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Updated: May 15, 2026

Repeated Transcranial Magnetic Stimulation Combined with Action Observation Training in Children with Spastic Cerebral Palsy
Published on: August 9, 2024
[The changes in the brain's electrical activity in children with cerebral palsy during the complex rehabilitation]
Insights
Microcurrent therapy (MENS) combined with cortexin significantly improved cognitive and motor skills in children with spastic diplegia cerebral palsy compared to standard therapy alone.
Area of Science:
- Neurology
- Pediatrics
- Rehabilitation Medicine
Background:
- Spastic diplegia cerebral palsy (CP) is a common motor disorder in children.
- Effective rehabilitation strategies are crucial for improving functional outcomes in children with CP.
Purpose of the Study:
- To evaluate the efficacy of microcurrent therapy (MENS) and cortexin in children with spastic diplegia cerebral palsy.
- To compare the effects of MENS alone, MENS with cortexin, and standard therapy on cognitive and motor functions.
Main Methods:
- 105 children (3-7 years) with spastic diplegia CP were divided into three groups.
- Group I received MENS plus standard therapy; Group II received MENS plus cortexin and standard therapy; Group III received standard therapy (massage, gymnastics).
- MENS involved 15 sessions per course; Cortexin was administered intramuscularly (10 mg/day for 10 days).
Main Results:
- 66% of children in the MENS plus cortexin group showed improved cognitive and motor skills, compared to 50% in the MENS group and 16% in the standard therapy group.
- Brain electrical activity improvements were observed in 82% of children receiving MENS plus cortexin, 75% receiving MENS, and 64% receiving standard therapy.
- The combination of MENS and cortexin yielded the most significant positive changes.
Conclusions:
- Microcurrent therapy, particularly when combined with cortexin, demonstrates significant therapeutic benefits for children with spastic diplegia cerebral palsy.
- This combined approach enhances cognitive functions, motor skills, and brain electrical activity more effectively than standard therapy alone.
- Further research into optimizing MENS and pharmacological interventions for pediatric CP is warranted.
Abstract:
One hundred and five children, aged from 3 to 7 years, with the diagnosis "spastic diplegia cerebral palsy" were treated. Patients were stratified into three groups: group I (n=36) received three courses of microcurrent therapy (MENS) in addition to standard treatment; group II (n=38) received three courses of MENS in the combination with two treatment courses with the nootropic drug cortexin; children of group III (n=31) received standard therapy using massage and gymnastics. MENS was carried out in courses, including 15 sessions each, using the apparatus "MEKS". Cortexin was introduced intramuscular in dosage 10 mg, the treatment course consisted of 10 injections. To the end of the rehabilitation program, positive changes were found: 50% patients of group I, 66% patients of group II and 16% patients of group III could perform complex instructions and acquired skills in modeling and recognition of geometric forms. Positive changes in the brain's electrical activity were found in 75% of children in group I, in 82% of children in group II and in 64% of children in group III.
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