| 周圆,何建华,杨振,张兰,黄一飞.脑机接口联合功能性电刺激对脑卒中患者上肢运动功能的疗效观察[J].中国康复,2025,40(6):349-353 |
| 脑机接口联合功能性电刺激对脑卒中患者上肢运动功能的疗效观察 |
| Therapeutic effect of brain-computer interface (BCI) combined with functional electrical stimulation on upper limb motor function in stroke patients |
| |
| DOI：10.3870/zgkf.2025.06.005 |
| 中文关键词: 脑卒中康复 脑机接口 功能性电刺激 上肢功能 |
| 英文关键词: Stroke rehabilitation Brain-computer interface Functional electrical stimulation Upper limb function |
| 基金项目: |
|
| 摘要点击次数: 1615 |
| 全文下载次数: 863 |
| 中文摘要: |
| 目的：探究脑机接口联合功能性电刺激对脑卒中恢复期患者上肢运动障碍康复的临床疗效。方法：选择脑卒中后上肢功能障碍患者40例，随机分为常规组和脑机组各20例。2组患者均给予常规康复治疗，常规组进行功能性电刺激（FES）治疗，脑机组在常规组基础上加用脑机接口（BCI）训练，在治疗前和治疗4周后将Fugl-Meyer运动功能评定量表（FMA）、手臂动作研究测试量表（ARAT）、Wolf运动功能评价量表（WMFT）、脑电信号准确率及日常生活活动能力量表（改良Barthel指数评定表）作为评价指标评价患者上肢功能康复效果。结果：治疗后4周，2组患者的FMA评分、ARAT评分、WMFT评分、脑电信号准确率及MBI评分均较治疗前明显提高（P＜0.01），且脑机组显著高于常规组（P＜0.01）。结论：与常规功能性电刺激康复比较，BCI联合FES治疗能更有效改善对脑卒中患者上肢运动功能。 |
| 英文摘要: |
| Objective: To explore the clinical efficacy of brain-computer interface (BCI) combined with functional electrical stimulation (FES) in the rehabilitation of upper limb motor dysfunction in stroke patients during the recovery period. Methods: A total of 40 patients with upper limb dysfunction after stroke were selected and randomly divided into a conventional group and a BCI group, with 20 patients in each. Both groups received conventional rehabilitation therapy. The conventional group underwent FES treatment, while the BCI group received additional BCI training. The Fugl-Meyer Assessment (FMA), Action Research Arm Test (ARAT), Wolf Motor Function Test (WMFT), accuracy of electroencephalogram signals, and Modified Barthel Index (MBI) were used as evaluation indicators to assess the rehabilitation effect of upper limb function before treatment and 4 weeks after treatment. Results: Four weeks after treatment, both groups showed significant improvements in FMA, ARAT, WMFT, EEG signal accuracy, and MBI scores (P<0.01). Compared to the conventional group, the brain machine group demonstrated superior performance in FMA, ARAT, WMFT, EEG signal accuracy, and MBI scores (P<0.01). Conclusions: Compared with conventional functional electrical stimulation rehabilitation, BCI combined with FES can more effectively improve upper limb motor function in stroke patients. |
|
查看全文
下载PDF阅读器 HTML全文 |
| 关闭 |
|
|
|
