《中国康复理论与实践》 ›› 2023, Vol. 29 ›› Issue (6): 691-696.doi: 10.3969/j.issn.1006-9771.2023.06.009
郑莉1,2,3, 鲍治诚2, 张琪2, 任绪艳1, 苏敏1,3()
收稿日期:
2023-03-30
修回日期:
2023-05-29
出版日期:
2023-06-25
发布日期:
2023-07-14
通讯作者:
苏敏(1978-),女,汉族,江苏苏州市人,博士,教授、主任医师,主要研究方向:神经康复。E-mail: 作者简介:
郑莉(1990-),女,汉族,江苏张家港市人,主管治疗师,主要研究方向:神经康复。
基金资助:
ZHENG Li1,2,3, BAO Zhicheng2, ZHANG Qi2, REN Xuyan1, SU Min1,3()
Received:
2023-03-30
Revised:
2023-05-29
Published:
2023-06-25
Online:
2023-07-14
Contact:
SU Min, E-mail: Supported by:
摘要:
目的 探讨经皮耳迷走神经电刺激(taVNS)结合康复机器人训练对亚急性期脑卒中患者上肢功能恢复的影响。
方法 选取2022年3月至2023年3月独墅湖医院和昆山市第一人民医院亚急性期脑卒中患者60例,随机分为常规组(n = 20)、机器人组(n = 20)和联合组(n = 20)。3组均行常规治疗,包括药物治疗、物理疗法和作业治疗,机器人组行假taVNS联合手功能康复机器人进行训练,联合组行taVNS联合手功能康复机器人进行训练,共4周。分别于治疗前后比较Fugl-Meyer评定量表上肢部分(FMA-UE)评分及其手指部分评分、患侧腕背伸肌和指伸肌收缩时的肌电均方根值(RMS)以及经颅磁刺激运动诱发电位(TMS-MEP)潜伏期和振幅。
结果 治疗后,各组FMA-UE及其手指部分评分、腕背伸肌和指伸肌RMS、TMS-MEP潜伏期和振幅均较治疗前改善(t > 2.099, P < 0.05),联合组各项指标最优(F > 9.106, P < 0.001)。
结论 taVNS结合康复机器人能促进中枢神经系统重塑,进一步改善脑卒中患者上肢运动功能。
中图分类号:
郑莉, 鲍治诚, 张琪, 任绪艳, 苏敏. 经皮耳迷走神经电刺激结合康复机器人训练对脑卒中患者上肢功能的效果[J]. 《中国康复理论与实践》, 2023, 29(6): 691-696.
ZHENG Li, BAO Zhicheng, ZHANG Qi, REN Xuyan, SU Min. Effect of transcutaneous auricular vagus nerve stimulation combined with robot-assisted therapy on upper limb function of stroke patients[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(6): 691-696.
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