| 牟谷萼,刘瑶杰,阮智利,戴遥,谢凌锋,艾青松,方征宇.低频rTMS对恢复早期脑卒中患者下肢运动功能的影响[J].中国康复,2021,36(8):465-468 |
| 低频rTMS对恢复早期脑卒中患者下肢运动功能的影响 |
| Effects of low frequency repetitive transcranial magnetic stimulation on motor function of lower extremity in early recovery stroke patients |
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| DOI： |
| 中文关键词: 脑卒中 重复经颅磁刺激 下肢 运动功能 |
| 英文关键词: stroke repetitive transcranial magnetic stimulation lower extremity motor function |
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| 中文摘要: |
| 目的：观察和分析低频重复经颅磁刺激（rTMS）对改善恢复早期脑卒中患者下肢运动功能的影响。方法：选取40例恢复早期脑卒中患者，随机分为观察组和对照组，每组各20例。2组患者均接受常规康复治疗，观察组在此基础上联合1Hz重复经颅磁刺激。治疗前及治疗６周后，分别采用Fugl-Meyer (FMA)量表下肢部分(FMA-LE)评估下肢运动功能；对股直肌、股外侧肌及半腱肌进行表面肌电图（sEMG）检测；并用改良Bathel量表评估患者的日常生活活动能力（ADL）。结果：治疗6周后，２组患者FMA-LE、ADL及sEMG评分均较治疗前明显提高（均P<0.05），且观察组患者FMA-LE、ADL及sEMG评分较对照组患者均有明显提高（均P<0.05）。结论：低频rTMS能改善恢复早期脑卒中患者下肢运动功能。 |
| 英文摘要: |
| Objective: To observe and analyze the effects of low frequency repetitive transcranial magnetic stimulation (rTMS) on motor function of lower extremities in early recovery stroke patients. Methods: Totally, 40 patients with early recovery stroke were randomly divided into control group and observation group (n=20 each). Two groups were given routine rehabilitation treatment. The observation group also received low frequency rTMS additionally. Before and after treatment, two groups were assessed with Fugl-Meyer Motor Assessment-Lower Extremity (FMA-LE) Scale score, surface electromyograpy (sEMG) and modified Barthel index (MBI). Results: There were significant differences in FMA-LE, MBI and sEMG before and after 6 weeks of treatment (P<0.05). There were significant differences in FMA-LE score, MBI and sEMG between two groups. Conclusions: Low frequency rTMS helps to improve the motor function in early recovery stroke patients. |
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