• 主题
高级搜索  >
历史搜索 清空历史
首页> 中文期刊> 《心血管康复医学杂志》 >低频 r T MS联合 F ES治疗对亚急性期缺血性脑卒中患者下肢痉挛及运动功能的康复作用

低频 r T MS联合 F ES治疗对亚急性期缺血性脑卒中患者下肢痉挛及运动功能的康复作用

         
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

目的:探讨低频(1Hz)重复经颅磁刺激(rTMS)联合功能性电刺激(FES)对亚急性期缺血性脑卒中患者下肢痉挛及运动功能的康复作用.方法:选择入住我院康复科的亚急性期缺血性脑卒中伴下肢痉挛及运动功能障碍的患者92例,随机分为伪刺激+FES组(伪刺激组, 45例) ,低频 rTMS联合 FES治疗组(低频 rTMS组, 47例) .连续治疗3周,治疗前后对患者采用 Fugl—Meyer (FMA )量表评估下肢运动功能;改良 Ashworth 量表(MAS)评估下肢痉挛严重程度,并进行运动诱发电位(MEP)检测.结果:治疗3周后,与治疗前比较,两组FMA评分均显著提高, MAS评分和MEP值显著降低(P均＝0.001) ;且治疗后,与伪刺激组比较,低频rTMS组FMA评分[16.0(13.0 ,23. 5)分比19.0(16.0 ,27.0)分]提高更显著,MAS评分[1.5(1.3 ,1.5)分比1.0(0.5 ,1.5)分]和MEP值[(24. 64 ± 0. 39)ms比(24. 43 ± 0.31)ms]降低更显著( P＜0. 05或＜0.01) .结论:低频rTMS联合FES治疗较伪刺激联合FES治疗能显著改善亚急性期缺血性脑卒中患者下肢痉挛及运动功能.%Objective :To explore rehabilitative effect of low—frequency (1Hz ,LF) repetitive transcranial magnetic stimulation (rTMS) combined functional electrical stimulation (FES) on lower limb spasm and motor function in pa—tients with subacute ischemic stroke (SAIS).Methods : A total of 92 SAIS patients with lower limb spasm and motor dysfunction hospitalized in our department were randomly divided into sham stimulation + FES group (sham stimu—lation group ,n＝45) and low—frequency rTMS + FES group (LF—rTMS group ,n＝47) ,both groups were continu—ously treated for three weeks .Lower limb motor function and spasm severity were assessed by Fugl—Meyer motor as—sessment (FMA) and modified Ashworth scale (MAS) respectively before and after treatment ,and motor evoked potential (MEP) was detected .Results : Compared with before treatment ,there was significant rise in FMA score , and significant reductions in MAS score and MEP in two groups after three—week treatment , P＝ 0.001 all ;com—pared with sham stimulation group ,there was significant rise in FMA score [16. 0 (13.0 ,23. 5 ) scores vs. 19. 0 (16.0 ,27.0) scores] ,and significant reductions in MAS score [1. 5 (1. 3 ,1.5) scores vs. 1. 0 (0. 5 ,1. 5) scores] and MEP [ (24.64 ± 0. 39) ms vs. (24.43 ± 0.31) ms] in LF—rTMS group after treatment , P＜0.05 or ＜ 0. 01 . Conclusion : Compared with sham stimulation + FES ,LF—rTMS + FES can more significantly improve lower limb spasm and motor function in patients with subacute ischemic stroke .

著录项

  • 来源
    《心血管康复医学杂志》 |2019年第2期|134-138|共5页
  • 作者

    HUANG Huayao; LIU Nan; DU Houwei; CHEN Chao; ZHANG Yixian; CHEN Qingfa; CHEN Zhenqiang; JIANG Xinhong; LI Jing; WEI Jin;

  • 作者单位

    Department of Rehabilitation;

    Affiliated Union Hospital of Fujian Medical University;

    Fuzhou;

    Fujian;

    350001;

    China;

    Department of Rehabilitation;

    Affiliated Union Hospital of Fujian Medical University;

    Fuzhou;

    Fujian;

    350001;

    China;

    Department of Rehabilitation;

    Affiliated Union Hospital of Fujian Medical University;

    Fuzhou;

    Fujian;

    350001;

    China;

    Department of Rehabilitation;

    Affiliated Union Hospital of Fujian Medical University;

    Fuzhou;

    Fujian;

    350001;

    China;

    Department of Rehabilitation;

    Affiliated Union Hospital of Fujian Medical University;

    Fuzhou;

    Fujian;

    350001;

    China;

  • 原文格式 PDF
  • 正文语种 chi
  • 中图分类 R743.309;
  • 关键词

    卒中; 经颅磁刺激; 电刺激疗法;

相似文献

  • 中文文献
  • 外文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号