文章摘要
间歇性θ短阵脉冲刺激小脑蚓部对脑卒中患者下肢运动功能障碍的影响
Intermittent theta short bursts stimulate vermis cerebellum in stroke patientsThe influence of lower limb motor dysfunction
投稿时间:2023-12-23  修订日期:2023-12-23
DOI:
中文关键词: 脑卒中  康复护理  运动障碍  生活活动能力  间歇性θ短阵脉冲刺激
英文关键词: Stroke  Rehabilitation nursing  Dyskinesia  Living ability  Intermittent θ short burst stimulation
基金项目:
作者单位邮编
彭瑾 海军军医大学第一附属医院脑血管病中心 200082
谢珊 海军军医大学第一附属医院脑血管病中心 
查益 海军军医大学第一附属医院脑血管病中心 
袁绘 海军军医大学第一附属医院脑血管病中心 
呼延梅华 海军军医大学第一附属医院脑血管病中心 
张萍 海军军医大学海军特色医学中心高压氧神经内科 200433
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中文摘要:
      目的 探讨间歇性θ短阵脉冲刺激(iTBS)小脑蚓部对脑卒中患者下肢运动功能障碍的影响。方法 选取2021年2月-2022年7月上海某三甲医院脑血管病中心收治的脑卒中下肢运动障碍患者42例,通过随机数字表法分为iTBS组21例与对照组21例。对照组予基础治疗,即常规康复训练与物理治疗,iTBS组增加对小脑蚓部的iTBS治疗,两组治疗时间均为6次/周,为期2周。两组分别在治疗前后进行下肢Fulg-Meyer量表(FMA-LE)、6min步行测试、60(°)/s 向心伸膝肌力测定、Berg平衡量表(BBS)、改良Ashworth量表(MAS)、Barthel指数量表(BI)的评定。结果 两组患者治疗前FMA-LE、6min步行测试、60(°)/s 向心伸膝肌力测定、BBS、MAS、BI评分均无统计学差异(P>0.05)。两组患者治疗后比较FMA-LE、6min步行测试、60(°)/s 向心伸膝肌力测定、BBS、MAS、BI评分均提高(P<0.05),并且发现iTBS组FMA-LE、60(°)/s 向心伸膝肌力测定、BBS、BI评分显著优于对照组,有统计学差异(P<0.05)。结论 iTBS刺激小脑蚓部治疗能改善脑卒中患者下肢运动功能障碍,提高日常生活活动能力。
英文摘要:
      Objective To investigate the effect of intermittent θ short burst pulse stimulation (iTBS) on lower limb motor dysfunction in stroke patients. Methods A total of 42 stroke patients with lower limb motor disorders admitted to the Cerebrovascular Disease Center of a top-three hospital in Shanghai from February 2021 to July 2022 were selected and divided into iTBS group (21 cases) and control group (21 cases) by random number table method. The control group received basic treatment, that is, routine rehabilitation training and physical therapy, while the iTBS group received additional iTBS treatment for cerebellar vermis. The treatment time of both groups was 6 times/week for 2 weeks. The Fulg-Meyer Scale (FMA-LE), 6min walking test, 60 (°) /s centripetal knee extension muscle strength measurement, Berg Balance Scale (BBS), Modified Ashworth Scale (MAS) and Barthel Index scale (BI) were evaluated before and after treatment. Results There were no significant differences in FMA-LE, 6min walking test,60 (°) /s centripetal knee extension muscle strength measurement,BBS, MAS and BI scores between the two groups before treatment (P > 0.05). After treatment, the scores of FMA-LE, 6min walking test,60 (°) /s centripetal knee extension muscle strength measurement, BBS, MAS and BI were increased between the two groups (P < 0.05), and it was found that the scores of FMA-LE,60 (°) /s centripetal knee extension muscle strength measurement,BBS and BI in iTBS group were significantly better than those in control group, with statistical differences (P < 0.05). Conclusion iTBS stimulation of cerebellar vermis can improve lower limb motor dysfunction and improve the ability of daily living in stroke patients.
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