| 努尔加依·沙黑窝拉,贾 杰,张定国.经颅直流电刺激结合功能性电刺激对脑卒中平台期患者上肢运动功能康复影响的研究[J].中国康复医学杂志,2017,(9):1000~1005 |
| 经颅直流电刺激结合功能性电刺激对脑卒中平台期患者上肢运动功能康复影响的研究 点此下载全文 |
| 努尔加依·沙黑窝拉 贾 杰 张定国 |
| 上海交通大学机械与动力工程学院机器人研究所，上海，200240 |
| 基金项目：国家自然科学基金（51475292）；国家高技术研究发展计划（863计划）（2015AA020501） |
| DOI： |
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| 摘要： |
| 摘要
目的：将经颅直流电刺激（tDCS）和功能性电刺激（FES）结合，观察这种联合治疗干预方式对脑卒中平台期患者上肢功能的影响。
方法：3例脑卒中后平台期偏瘫患者在4周基线期后接受4周的tDCS结合FES治疗干预。干预前后用Fugl-Meyer上肢运动功能评分（U-FMA）、表面肌电图（sEMG）、经颅磁刺激（TMS）进行评定。
结果：干预后U-FMA分数较干预前提高。7个主动肌中有5个表面肌电激活性干预前后有明显变化。用TMS成对刺激方法评估受试者健侧大脑短潜伏期皮质内抑制与短潜伏期皮质内易化结果显示部分的干预前后变化。
结论：tDCS结合FES治疗干预改善了受试者上肢的运动功能，该方案可能是针对脑卒中平台期患者的一种有前景的干预康复方案。 |
| 关键词：经颅直流电刺激 功能性电刺激 慢性脑卒中 上肢 运动康复 |
| Investigation on rehabilitation performance of combining tDCS and FES on upper limb motor functions in patients with chronic stroke Download Fulltext |
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| Shanghai Jiao Tong University, 200240 |
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| Abstract: |
| Abstract
Objective: To observe the efficacy of combining transcranial direct current stimulation (tDCS) and functional electrical stimulation (FES) therapy on the upper limb function of chronic stroke patients.
Method: Three subjects with chronic stroke patients received active tDCS + FES therapy for 4 weeks after 4 weeks of baseline observation. Surface electromyography (sEMG), transcranial magnetic stimulation (TMS) and upper limb part of the Fugl-Meyer assessment (U-FMA) were used to assess the performance of the subjects pre-and-post the intervention.
Result: U-FMA scores improved after the intervention. There are five of the seven tested active muscles showed an increasing change in surface electromyography activation levels. Portion of the short latency cortical inhibition and facilitation data of the contralateral hemisphere tested with TMS paired pulse stimulation showed a change post the intervention.
Conclusion: Subjects showed improvement with their upper limb motor function, thus the tDCS combine FES therapy may be a promising rehabilitation method for upper limb motor function of stroke in chronic stages. |
| Keywords:transcranial direct current stimulation functional electrical stimulation chronic stroke, upper limb motor rehabilitation |
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