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嘉峪检测网 2022-10-07 21:18
脑瘫(cerebral palsy),全称脑性瘫痪。是指婴儿出生前到出生后一个月内脑发育早期,由于多种原因导致的非进行性脑损伤综合症。主要表现为中枢性运动障碍以及姿势异常,还可伴有智力低下、癫痫、感知觉障碍、语言障碍及精神行为异常等,是引起小儿机体运动残疾的主要疾病之一。
根据权威数据统计每1000个婴儿中有1.5至4个脑瘫患儿,在美国有18岁以下儿童患有脑瘫的患者高达50多万,全世界患儿则高达1700多万例。其中中国的脑瘫患者人数高达600万,并且每年以4-6万速度快速增长。目前脑瘫治疗方式非常有限,几乎可以认定为无法医治。由于脑瘫患者都有不同程度运动障碍等异常问题,这导致这些患者失去生存能力,给家庭和社会带来沉重压力。
如果解决脑瘫患者的自主感觉运动功能,提高患者自主生活能力,一直是医学界追求研究方向。美国公司SpineX给脑瘫患者及其家庭带来希望。SpineX的无创神经调节技术---SCiP,具有让患者自主运动能力。SCiP已经开始启动FIM研究,并在顶级期刊《Nature Communications 》发表第一份研究数据,研究证明其SCiP对脑瘫儿童患者的功能改善无与伦比。
患者母亲评价
“我们的儿子只有三岁,受CP影响很大,自从开始使用SCiP以来,他取得了如此令人兴奋的进步。我们非常感谢我们的儿子被纳入SCiP的临床研究,因为SCiP为我们的儿子打开了一个充满可能性的世界,我们希望其他人能够很快见证这一点。”
---Dana 一名确诊为CP的男孩的母亲
“在短短三周内,SCiP帮助Ben和William获得了许多新技能,SCiP将以您甚至无法相信的方式改变许多家庭的生活。SCiP让不可能成为可能,并为脑瘫患者打开了更多机会之门”。
---Sharon Rosuck 被诊断患有脑瘫的双胞胎男孩的母亲
SCiP
SCiP是一种非侵入性脊髓电神经调节装置,提供经皮脊髓神经刺激,以潜在地治疗脑瘫患儿潜在的神经功能障碍。SCiP已经获得FDA授予“突破性设备”称号。
SCiP临研究
SpineX开展一项关于SCiP的前瞻性的研究,本项研究是一项单臂,总共16 名被诊断为粗大运动功能分类量表 I-V 级的 脑瘫的儿童,并接受相同的干预(2 次/周,共 8 周),以使用正常发育的本体感觉纠正脊柱上神经网络和脊柱神经网络之间的功能障碍连接。研究证明,治疗后所有儿童 GMFM-88 评分的临床和统计学显著改善相关,从而达到了预先设定的主要终点。同时没有观察到严重的不良事件(安全终点)。
主要结果变化
a mean ± SE (n = 16) GMFM-88 scores before and after therapy; mean ± SE (n = 7) GMFM-88 scores before (black) and after (red) therapy for GMFCS levels I and II (blue) and; mean ± SE (n = 9) GMFM-88 scores before (black) and after (red) therapy for GMFCS levels IV and V (orange). b GMFM88 scores at the start (black) and end of therapy (red) relative to age of the child at the start of the therapy and c ΔGMFM-88 scores relative to their age at the start of the therapy. All data were tested for normality using the Kolmogorov-Smirnov test. Based on the result of a normal distribution, paired t-tests were used to compare the group mean data before and after therapy. * Significantly different from before therapy at P < 0.05. † Meaningful clinically improvement difference (MCID) = 5 points. Source data are provided as a Source Data file.
生活质量改变
a mean ± SE (n = 12, GMFCS levels I and II, n = 3, GMFCS levels IV and V, n = 9) PedsQL scores before and after therapy. All data were tested for normality using the Kolmogorov-Smirnov test. Based on the result of a normal distribution, paired t-tests were used to compare the group mean data before and after therapy. * Significantly different from before therapy at P < 0.05. Note the max score on the PedsQL is 88 points and a decrease in score represents an improvement in function. b X-Y plot for correlating GMFM-88 scores at start and end of therapy with the PedsQL scores demonstrating that the increase in GMFM-88 scores (improved sensorimotor function of the child) is directly linked to the decrease in PedsQL scores (improved quality of life of parent). Please note, data for n = 12 out of 16 are shown since 4 PedsQL data points were not collected. Source data are provided as a Source Data file.
具体研究数据参见《Nature Communications 》的论文《A pilot study combining noninvasive spinal neuromodulation and activity-based neurorehabilitation therapy in children with cerebral palsy》
来源:MedTF