Pulay Márk Ágoston, Kornis Krisztina, Bednárikné Dörnyei Gabriella, Feketéné Szabó Éva, Horváth Mónika, Matiscsák Attila, Nyakas Csaba, Tenk Miklósné Zsebe Andrea, Vissi Tímea, Mayer Ágnes, Túri Ibolya
Pető András Faculty, Semmelweis University, 1125 Budapest, Hungary.
Department of Ergonomics and Psychology, Faculty of Economic and Social Sciences, Budapest University of Technology and Economics, 1111 Budapest, Hungary.
J Clin Med. 2024 Dec 31;14(1):192. doi: 10.3390/jcm14010192.
Cerebral palsy (CP) manifests with abnormal posture and impaired selective motor control, notably affecting trunk control and dynamic balance coordination, leading to inadequate postural control. Previous research has indicated the benefits of pulsed electromagnetic field (PEMF) therapy for various musculoskeletal and neurological conditions. Therefore, we conducted a randomized pilot study to assess the feasibility of our preliminary research design and examine the effect of the PEMF treatment among children with CP. : Twelve children with spastic CP participated, with the study group undergoing PEMF treatment three times a week for four weeks. The treatment involved sine signal form, 20/200 Hz frequencies at an amplitude of 150 μT, initially administered for 8, 12, and 16 min per session. The control group received a sham treatment. Dynamic postural balance was evaluated using a force platform at baseline and post-intervention, and the data were analyzed. Data were processed using IBM SPSS 27 by repeated factorial analysis of variance. The significance level was α = 0.05. : No side effects of PEMF therapy were detected; this is important, because this intervention has not yet been applied among CP patients. The treatment group demonstrated a positive trend in fine balance coordination tests ( = 0.049); however, the small sample size and variability in control group performance suggest caution in interpreting these findings. Other test domains did not show significant differences. : Our pilot study reveals the safety, feasibility, and potential efficacy of pulsed electromagnetic field (PEMF) therapy for children with cerebral palsy. With no observed side effects, the significant improvement in fine balance coordination suggests a promising avenue.
脑瘫（CP）表现为姿势异常和选择性运动控制受损，尤其影响躯干控制和动态平衡协调，导致姿势控制不足。先前的研究表明，脉冲电磁场（PEMF）疗法对各种肌肉骨骼和神经系统疾病有益。因此，我们进行了一项随机试点研究，以评估我们初步研究设计的可行性，并检验PEMF治疗对脑瘫儿童的效果。12名痉挛型脑瘫儿童参与了研究，研究组每周接受3次PEMF治疗，为期4周。治疗采用正弦信号形式，频率为20/200Hz，振幅为150μT，每次治疗开始时分别为8、12和16分钟。对照组接受假治疗。在基线和干预后使用测力平台评估动态姿势平衡，并对数据进行分析。数据使用IBM SPSS 27通过重复析因方差分析进行处理。显著性水平为α = 0.05。未检测到PEMF治疗的副作用；这很重要，因为这种干预尚未应用于脑瘫患者。治疗组在精细平衡协调测试中呈现出积极趋势（P = 0.049）；然而，样本量小和对照组表现的变异性表明在解释这些结果时需谨慎。其他测试领域未显示出显著差异。我们的试点研究揭示了脉冲电磁场（PEMF）疗法对脑瘫儿童的安全性、可行性和潜在疗效。未观察到副作用，精细平衡协调的显著改善表明这是一条有前景的途径。
