机器人辅助爬行训练联合重复经颅磁刺激对全面性发育迟缓患儿康复效果的影响

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中图分类号 R729 文献标识码 A 文章编号 2096-7721（2025）06-0988-06

Effects of robot-assisted crawling training combined with repetitive transcranial magnetic stimulation on rehabilitation outcomes in children with global developmental delay

ZHANG Juan'， XU Yahong²，LI Xiaoli1，SHU Lei¹，HE Rong' （DepartmentofPediatrics，AnkangCentralHospital，Ankang75ooo，China;2DeparmentofRhabilitationMedicine，aojiCta Hospital，Baoji721008，China）

AbstractObjective：Toinvestigatetheefectsofrobot-assistedcrawling trainingcombiedwithrepetivetranscranialmagnetic stimulation（rTS）onrehabilitationoutcosinchldrenwithglobaldevelopmentaldelay（GDD）.Methods：Clinicaldataof8ldren with GDDwhoere treatedatBaoji CentralHosptalfomSeptemberO toeptember024wereretrospectivelycollctedTeywere dividedintothecontrolgroup（TMS treatment，n=41）andthecombinedgoup（robot-asistedcrawlingtrainingcombinedwithTMS， n=40 ）acording totheirrehabilitationmethods.The PeabodyDevelopmental MotorScales-2（PDMS-2）scores，GrossMotorFunction Measure-88（GMFM-88）scores，ActivitisofDailyLiving（ADL）Scalescores，anddversereactionrateswerecomparedbetweeteo groupsfpatits.Rsuts：CompaedwithatbforeinteentiomprovementsinosotorQuotint（GQ），FinetQoit （FMQ），TotaltorQotit），nd8sosweeedinallpaits，ithintlyersind group （P<0.05） .ADLscoresat2and3monthsafter interventionincreasedinboth groups，andtheywere markedlyhigher inthecombined group （P<0.05） .No significant diference was observed in total adverse reaction rates between the two groups （ P>0.05） . Conclusion： For childrenwithGDD，thecombinationofobot-asistedcawlingtrainingandrMScansignificantlynhancedevelopmentalstatusgoss motor function，and daily living abilities compared to rTMS alone， while maintaining a favorable safety.

Key WordsGlobal Developmental Delay; Transcranial Magnetic Stimulation; Crawling Robot; Rehabilitation

全面性发育迟缓（GlobalDevelopmental Delay，GDD）是一种神经发育障碍，表现为儿童在运动、语言、认知等多个发育领域明显落后于同龄儿童[-2]。（剩余8198字）