine, Royal College of Surgeons in Ireland - Medical University of Bahrain, Adilya, 15503, Bahrain.

出版信息

Trials. 2020 Jan 6;21(1):29. doi: 10.1186/s13063-019-3986-z.

Abstract

BACKGROUND

Scalp acupuncture has been widely used as treatment for motor dysfunction in children with cerebral palsy in China. Previous studies have failed to provide high-quality evidence to demonstrate the effectiveness of this treatment in children with cerebral palsy. No high-quality randomized controlled trials on scalp acupuncture have been published. The aim of this study is to evaluate the effectiveness of Jiao's scalp acupuncture when combined with routine rehabilitation treatment versus routine rehabilitation treatment alone for motor dysfunction in children with cerebral palsy.

METHODS/DESIGN: This is a four-centre randomized controlled trial. One hundred cerebral palsy patients with motor dysfunction were enrolled. Patients will be allocated in a 1:1 ratio into either an acupuncture treatment group or a control group. Cerebral palsy patients in the control group will receive conventional rehabilitation treatment, whereas patients in the acupuncture group will receive a combination of scalp acupuncture and conventional rehabilitation treatment. Thirty-six treatment sessions will be performed over a 12-week period. The Gross Motor Function Measure and the Fine Motor Function Measure Scale will be assessed as the primary outcome measures. The Paediatric Evaluation of Disability Inventory and the Cerebral Palsy Quality of Life Questionnaire for Children will be selected as secondary outcome measures. All assessments will be conducted at baseline, week 4 (treatment 12), week 8 (treatment 24), week 12 (treatment 36) and week 24 (follow-up).

DISCUSSION

This is the first trial evaluating the efficacy and safety of scalp acupuncture as a treatment for motor dysfunction in children with cerebral palsy. The results of this trial are expected to provide relevant evidence demonstrating that scalp acupuncture can be used as an effective rehabilitation treatment method for improving motor dysfunction in children with cerebral palsy.

TRIAL REGISTRATION

ClinicalTrials.gov, NCT03921281. Registered on 19 April 2019.

摘要

背景

头皮针在中国被广泛应用于脑瘫儿童运动功能障碍的治疗。既往研究未能提供高质量证据证明该疗法对脑瘫儿童有效。尚未发表关于头皮针的高质量随机对照试验。本研究旨在评价焦氏头皮针结合常规康复治疗与单纯常规康复治疗对脑瘫儿童运动功能障碍的疗效。

方法/设计:这是一项四中心随机对照试验。纳入 100 例运动功能障碍的脑瘫患儿。患儿将按照 1:1 比例随机分配至针刺治疗组或对照组。对照组患儿接受常规康复治疗,针刺组患儿则接受头皮针联合常规康复治疗。治疗周期为 12 周,共 36 次治疗。主要结局指标为粗大运动功能测量量表和精细运动功能测量量表。选择残疾儿童评估量表和脑瘫儿童生活质量问卷作为次要结局指标。所有评估将在基线、第 4 周(治疗 12 次)、第 8 周(治疗 24 次)、第 12 周(治疗 36 次)和第 24 周(随访)进行。

讨论

这是首个评价头皮针治疗脑瘫儿童运动功能障碍疗效和安全性的试验。该试验的结果有望提供相关证据,证明头皮针可作为改善脑瘫儿童运动功能障碍的有效康复治疗方法。

试验注册

ClinicalTrials.gov,NCT03921281。于 2019 年 4 月 19 日注册。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e62e/6945653/9b6232034e3b/13063_2019_3986_Fig1_HTML.jpg

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