经颅直流电刺激联合镜像疗法对脑卒中患者上肢运动功能的影响

doi:10.3969/j.issn.1006-9771.2020.03.007

Abstract

Abstract:

Objective To investigate the effects of combination of transcranial direct current stimulation (tDCS) and mirror therapy (MT) on upper limb motor function after stroke. Methods From April, 2018 to March, 2019, 78 stroke inpatients were randomly assigned into tDCS group (n = 26), MT group (n = 26) and combined group (n = 26). All the patients received their related therapy, respectively, based on routine medicine and rehabilitation. Their motor-evoked potential cortical latency (CL) and central motor conduction time (CMCT) in affected brain area were measured before and four weeks after treatment, while they were assessed with Fugl-Meyer Assessment-Upper Extremity (FMA-UE) and modified Barthel Index (MBI). Results All CL, CMCT, and the scores of FMA-UE and MBI improved significantly in all the groups after treatment (|t| > 2.609, P < 0.05), and improved more in the combined group than in both tDCS group and MT group ( P < 0.05). Conclusion Both tDCS and MT could improve excitability of cerebral cortex of the affected brain area and promote the recovery of upper limb motor function for patient after stroke, and it is more effective in combination mode.

Key words: stroke, upper limb, motor function, transcranial direct current stimulation, mirror therapy

CLC Number:

R743.3

CHEN Hui,CAI Qian,XU Liang,YANG Xi,SONG Peng-fei,LIU Jin,MA Ming,SUN Wu-dong. Effects of Transcranial Direct Current Stimulation and Mirror Therapy on Upper Limb Motor Function for Patients after Stroke[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(3): 301-305.

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References 31

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组别	n	性别(n)		年龄(岁)	病程(d)	偏瘫侧别(n)		卒中类型(n)
组别	n	男	女	年龄(岁)	病程(d)	左侧	右侧	脑出血	脑梗死
tDCS组	26	12	14	61.31±9.13	62.81±18.14	8	18	13	13
MT组	26	10	16	62.46±7.92	64.93±16.02	9	17	14	12
联合组	26	13	13	59.32±8.59	58.92±17.30	10	16	11	15
χ²/ F值		0.726		0.951	0.816	0.340		0.718
P值		0.696		0.391	0.446	0.844		0.698

组别	n	治疗前	治疗后	t值	P值
MT组	26	26.81±1.03	25.80±1.07	3.875	0.001
tDCS组	26	26.84±0.87	26.06±0.97	3.110	0.005
联合组	26	27.16±1.09	23.28±1.05^a,b	16.359	< 0.001
F值		0.990	57.603
P值		0.374	< 0.001

组别	n	治疗前	治疗后	t值	P值
MT组	26	14.06±0.63	13.56±0.77	2.609	0.015
tDCS组	26	14.13±0.72	13.44±0.84	3.058	0.005
联合组	26	14.12±0.63	12.43±0.62^a,b	9.555	< 0.001
F值		0.090	17.738
P值		0.914	< 0.001

组别	n	治疗前	治疗后	t值	P值
MT组	26	22.23±4.11	29.83±4.15	-6.012	< 0.001
tDCS组	26	22.37±3.50	29.21±4.07	-6.468	< 0.001
联合组	26	22.65±4.36	34.91±3.55^a,b	-10.739	< 0.001
F值		0.994	16.474
P值		0.375	< 0.001

组别	n	治疗前	治疗后	t值	P值
MT组	26	32.26±3.75	60.12±5.47	-19.355	< 0.001
tDCS组	26	32.17±4.17	62.38±5.86	-19.397	< 0.001
联合组	26	33.19±4.84	69.06±5.08^a,b	-33.526	< 0.001
F值		0.452	18.710
P值		0.638	< 0.001

Effects of Transcranial Direct Current Stimulation and Mirror Therapy on Upper Limb Motor Function for Patients after Stroke

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