| 陶 峰,王传杰,陈本梅,仇慕磊,蒋理想.低频重复经颅磁刺激联合镜像疗法对脑卒中偏瘫患者下肢运动功能及平衡能力的影响[J].中国康复医学杂志,2022,(5):611~615 |
| 低频重复经颅磁刺激联合镜像疗法对脑卒中偏瘫患者下肢运动功能及平衡能力的影响 点此下载全文 |
| 陶 峰 王传杰 陈本梅 仇慕磊 蒋理想 |
| 复旦大学附属金山医院康复医学科，上海市，201508 |
| 基金项目：上海市金山区科技创新资金项目(2020-3-21) |
| DOI：10.3969/j.issn.1001-1242.2022.05.007 |
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| 摘要： |
| 摘要
目的：探讨重复经颅磁刺激(rTMS)联合镜像疗法（MT）对脑卒中偏瘫患者下肢运动功能及平衡能力的影响。
方法：符合标准的60例脑卒中偏瘫患者随机分入对照组（n=20）、磁刺激组（n=20）和联合组（n=20）。对照组仅接受常规康复治疗，磁刺激组在常规康复治疗基础上增加健侧1Hz 重复经颅磁刺激治疗；联合组在常规康复训练基础上增加健侧1Hz重复经颅磁刺激治疗联合镜像疗法。在治疗前、治疗4周后分别以Fugl-Meyer下肢运动功能评定量表（FMA-LE）评估患者下肢运动功能，Berg平衡量表（BBS）评估患者平衡功能。
结果：治疗前，3组患者的下肢FMA-LE评分、BBS评分均无显著性差异（P＞0.05）。治疗4周后，3组患者的下肢FMA-LE评分、BBS评分均较治疗前提高，差异有显著性意义（P＜0.001）；其中磁刺激组和联合组FMA-LE评分、BBS评分改善均较对照组显著（P＜0.05），且联合组各项指标改善最为显著（P＜0.05）。
结论：低频重复经颅磁刺激联合镜像疗法可有效改善脑卒中偏瘫患者下肢运动功能和平衡功能，可以在临床上推广应用。 |
| 关键词：脑卒中 经颅磁刺激 镜像疗法 下肢 运动功能 平衡 |
| Effects of low frequency repetitive transcranial magnetic stimulation combined with mirror therapy on lower limb motor function and balance in stroke patients with hemiplegia Download Fulltext |
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| Jinshan Hospital Affiliated to Fudan University， Shanghai， 201508 |
| Fund Project: |
| Abstract: |
| Abstract
Objective： To evaluate the effects of repetitive transcranial magnetic stimulation (rTMS) combined with mirror therapy (MT) on lower limb motor function and balance ability in stroke patients with hemiplegia.
Method： Sixty stroke patients with hemiplegia were randomly divided into control group (n=20)， magnetic stimulation group (n=20) and the combination group (n=20). The control group only received conventional rehabilitation training（CRT）， while the magnetic stimulation group received CRT+rTMS， and the combination group received CRT+rTMS+MT. Before and 4 weeks after treatment， the lower extremity motor function and balance ability were separately evaluated by the Fugl-Meyer assessment of lower extremity scale (FMA-LE) and Berg balance scale (BBS).
Result： Before treatment， there was no significant difference in FMA-LE and BBS scores among the three groups(P>0.05). After four weeks treatment， the FMA-LE and BBS scores of the three groups were significantly higher than those before treatment(P<0.001). Moreover, the improvement of FMA-LE score and BBS score in the magnetic stimulation group and the combination group were significantly higher than those in the control group（P<0.05）， and the improvement of various indexes in the combination group was the most significant（P<0.05）.
Conclusion： Low frequency repeated transcranial magnetic stimulation combined with mirror therapy can effectively improve the lower limb motor function and balance ability in stroke patients with hemiplegia. It can be popularized and applied in the clinic. |
| Keywords:stroke transcranial magnetic stimulation mirror therapy lower limb motor function balance |
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