| 周静，
，刘雅丽.Theta爆发式磁刺激联合镜像治疗对脑卒中恢复期患者上肢运动功能的康复效果[J].神经损伤功能重建,2022,17(知网首发): |
| Theta爆发式磁刺激联合镜像治疗对脑卒中恢复期患者上肢运动功能的康复效果 |
| Effects of Theta Burst Stimulation Combined with Mirror Therapy on Motor Recovery ofUpper Limbs of Patients in Stroke Recovery Period |
| |
| DOI： |
| 中文关键词: 脑卒中 镜像治疗 Theta爆发式磁刺激 运动功能 |
| 英文关键词: stroke mirror therapy Theta burst stimulation motor function |
| 基金项目:湖北省自然科学基
金（No. 2018CFB5
87） |
|
| 摘要点击次数: 1185 |
| 全文下载次数: 1619 |
| 中文摘要: |
| 目的：探讨间断性Theta爆发式磁刺激（iTBS）联合镜像治疗（MT）对脑卒中恢复期患者上肢运动功能
及日常生活活动能力的影响。方法：脑卒中恢复期患者46例随机分为4组：对照组11例、iTBS组12例、MT
组 11 例、联合组 12 例。对照组进行常规康复治疗，治疗组在对照组治疗的基础上分别加用 iTBS、MT 和
iTBS联合MT治疗。所有治疗均为1 次/d，5 d/周，共10次。分别于治疗前（T0）、治疗结束后当天（T1）、治疗
结束后1个月（T2）、3个月（T3），采用美国国立卫生研究院卒中量表（NIHSS）、Fugl-Meyer评定量表上肢部分
（UL-FMA）、Brunnstrom分期（BS）和改良Barthel指数（MBI）对患者进行评估和比较。结果：组内比较，4组 的UL-FMA（近端）、上肢BS、NIHSS和MBI评分在治疗后各时间点较治疗前改善（P＜0.05）；联合组从T1开 始UL-FMA（远端）评分和手部BS评分高于治疗前（P＜0.05），而其他3组从T2开始高于治疗前（P＜0.05）。
组间比较发现，联合组的UL-FMA（近端）（T3）、上肢和手部BS分期（T3）、MBI（T2）高于对照组（P＜0.05），上 肢BS分期（T3）高于MT组（P＜0.05）；iTBS组的上肢BS分期（T3）高于对照组（P＜0.05）。结论：iTBS联合
MT治疗较能更好地促进脑卒中恢复期患者的上肢运动功能和日常生活活动能力。 |
| 英文摘要: |
| To investigate the effects of intermittent theta burst stimulation (iTBS) combined with
mirror image therapy (MT) on upper limb motor function and daily living ability of patients in stroke recovery
period. Methods: Forty-six stroke patients were randomly divided into four groups: control group (n=11), iTBS
group (n=12), MT group (n=11) and combination group (n=12). Patients in control group received routine
rehabilitation treatment, and patients in treatment groups were additionally treated with iTBS, MT and MT
combined with iTBS respectively. All the patients received the therapy 5 days per week for 10 working days.
Patients were evaluated before treatment (T0), then immediately (T1), 1 month (T2) and 3 months (T3) after
treatment. The evaluation included: National Institutes of Health Stroke Scale (NIHSS), upper limb Fugl-Meyer
assessment (UL-FMA), Brunnstrom Scale (BS) and Modified Barthel Index (MBI). Results: On comparison
with baseline data, the UL-FMA (proximal), upper extremity BS, NIHSS and MBI scores of the four groups
were improved after treatment at each time point (P<0.05). For the UL-FMA (distal) score and hand BS, the
combination group increased at T1 (P<0.05), while the other three groups began to increase significantly at T2 (P< 0.05). The UL-FMA (proximal) (T3), upper limb and hand BS (T3) and MBI (T2) in combination group were
significantly higher than those in control group (P<0.05) and the upper limb BS (T3) was also significantly
higher than that in MT group (P<0.05). The upper limb BS (T3) in iTBS group was higher than that in control
group (P<0.05). Conclusion: The combination of iTBS and MT therapy can better promote upper limb motor
function and activities of daily living of patients in stroke recovery period. |
|
查看全文
查看/发表评论 下载PDF阅读器 |
| 关闭 |