| 郭丽云,降凌燕,赵亚路.经颅直流电刺激结合感觉功能训练对脑卒中后感觉障碍的疗效观察[J].中国康复,2018,33(6):472-475 |
| 经颅直流电刺激结合感觉功能训练对脑卒中后感觉障碍的疗效观察 |
| Effect of Transcranial Direct Current Stimulation plus Sensory Function Training on Sensory Dysfunction Following Stroke |
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| DOI： |
| 中文关键词: 经颅直流电刺激 感觉功能训练 脑卒中 感觉障碍 |
| 英文关键词: transcranial direct current stimulation sensory function training stroke sensory dysfunction |
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| 中文摘要: |
| 目的：探讨经颅直流电刺激(tDCS)结合感觉功能训练对脑卒中后感觉障碍的影响。方法：将42例脑卒中偏瘫感觉障碍患者随机分为观察组和对照组各21例。2组患者均给与常规药物治疗及偏瘫的常规运动治疗，同时针对感觉障碍进行感觉功能训练，观察组在此基础上增加tDCS治疗，共治疗4周。在治疗前后，分别采用Fugl-Meyer评测法（FMA）评定患者偏瘫肢体的运动功能和感觉功能、采用改良Barthel指数（MBI）评定日常生活活动（ADL）能力。结果：经4周治疗后，2组患者偏瘫侧肢体感觉功能评分、偏瘫上肢运动功能评分、ADL评分治疗后均较治疗前有显著提高（均P＜0.05），观察组治疗后各项评分均更高于对照组（均P<0.05）。结论：tDCS结合感觉功能训练可改善脑卒中恢复期患者偏瘫肢体的本体感觉功能，改善偏瘫上肢运动功能，进而提高患者的日常生活活动能力。 |
| 英文摘要: |
| Objective: To study the effects of transcranial direct current stimulation (tDCS) and sensory function training on sensory dysfunction following stroke. Methods: Forty-two patients were randomly divided into treatment group (n=21) and control group (n=21). Both groups were given routine drug therapy and routine exercise therapy for hemiplegia. Meanwhile, sensory function training was given. The treatment group received tDCS treatment in addition. Before and 4 weeks after treatment, the Fugl-meyer assessment (FMA) was used to assess motor function and proprioception ability, and the modified Barthel index (MBI) was used to evaluate activities of daily living (ADL). Results: After treatment for 4 weeks, the score of motor function, proprioception ability and ADL in both groups was improved significantly (P<0.05). The improvement in the treatment group was more significant than that in the control group (P<0.05). Conclusion: Combination of tDCS and sensory training may further improve the proprioceptive function of hemiplegic limbs in stroke patients, improve the motor function of upper limbs of hemiplegic patients, and then improve the ADL. |
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