不同强度低频重复经颅磁刺激对脑卒中后上肢运动功能障碍的疗效

被引:59
作者
李冰洁
李芳
张通
机构
[1] 中国康复研究中心北京博爱医院神经康复中心
[2] 首都医科大学康复医学院
关键词
脑卒中; 重复经颅磁刺激; 运动; 上肢; 康复;
D O I
暂无
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
目的探讨不同强度低频(1 Hz)重复经颅磁刺激(r TMS)刺激健侧大脑半球M1区对缺血性脑卒中偏瘫患者上肢运动功能康复的效果。方法 2014年12月2015年12月,60例缺血性脑卒中后上肢偏瘫患者随机分为高强度组(n=20)、低强度组(n=20)和对照组(n=20)。三组均给予常规康复,高强度组r TMS每天2次,低强度组每天1次,对照组给予假刺激,每次10 min,共10 d。治疗前后采用运动诱发电位(MEPs)、Fugl-Meyer上肢运动功能评定(FMA)和改良Barthel指数(MBI)进行评定。结果治疗后,高强度组患侧MEPs波幅,高强度组和低强度组FMA、MBI评分均明显优于对照组(P<0.01),高强度组明显优于低强度组(P<0.01)。无严重不良反应发生。结论低频r TMS刺激健侧大脑半球M1区可改善卒中后上肢功能障碍,多次治疗效果更佳。
引用
收藏
页码:1004 / 1007
页数:4
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