《中国康复理论与实践》

《中国康复理论与实践》 ›› 2018, Vol. 24 ›› Issue (12): 1376-1379.doi: 10.3969/j.issn.1006-9771.2018.12.003

• 专题 脑卒中后上肢和手功能康复 • 上一篇    下一篇

重复外周磁刺激对脑卒中患者上肢痉挛和运动功能的即刻影响

李阳1, 陈树耿2, 王传凯2, 束小康3, 陆海峰4, 贾杰1,2   

  1. 1.上海市静安区中心医院康复医学科,上海市 200040;
    2.复旦大学附属华山医院康复医学科,上海市 200040;
    3.上海交通大学机械与动力学院,上海市 200240;
    4.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,汉族,河南新乡市人,博士,博士后,教授、主任医师,博士研究生导师。贾杰。E-mail: shannonjj@126.com
  • 作者简介:李阳(1994-),男,汉族,上海市人,治疗师,主要研究方向：脑卒中后上肢功能障碍、外周磁刺激。
  • 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)

Immediate Effects of Repetitive Peripheral Magnetic Stimulation on Upper Limb Spasticity and Motor Function for Stroke Patients

LI Yang1, CHEN Shu-geng2, WANG Chuan-kai3, SHU Xiao-kang3, LU Hai-feng4, JIA Jie1, 2   

  1. 1. Department of Rehabilitation, Jing'an District Centre Hospital of Shanghai, Shanghai 200040, China;
    2. Department of Rehabilitation Medicine, Huashan Hospital, Fudan University, Shanghai 200040, China;
    3. Shanghai Jiaotong University School of Mechanical and Engineering, Shanghai 200240, China;
    4. 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 研究重复外周磁刺激对脑卒中患者上肢痉挛的即刻影响。方法 2018年5月至8月,脑卒中患者14例行单次重复外周磁刺激,刺激前后采用改良Ashworth量表(MAS)、改良Tardieu量表(MTS)中的R1和R2、Fugl-Meyer评定量表上肢部分(FMA-UE)进行评定。结果 刺激后,患者上肢FMA-UE评分有明显改善(t = -3.166, P < 0.01)。肩内收肌、肩后伸肌群、肘屈曲肌群、肘伸展肌群、腕屈曲肌群MAS评分均有改善(P < 0.05);MTS肩外展、肩前屈群、肘屈曲、肘伸展、腕伸展的R1均有改善(P < 0.05),肩外展、肩前屈肌群的R2均有改善(P < 0.05)。结论 重复外周磁刺激对脑卒中患者上肢痉挛和运动功能有即刻影响。

关键词: 脑卒中, 重复外周磁刺激, 上肢, 痉挛, 运动功能

Abstract: Objective To investigate the immediate effects of repetitive peripheral magnetic stimulation (rPMS) on upper limb spasticity and motor function for stroke patients. Methods From May to October, 2018, 14 stroke patients accepted rPMS once. They were assessed with modified Ashworth Scale (MAS) and modified Tardieu Scale (MTS) of Upper limb, and Fugl-Meyer Assessment-Upper Extremities (FMA-UE) before and after stimulation. Results The score of FMA-UE impoved (t = -3.166, P < 0.01) after rPMS, as well as those of MAS of shoulder adductors, shoulder extensors, elbow flexors, elbow extensors and wrist flexors (P < 0.05), and R1 of shoulder adductors, shoulder extensors, elbow flexors, elbow extensors and wrist flexors in MTS (P < 0.05), R2 of shoulder adductors and shoulder extensors (P < 0.05). Conclusion rPMS may immediately effect spasticity and motor function on upper limbs in stroke patients.

Key words: stroke, repetitive peripheral magnetic stimulation, upper limbs, spasticity, motor function

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