文章摘要
任务导向性训练联合脑机接口在脑卒中偏瘫患者下肢运动功能康复治疗中的应用
The application of task-oriented training combined with brain-computer interface in the rehabilitation therapy of lower limb motor function in post-stroke hemiplegia patients
投稿时间:2024-11-07  修订日期:2024-11-07
DOI:
中文关键词: 任务导向性训练  脑机接口  脑卒中偏瘫  下肢运动功能
英文关键词: Task-oriented training  Brain-computer interface  Post-stroke hemiplegia  Lower limb motor function
基金项目:
作者单位邮编
全超* 十堰市太和医院 442000
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中文摘要:
      目的 探讨任务导向性训练联合脑机接口(BCI)在脑卒中偏瘫(PSH)患者下肢运动功能康复治疗中的应用。方法 选择2023年5月~2024年1月本院收治的老年PSH患者92例,按照完全随机法分为对照组(给予任务导向性训练治疗,n=46)和联合治疗组(给予任务导向性训练+BCI治疗,n=46)。对比两组患者治疗前(T0)、治疗后(T1)的下肢运动功能、三维步态指标、徒手肌力评定(MMT)、身体平衡能力、神经因子、日常生活能力。结果 与T0时刻比较,T1时刻两组Fugl-Meyer肢体功能评定量表(FMA)评分、MMT评分、Berg平衡量表(BBS)评分、改良Barthel指数(MBI)评分、三维步态指标(步速、步频、跨步长比率)均显著升高,且与对照组相比,联合治疗组升高更加显著(P<0.05)。与T0时刻比较,T1时刻两组血清中枢神经特异性蛋白(S100β)、神经元特异性烯醇化酶(NSE)水平均显著降低,且与对照组相比,联合治疗组降低更加显著(P<0.05)。结论 任务导向性训练联合BCI治疗PSH患者,可显著提高患者下肢运动功能及身体平衡性,改善肌力,调节神经因子,进一步提高日常生活能力,促进患者身体康复。
英文摘要:
      To explore the application of task-oriented training combined with brain-computer interface (BCI) in the rehabilitation therapy of lower limb motor function in post-stroke hemiplegia (PSH) patients. Methods: From May 2023 to January 2024, 92 elderly PSH patients admitted to our hospital were randomly assigned into a control group (receiving task-oriented training, n=46) and a combination therapy group (receiving task oriented training+BCI, n=46). The lower limb motor function, three-dimensional gait indicators, manual muscle test (MMT), body balance ability, nerve factors, and daily living ability of the two groups were compared before (T0) and after (T1) therapy. Results Compared with T0, the Fugl-Meyer Assessment (FMA) score, MMT score, Berg Balance Scale (BBS) score, Modified Barthel Index (MBI) score, and three-dimensional gait indicators (step speed, step frequency, stride ratio) in both groups were obviously increased at T1, and the combination therapy group showed a more obvious increase compared to the control group (P<0.05). Compared with T0, the serum levels of soluble protein-100β (S100β) and neuron specific enolase (NSE) were obviously reduced in both groups at T1, and the decrease was more obvious in the combination therapy group compared with the control group (P<0.05). Conclusion: Task-oriented training combined with BCI therapy can obviously improve the lower limb motor function and body balance of patients with PSH, improve muscle strength, adjust nerve factors, further enhance daily living abilities, and promote physical recovery.
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