Abstract:
Objective
To explore the effect of exercise therapy combined with electrical stimulation in the treatment of children with spastic cerebral palsy, and to observe its effect on the gross motor function, muscle tone and daily living ability in children with cerebral palsy, in order to improve the clinical treatment level.
Methods
A total of 120 children with spastic cerebral palsy treated at the First Affiliated Hospital of Henan University of Science and Technology from January 2016 to May 2017 were randomly divided into exercise therapy group, electrical stimulation group, exercise-electrical stimulation combination group, 40 cases each. Exercise group developed exercise therapy goals and training programs based on five functional scores of the GMFM; electrical stimulation group received multi-part muscle stimulation; the combination group received exercise therapy and electrical stimulation at the same time. Three groups of patients were evaluated by using the gross motor function rating scale, the Ashworth spasm rating scale, and the children's assessment scale of daily living ability respectively before and after treatment.
Results
The gross motor function scores, modified Ashworth spasticity scores and scores of daily living ability in children with cerebral palsy before and after treatment in three groups were significantly different(P<0.05); compared with exercise therapy group and electric stimulation group, the three kinds of scores of the combination group were significantly better(P<0.05). There was no significant difference in the three kinds of scores between exercise therapy group and electrical stimulation group(P>0.05).
Conclusion
The three kinds of treatment can improve the gross motor function, muscle tone and daily living ability of children with cerebral palsy. Exercise combined with electrical stimulation for children with spastic cerebral palsy can obviously improve the gross motor function, joint activities and daily living ability, and the treatment effect is better than the other two groups, so it is worthy of clinical popularization and application.

Key words: Cerebral palsy, Spasm type cerebral palsy, Exercise therapy, Electrical stimulation, Child