骨盆辅助式康复机器人联合重复经颅磁刺激对脑卒中后偏瘫患者下肢功能的影响

被引：26

作者：

施爱梅

郑琦

柏和风

傅建明

顾旭东

姚云海

沈芳

陆操

曾明

机构：

[1] 浙江省嘉兴市第二医院康复医学中心,嘉兴

来源：

中华物理医学与康复杂志 | 2021年 / 43卷 / 08期

关键词：

经颅磁刺激; 康复机器人; 脑卒中; 运动功能;

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：

目的观察骨盆辅助式康复机器人联合重复经颅磁刺激对脑卒中后偏瘫患者下肢功能的影响。方法采用随机数字表法将40例脑卒中后偏瘫患者分为对照组(20例)和实验组(20例), 2组均给予常规康复训练和康复机器人训练, 实验组在此基础上辅以重复经颅磁刺激仪, 刺激部位为健侧第一躯体皮质运动区(M1), 频率1.0 Hz, 强度80%静息运动阈值, 连续刺激20 min, 刺激时间5 s, 间隔时间5 s, 每次予以600个脉冲刺激, 每周5次, 连续治疗8周。于治疗前和治疗8周后(治疗后)采用简式Fugl-Meyer运动量表下肢部分(下肢FMA评分)、Berg平衡量表(Berg评分)和Holden步行功能分级量表(Holden分级)评定2组患者的下肢运动功能、平衡功能和步行能力。结果治疗后, 2组患者的下肢FMA评分、Berg评分和Holden分级均较组内治疗前均显著改善, 差异均有统计学意义(P<0.05), 且实验组的下肢FMA评分、Berg评分和Holden分级分别(22.05±2.93)分、(39.15±2.68)分和(3.45±0.83)级, 明显优于对照组治疗后, 差异均有统计学意义(P<0.05)。结论骨盆辅助式康复机器人联合重复经颅磁刺激可有效地改善脑卒中偏瘫患者的下肢运动功能, 提高其平衡功能和步行能力。

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