| 朱冬燕,刘 苏,王 梁,黄志东,倪 隽.重复经颅磁刺激联合任务导向性训练对脑卒中患者下肢功能的影响[J].中国康复医学杂志,2022,(8):1046~1050 |
| 重复经颅磁刺激联合任务导向性训练对脑卒中患者下肢功能的影响 点此下载全文 |
| 朱冬燕 刘 苏 王 梁 黄志东 倪 隽 |
| 南通大学附属医院，江苏省南通市，226001 |
| 基金项目：国家自然科学基金青年科学基金项目（81702223）；南通市科技计划项目 （MS22019006） |
| DOI：10.3969/j.issn.1001-1242.2022.08.006 |
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| 摘要： |
| 摘要
目的：探讨重复经颅磁刺激（rTMS）联合任务导向性训练（TOT）对脑卒中患者下肢功能的影响。
方法：75例脑卒中患者随机分为rTMS组、TOT组和联合组，每组25例。3组患者均接受常规康复训练，在常规康复训练基础之上rTMS组增加rTMS治疗，TOT组增加TOT治疗，联合组给予rTMS治疗联合TOT治疗。治疗前和治疗4周后采用Fugl-Meyer运动量表下肢部分（FMA-LE）、10m最大步行速度（10MWT）、计时起立行走测试（TUGT）和改良Barthel指数（MBI）对3组患者进行康复评估。
结果：治疗4周后，3组患者的FMA-LE、10MWT、TUGT和MBI评分均较治疗前有所改善（P<0.05）。治疗后与rTMS组相比，TOT组和联合组评分明显改善（P<0.05）。与TOT组比较，联合组FMA-LE、10MWT、TUGT和MBI评分改善更为显著（P<0.05）。
结论：rTMS联合TOT能够改善脑卒中患者下肢功能，提高患者的步行功能和日常生活能力。 |
| 关键词：重复经颅磁刺激 任务导向性训练 脑卒中 下肢功能 |
| Effects of repetitive transcranial magnetic stimulation combined with task-oriented training on lower limb function in stroke patients Download Fulltext |
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| Affiliated Hospital of Nantong University， Nantong， 226001 |
| Fund Project: |
| Abstract: |
| Abstract
Objective： To investigate the effect of repetitive transcranial magnetic stimulation (rTMS) combined with task-oriented training (TOT) on lower limb function of stroke patients.
Method： 75 stroke patients were randomly divided into rTMS group， TOT group and combined group with 25 patients in each group. All of these three groups received routine rehabilitation training. In addition， rTMS group received repetitive transcranial magnetic stimulation， TOT group received task-oriented training， combined group received both repetitive transcranial magnetic stimulation and task-oriented training. All of these three groups were assessed using the Fugl-Meyer assessment of lower extremity (FMA-LE)， 10-meter maximum walking test (10MWT)， timed up and go test (TUGT) and modified Barthel index (MBI) before and after the 4 weeks treatment.
Result： The scores of FMA-LE， 10MWT， TUGT and MBI were markedly improved in all groups after treatment(P<0.001). TOT group improved more than rTMS group (P<0.05). And combined group improved even more than TOT group (P<0.05).
Conclusion： rTMS combined with TOT can improve lower limb function， walking function and the ability of daily living of stroke patients more than rTMS or TOT separately. |
| Keywords:repetitive transcranial magnetic stimulation task-oriented training stroke lower limb function |
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