| 崔敬苇,王春方,孙长城,张颖,刘斌.基于双向平衡模型探究经颅直流电刺激对脑卒中上肢功能障碍的影响[J].中国康复,2023,38(5):259-263 |
| 基于双向平衡模型探究经颅直流电刺激对脑卒中上肢功能障碍的影响 |
| Effect of transcranial direct current stimulation on upper limb dysfunction in stroke based on the bimodal balance-recovery model |
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| DOI： |
| 中文关键词: 脑卒中 经颅直流电刺激 上肢功能 双向平衡模型 |
| 英文关键词: stroke transcranial direct current stimulation upper limb function bimodal balance-recovery model |
| 基金项目:国家自然科学基金（82102652）；天津市卫健委青年项目（TJWJ2021QN020） |
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| 摘要点击次数: 1938 |
| 全文下载次数: 1928 |
| 中文摘要: |
| 目的：探究经颅直流电刺激（tDCS）基于双向平衡模型的神经调控策略对于脑卒中上肢功能障碍的影响。方法：将40例患者随机分为观察组20例和对照组20例，观察组采用基于双向平衡模型理论下的经颅直流电刺激治疗+常规康复的治疗方案，对照组采用基于半球间竞争模型理论下的经颅直流电刺激治疗+常规康复的治疗方案，进行为期4周的康复治疗，5d／周，共计20次治疗。每位患者治疗前后进行评定，包括改良Ashworth痉挛评定量表、Fugl-Meyer上肢运动功能评定量表、改良Barthel指数评定量表、动作活动记录量表。结果：治疗后，2组患者上肢UEFM评分及肱二头肌、肱三头肌MAS均明显提高(P<0.05)，治疗后观察组上肢UEFM评分明显高于对照组(P<0.05)，观察组肱二头肌、肱三头肌MAS改善程度明显优于对照组(P<0.05)。治疗后2组患者日常生活能力均明显提高(P<0.05)，治疗后观察组MBI、MAL各项评分均高于对照组(P<0.05)。结论：经颅直流电刺激基于双向平衡模型的神经调控策略可显著改善脑卒中患者的上肢功能。 |
| 英文摘要: |
| Objective: To explore the effect of transcranial direct current stimulation on upper limb dysfunction in stroke based on the bimodal balance-recovery model. Methods: A total of 40 patients were randomly divided into experimental group (n=20) and control group (n=20). The experimental group was treated with transcranial direct current stimulation + conventional rehabilitation based on bimodal balance-recovery model theory, and the control group was treated with transcranial direct current stimulation + conventional rehabilitation based on interhemispheric competition model theory. The rehabilitation effect was observed for 4 weeks, 5 days a week, for a total of 20 treatments. Each patient was assessed before and after treatment, including modified Ashworth Spasticity Rating Scale, Fugl-Meyer Upper Limb Motor Function Rating Scale, modified Barthel Index Rating Scale, and Motor Activity Recording Scale. Results： After treatment, the upper limb function of the two groups was significantly improved. After treatment, the UEFM score in the upper limb in the experimental group was significantly higher than that in the control group (P<0.05). The improvement of MAS of the shoulder joint and elbow joint in the experimental group was significantly better than that in the control group (P<0.05). After treatment, the activities of daily living of the two groups were significantly improved, and the scores of MBI and MAL in the experimental group were better than those in the control group after treatment (P<0.05). Conclusion：Transcranial direct current stimulation based on the bimodal balance-recovery model neuromodulation strategy significantly improves upper limb function in stroke patients. |
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