《中国康复理论与实践》

《中国康复理论与实践》 ›› 2015, Vol. 21 ›› Issue (07): 830-833.

• 特稿 • 上一篇    下一篇

经颅直流电刺激对脑卒中患者上肢运动功能障碍的疗效

尹昱 1，左秀芹 1，吕艳玲 1，贾子善 2，赵振彪 1，槐雅萍 1，闫彦宁 1   

  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-07-25 发布日期:2015-07-25

Effects of Transcranial Direct Current Stimulation on Motor Function of Upper Limbs in Stroke Patients

YIN Yu1, ZUO Xiu-qin1, LÜ Yan-ling1, JIA Zi-shan2, ZHAO Zhen-biao1, HUAI Ya-ping1, YAN Yan-ning1   

  1. 1. Department of Rehabilitation Medicine, Hebei General Hospital, Shijiazhuang, Hebei 050051, China; 2. Centre of Rehabilitation, Chinese PLA General Hospital, Beijing 100853, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-07-25 Online:2015-07-25

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摘要： 目的 探讨经颅直流电刺激(tDCS)对脑卒中患者上肢运动功能障碍恢复的效果。方法 80例脑卒中偏瘫患者随机分为实验组(n=40)与对照组(n=40)。两组均行常规康复训练，实验组行 tDCS 治疗，对照组行伪刺激。治疗前及治疗 1 个月后采用Brunnstrom 上肢和手分级、Fugl-Meyer 评定(FMA)中上肢运动功能、手臂动作调查测试(ARAT)、卒中患者运动功能评估量表(MAS)和改良 Barthel指数(MBI)进行评定。结果 治疗后，两组患者各项评分均优于治疗前(P<0.05)，实验组上肢和手 Brunnstrom分级、FMA、ARAT评分优于对照组(P<0.05)。结论 tDCS有助于改善脑卒中患者上肢运动功能。

关键词: 脑卒中, 经颅直流电刺激, 运动功能, 上肢

Abstract: Objective To investigate the effects of transcranial direct current stimulation (tDCS) on motor function of upper limbs of stroke patients. Methods 80 stroke patients were randomly divided into experimental group and control group. Both groups accepted routine rehabilitation, while the experimental group accepted anodal stimulation, and the control group received sham stimulation. They were assessed with Brunnstrom stages of arms and hands, Fugl-Meyer Assessment (FMA) of upper extremities, Action Research Arm Test (ARAT), Motor Assessment Scale (MAS) and modified Barthel Index (MBI) before and 1 month after treatment. Results All the scores improved in both groups after treatment (P<0.05), and improved more in the Brunnstrom stages of arms and hands, FMA, ARAT in the experimental group than in the control group (P<0.05). Conclusion tDCS may promote the recovery of arms and hands function of stroke patients.

Key words: stroke, transcranial direct current stimulation, motor function, upper limbs