Klarod Kultida, Sukkho Oranat, Kiatkulanusorn Sirirat, Werasirirat Phurichaya, Wutthithanaphokhin Chananwan, Satkunskienė Danguole, Lueang-On Siraya, Muanjai Pornpimol, Luangpon Nongnuch
Department of Physical Therapy, Allied Health Sciences Faculty, Burapha University, Saen Suk, Chonburi 20131, Thailand.
Physical Therapy Division, Faculty of Medical Science, Nakhonratchasima College, Nakhonratchasima 30000, Thailand.
Life (Basel). 2025 Mar 7;15(3):416. doi: 10.3390/life15030416.
Peripheral magnetic stimulation (PMS) is commonly used for neurological conditions, but its effectiveness in enhancing functional mobility and morphology in children with spastic diplegia remains underexplored. This study assessed the impact of PMS with physical therapy (PT) versus PT alone on mobility and morphology in spastic diplegia. Forty-five children with spastic diplegia (mean age 12.7 ± 3.8 years) were randomly assigned to one of three intervention groups: PMS + PT, PT, or control, with fifteen children in each group. The training was conducted thrice weekly for eight weeks, included muscle morphology assessments, the 30 s sit-to-stand test (30sSTS), functional reach test (FRT), 10 m walk test (10MWT), and 6 min walk test (6MWT). The study revealed increased left quadricep and calf muscle thickness following PMS + PT (d = 0.19, 0.39, respectively; all < 0.05). Improvement in 30sSTS was observed after both PMS + PT (d = 0.56) and PT (d = 1.43). FRT demonstrated increases following both PMS + PT and PT interventions (d = 1.52, 0.93, respectively). Furthermore, improvements were observed in 10MWT following PMS + PT and PT interventions (d = 1.20, 0.78), while PT increased the 6MWT (d = 0.82). The control group showed declines in 10MWT and 6MWT. The treatment significantly impacted FRT, 10MWT, and 6MWT in spastic diplegia. While PMS may not enhance physical capacities beyond PT alone, it may improve FRT and 10MWT outcomes.
外周磁刺激（PMS）常用于治疗神经系统疾病，但其对改善痉挛性双侧瘫患儿的功能活动能力和形态的效果仍未得到充分研究。本研究评估了PMS联合物理治疗（PT）与单纯PT对痉挛性双侧瘫患儿活动能力和形态的影响。45名痉挛性双侧瘫患儿（平均年龄12.7±3.8岁）被随机分为三个干预组之一：PMS+PT组、PT组或对照组，每组15名儿童。训练每周进行三次，共八周，包括肌肉形态评估、30秒坐立试验（30sSTS）、功能性伸展试验（FRT）、10米步行试验（10MWT）和6分钟步行试验（6MWT）。研究发现，PMS+PT后左股四头肌和小腿肌肉厚度增加（分别为d=0.19、0.39；均<0.05）。PMS+PT组（d=0.56）和PT组（d=1.43）在30sSTS后均有改善。FRT在PMS+PT组和PT组干预后均有增加（分别为d=1.52、0.93）。此外，PMS+PT组和PT组干预后10MWT有改善（d=1.20、0.78），而PT组增加了6MWT（d=0.82）。对照组在10MWT和6MWT上出现下降。该治疗对痉挛性双侧瘫患儿的FRT、10MWT和6MWT有显著影响。虽然PMS单独使用时可能不会比单纯PT更能增强身体能力，但它可能会改善FRT和10MWT的结果。
