目的 探讨重复经颅磁刺激联合镜像疗法对脑卒中上肢和手康复的影响。方法 一例右侧基底节脑出血患者，间断接受常规康复3个月，效果不满意。采取经颅磁刺激结合镜像疗法康复6周。采用Brunnstrom分期(手/上肢)、Fugl-Meyer评定量表、偏瘫上肢功能评定、改良Ashworth量表、改良Barthel指数、明尼苏达协调性测试和Jebsen手功能测试等进行评定。结果 治疗后，患者偏瘫上肢功能提高，明尼苏达协调性测试与Jebsen手功能测试时间缩短，痉挛缓解。结论 重复经颅磁刺激结合镜像疗法对脑卒中后上肢和手的运动功能恢复有一定疗效。
Objective To explore the effects of repetitive transcranial magnetic stimulation (rTMS) combined with mirror therapy (MT) on upper limb and hand function after stroke.Methods A patient after right basal ganglia hemorrhage accepted intermittent routine rehabilitation for more than three months, and did not satisfy in upper limb and hand function recovery. Then, he accepted rTMS combined with MT for six weeks. He was assessed with Brunnstrom stage, Fugl-Meyer Assessment, limb function evaluation of hemiplegia, modified Ashworth Scale, modified Barthel Index, Minnesota Rate of Manipulation Test and Jebsen Hand Function Test before and after treatment. Results The patient improved in motor function, Minnesota Rate of Manipulation Test and Jebsen Hand Function Test, with spasm relief after treatment. Conclusion rTMS combined with MT can be applied for rehabilitation of upper limbs and hands after stroke.
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