文章摘要
陆操,金丹丹,傅晓倩,张玮涛,曾明,傅建明,王中莉,施爱梅.低频重复经颅磁刺激联合小组模式康复训练对脑卒中偏瘫患者上肢及手功能的影响[J].中国康复,2018,33(5):369-372
低频重复经颅磁刺激联合小组模式康复训练对脑卒中偏瘫患者上肢及手功能的影响
Effect of low frequency repetitive transcranial magnetic stimulation combined with group rehabilitation therapy on upper limb and hand functions in hemiplegic patients after stroke
  
DOI:
中文关键词: 低频重复经颅磁刺激  小组模式康复训练  手功能
英文关键词: Transcranial magnetic stimulation  Group rehabilitation therapy  Hand function
基金项目:
作者单位
陆操 嘉兴市第二医院浙江 嘉兴 314000 
金丹丹 嘉兴市第二医院浙江 嘉兴 314000 
傅晓倩 嘉兴市第二医院浙江 嘉兴 314000 
张玮涛 嘉兴市第二医院浙江 嘉兴 314000 
曾明 嘉兴市第二医院浙江 嘉兴 314000 
傅建明 嘉兴市第二医院浙江 嘉兴 314000 
王中莉 嘉兴市第二医院浙江 嘉兴 314000 
施爱梅 嘉兴市第二医院浙江 嘉兴 314000 
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中文摘要:
      目的:探讨低频重复经颅磁刺激(rTMS)联合小组模式康复训练对脑卒中偏瘫患者上肢功能及手功能的影响。方法:选取脑卒中偏瘫患者72例,随机分为观察组和对照组各36例,2组患者均给予常规药物及康复治疗,对照组患者辅以小组模式康复训练,观察组在小组模式训练的基础上给予rTMS治疗。采用Fugl-Meyer上肢运动功能评分(FMA)、Carroll上肢功能测试(UEFT)及改良Barthel指数(MBI)评价运动功能及日常生活活动能力。结果:经8周治疗后,2组患者FMA-UE、UEFT评分、MBI指数均较治疗前明显提高(P<0.05),且观察组FMA-UE、UEFT评分更高于对照组(P<0.05),MBI指数2组间比较差异无统计学意义。结论:rTMS联合小组模式康复训练能提高训练疗效,改善脑卒中偏瘫患者上肢及手功能障碍,提高患者日常生活活动能力和生活质量。
英文摘要:
      Objective: To study the effect of low frequency repetitive transcranial magnetic stimulation (rTMS) combined with group rehabilitation therapy on the upper limb and hand function in hemiplegic patients after stroke. Methods: Seventy-two stroke survivors with hemiplegia were randomly divided into an experimental group and a control group. All patients in both groups were given basic medication and conventional rehabilitation treatment. In addition, the patients in control group were given group rehabilitation, and those in the experimental group were given rTMS besides group rehabilitation. Fugl-Meyer assessment (FMA), upper extremities functional test (UEFT) and modified Barthel index (MBI) were compared between two groups before and after treatment. Results: At the end of training, FMA-UE scores, UEFT scores, and MBI in both groups were significantly increased as compared with those before training (P<0.001), and the FMA and UEFT scores were significantly higher in experimental group than in control group (P<0.05). Conclusion: Low frequency rTMS combined with group rehabilitation can improve the training effectiveness, upper limb and hand functions, daily living ability and the quality of life.
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