《中国康复理论与实践》

《中国康复理论与实践》 ›› 2018, Vol. 24 ›› Issue (12): 1384-1387.doi: 10.3969/j.issn.1006-9771.2018.12.005

• 专题 脑卒中后上肢和手功能康复 • 上一篇    下一篇

周围神经肌肉磁刺激联合重复经颅磁刺激治疗脑卒中慢性期手功能障碍1例报道

杨青1, 陈树耿1, 邓盼墨2, 赵伟忠3, 贾杰1,2   

  1. 1.复旦大学附属华山医院康复医学科,上海市 200040;
    2.复旦大学附属静安区中心医院康复医学科,上海市 200040;
    3.上海市闵行区马桥社区卫生服务中心,上海市 201111
  • 收稿日期:2018-09-06 修回日期:2018-10-29 出版日期:2018-12-25 发布日期:2019-01-04
  • 通讯作者: 贾杰(1966-),女,博士,博士后,教授,博士研究生导师。贾杰。E-mail: shannonjj@126.com
  • 作者简介:杨青(1989-),女,汉族,陕西扶风县人,博士,医师,主要研究方向：中枢神经系统疾病或损伤导致认知和/或运动功能障碍的机制研究及相关康复评定、治疗技术研究。
  • 基金资助:
    1.上海市科委课题(No. 15441901601; No. 16441905303); 2.国家高技术研究发展计划(863计划)项目(No. SS2015AA020501); 3.上海闵行区自然科学研究课题(No. 2017MHZ27)

Peripheral Magnetic Stimulation and Repetitive Transcranial Magnetic Stimulation for Upper Limb Motor Rehabilitation in Chronic Stroke: A Case Report

YANG Qing1, CHEN Shu-geng1, DENG Pan-mo2, ZHAO Wei-zhong3, JIA Jie1, 2   

  1. 1. Department of Rehabilitation Medicine, Huashan Hospital, Fudan University, Shanghai 200040, China;
    2. Department of Rehabilitation Medicine, Jingan District Center Hospital, Shanghai 200040, China;
    3. Maqiao Community Healthcare Center of Minhang District, Shanghai 201111, China
  • Received:2018-09-06 Revised:2018-10-29 Published:2018-12-25 Online:2019-01-04
  • Contact: JIA Jie. E-mail: shannonjj@126.com
  • Supported by:
    Shanghai Science and Technology Commission Project (No. 15441901601; No. 16441905303), National High Technology Research and Development Program of China (No. SS2015AA020501) and Natural Science Research Project of Shanghai Minhang District (No. 2017MHZ27)

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摘要： 目的 探索周围神经肌肉磁刺激联合重复经颅磁刺激(rTMS)治疗对脑卒中慢性期患者上肢手运动功能障碍的疗效。方法 回顾1例脑卒中病程3年以上、右侧肢体运动功能障碍患者的临床资料。在常规康复基础上,采用偏瘫侧前臂周围神经肌肉磁刺激和双侧大脑半球感觉运动皮质高频rTMS治疗,共4周。结果 治疗后,患者右上肢Fulg-Meyer运动功能评分提高,改良Ashworth量表分级降低。结论 周围神经肌肉磁刺激联合rTMS可能对改善脑卒中慢性期患者偏瘫侧上肢和手运动功能有一定疗效。

关键词: 脑卒中, 手功能, 运动功能, 周围神经肌肉磁刺激, 重复经颅磁刺激

Abstract: Objective To explore the effect of peripheral magnetic stimulation and repetitive transcranial magnetic stimulation (rTMS) on hand and upper limb motor function in a patient with chronic stroke. Methods A case three years after stroke accepted routine rehabilitation, meanwhile he accepted peripheral magnetic stimulation on the paralyzed (right) forearm and rTMS on bilateral sensorimotor cortex in addition, for four weeks. Results The score of Fulg-Meyer Assessment of motor function of upper limb improved after treatment, while his grade of modified Ashworth Scale reduced. Conclusion Peripheral magnetic stimulation combined with rTMS might be an effective treatment for the upper limb motor dysfunction for patients with chronic stroke.

Key words: stroke, hand function, motor function, peripheral magnetic stimulation, repetitive transcranial magnetic stimulation

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