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| 重复经颅磁刺激联合悬吊运动训练对脑卒中后偏瘫患者平衡能力及运动功能的影响 |
| The effects of repetitive transcranial magnetic stimulation combined with suspension exercise training on balance ability and motor function in post-stroke hemiplegic patients |
| 投稿时间：2025-03-31 修订日期：2025-03-31 |
| DOI： |
| 中文关键词: 重复经颅磁刺激 悬吊运动训练 脑卒中后偏瘫 平衡能力 运动功能 |
| 英文关键词: Repetitive transcranial magnetic stimulation Suspension exercise training Post-stroke hemiplegia Balance ability Motor function |
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| 中文摘要: |
| 目的 探讨重复经颅磁刺激（rTMS）联合悬吊运动训练对脑卒中后偏瘫患者平衡能力及运动功能的影响。方法 选取本院收治的82例脑卒中后偏瘫患者（2019年9月~2024年7月）为研究对象，按照随机数字表法，将患者分为悬吊运动组和联合组，各41例。悬吊运动组患者给予悬吊运动训练治疗，联合组在此基础上给予rTMS治疗。观察治疗前（T0）和治疗2周后（T1），两组患者平衡能力、运动功能、日常生活活动能力以及步行能力。结果 T1时刻，悬吊运动组和联合组患者睁眼、闭眼状态运动椭圆面积和运动距离以及10 m步行测试（10 MWT）显著降低，Berg平衡量表（BBS）、上肢运动功能评定量表（FMA-UE）、下肢运动功能评定量表（FMA-LE）、改良Barthel指数（MBI）、Holden步行功能分级（Holden）水平显著升高（P<0.05），且两组患者之间上述指标差异均达到显著水平（P<0.05）。结论 rTMS联合悬吊运动训练可有效改善脑卒中后偏瘫患者平衡能力及运动功能。 |
| 英文摘要: |
| To investigate the effects of repetitive transcranial magnetic stimulation (rTMS) combined with suspension exercise training on balance ability and motor function in post-stroke hemiplegic patients. Methods: Eighty-two patients with post-stroke hemiplegia admitted to our hospital (from September 2019 to July 2024) were included as subjects. According to the random number table method, the patients were assigned into a suspension exercise group and a combination group, with 41 cases in each group. Patients in the suspension exercise group received suspension exercise training treatment, while those in the combination group received rTMS treatment on this basis. The balance ability, motor function, activities of daily living and walking ability of both groups were observed before treatment (T0) and after 2 weeks of treatment (T1). Results At T1, the motor elliptical area and motor distance of eye opening and closing states, 10-meter walking test (10 MWT) were prominently reduced in the suspension exercise group and the combination group, the levels of Berg Balance Scale (BBS), Fugl-Meyer Assessment-Upper Extremity Scale (FMA-UE), Fugl-Meyer Assessment-Lower Extremity Scale (FMA-LE), Modified Barthel Index (MBI) and Holden Functional Ambulation Category Scale (Holden) were prominently increased (P<0.05), and the differences in the above indicators between the two groups reached a prominent level (P<0.05). Conclusion: The rTMS combined with suspension exercise training can effectively improve the balance ability and motor function of post-stroke hemiplegic patients. |
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