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

被引：2

作者：

彭瑾 ^{[1
]}

谢珊 ^{[1
]}

查益 ^{[1
]}

袁绘 ^{[1
]}

呼延梅华 ^{[1
]}

张萍 ^{[2
]}

机构：

[1] 海军军医大学第一附属医院脑血管病中心

[2] 海军军医大学海军特色医学中心高压氧神经内科

来源：

神经损伤与功能重建 | 2025年 / 20卷 / 01期

关键词：

脑卒中; 运动障碍; 生活活动能力; 间歇性θ短阵脉冲刺激;

D O I：

10.16780/j.cnki.sjssgncj.20230799

中图分类号：

R743.3 [急性脑血管疾病（中风）];

学科分类号：

100204 [神经病学];

摘要：

目的：探讨间歇性θ短阵脉冲刺激（intermittent theta-burst stimulation,iTBS）小脑蚓部对脑卒中患者下肢运动功能障碍的影响。方法：脑卒中后下肢运动障碍患者42例，随机分为iTBS组21例与对照组21例。2组均予常规康复训练与物理治疗，iTBS组增加对小脑蚓部的iTBS治疗，治疗2周。2组分别在治疗前后进行下肢Fulg-Meyer量表（Fugl-Meyer assessment of Lower erxtremity,FMA-LE）、6 min步行测试、60°/s向心伸膝肌力测定、Berg平衡量表（Berg balance scale,BBS）、改良Ashworth量表（modified Ashworth scale,MAS）、Barthel指数（Barthel index,BI）的评定。结果：治疗前2组患者的FMA-LE、6 min步行测试、60°/s向心伸膝肌力测定、BBS、MAS、BI评分差异均无统计学意义（P>0.05）。治疗后2组患者的FMA-LE、6 min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）,iTBS组的FMA-LE、60°/s向心伸膝肌力测定、BBS、BI评分优于对照组（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。

引用

页码：21 / 25

页数：5

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