低频重复经颅磁刺激改善脑卒中屈肘肌痉挛及运动功能的临床研究

被引：37

作者：

刘思豪

李哲

郭钢花

关晨霞

乐琳

郝道剑

李颖

机构：

[1] 郑州大学第五附属医院康复医学科

来源：

中国康复医学杂志 | 2019年 / 34卷 / 11期

关键词：

脑卒中; 重复经颅磁刺激; 痉挛;

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:探讨低频(1Hz)重复经颅磁刺激(rTMS)干预脑卒中患者健侧大脑半球M1区对患侧屈肘肌痉挛的治疗效果。方法:40例脑卒中伴肘部痉挛患者随机分为rTMS组(n=20)和对照组(n=20)。两组患者均给予常规康复治疗,rTMS组额外给予健侧M1区低频rTMS治疗。治疗前后,两组患者分别测量患侧肘关节被动伸展时肱二头肌及主动伸展时肱三头肌的均方根值(RMS)、运动诱发电位(MEPs)、改良Ashworth分级(MAS)、Fugl-Meyer上肢评定(UFMA)和改良Barthel指数(MBI)。结果:治疗4周后,rTMS组和对照组各组患者患侧肱二头肌的RMS、肱三头肌的RMS、MAS、UFMA和MBI较本组治疗前均明显改善(P<0.05),并且rTMS组患者的改善更为显著(P<0.05)。对照组治疗后MEPs波幅较治疗前无显著性差别(P>0.05),rTMS组治疗后MEPs波幅较前显著提高(P<0.05)。结论:低频rTMS有助于改善脑卒中患者患侧上肢屈肘肌痉挛,提高运动功能。

引用

页码：1328 / 1332

页数：5

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