重复经颅磁刺激对恢复期脑卒中患者步行的效果

doi:10.3969/j.issn.1006-9771.2023.02.005

Abstract

Abstract:

Objective To investigate the effect of repetitive transcranial magnetic stimulation (rTMS) on walking function of stroke patients at recovery stage. Methods From January, 2021 to January, 2022, 60 stroke inpatients at recovery stage from Rehabilitation Hospital Affiliated to Fujian University of Traditional Chinese Medicine were randomly divided into group A (n = 20), group B (n = 20) and group C (n = 20). All the groups accepted conventional rehabilitation therapy and lower limb robot-assisted training, while group B accepted pseudo-rTMS, and group C accepted high-frequency rTMS, for four weeks. They were assessed with Fugl-Meyer Assessment-Lower Extremities (FMA-LE), Timed 'Up and Go' Test (TUGT) and gait analysis before and after treatment. Results The score of FMA-LE, TUGT, pace, stride width, stride, double support phase time, affected side support phase time, affected side swing phase time, healthy side support phase time and healthy side swing phase time improved after treatment in all the groups (|t| > 5.990, P < 0.001), and all the indexes improved the most in group C (F > 3.210, P < 0.05), except double support phase time. Conclusion High-frequency rTMS could facilitate the recovery of lower limb function and walking of stroke patients at recovery stage.

Key words: stroke, walking, repetitive transcranial magnetic stimulation, lower limb robot

CLC Number:

R743.3

MA Qishou, LI Zhongyuan, FU Weiwei, LIN Qian. Effect of repetitive transcranial magnetic stimulation on walking of stroke patients at recovery stage[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(2): 167-173.

Figures/Tables 11

References 34

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组别	n	性别(男/女)/n	年龄/岁	偏瘫侧(左/右)/n	卒中类型(梗死/出血)/n	病程/d
A组	20	13/7	54.85±5.65	11/9	7/13	47.50±5.62
B组	20	10/10	56.10±5.92	9/11	10/10	49.65±6.14
C组	20	9/11	56.75±7.07	12/8	13/7	50.65±5.47
χ²/F值		1.741	0.478	0.938	3.600	1.566
P值		0.419	0.622	0.626	0.165	0.218

组别	n	治疗前	治疗后	t值	P值
A组	20	13.90±1.77	20.90±2.51	-13.927	< 0.001
B组	20	14.20±2.26	21.45±2.35	-15.826	< 0.001
C组	20	14.35±1.93	26.95±2.86^a,b	-24.043	< 0.001
F值		0.107	33.604
P值		0.899	< 0.001

组别	n	治疗前	治疗后	t值	P值
A组	20	30.66±3.14	23.15±2.90	21.597	< 0.001
B组	20	31.95±3.32	24.04±2.14	17.579	< 0.001
C组	20	29.98±4.01	19.68±3.04^a,b	16.683	< 0.001
F值		1.638	14.396
P值		0.203	< 0.001

组别	n	治疗前	治疗后	t值	P值
A组	20	35.71±5.82	49.47±6.41	-9.730	< 0.001
B组	20	34.07±6.46	48.21±6.04	-16.647	< 0.001
C组	20	34.86±6.23	54.60±5.91^a,b	-17.228	< 0.001
F值		0.353	6.109
P值		0.704	0.004

组别	n	治疗前	治疗后	t值	P值
A组	20	22.63±6.10	18.26±4.98	7.268	< 0.001
B组	20	21.81±5.89	17.07±4.19	9.296	< 0.001
C组	20	23.24±6.00	14.42±3.61^a	9.938	< 0.001
F值		0.288	4.186
P值		0.751	0.020

Effect of repetitive transcranial magnetic stimulation on walking of stroke patients at recovery stage

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组别	n	治疗前	治疗后	t值	P值
A组	20	46.88±5.31	53.50±8.69	-6.899	< 0.001
B组	20	47.43±5.28	54.26±8.76	-6.661	< 0.001
C组	20	49.65±5.40	60.05±9.36^a,b	-10.236	< 0.001
F值		1.516	3.210
P值		0.228	0.048

组别	n	治疗前	治疗后	t值	P值
A组	20	44.19±9.09	39.48±6.67	7.119	< 0.001
B组	20	45.13±8.56	38.67±4.86	5.990	< 0.001
C组	20	47.85±8.07	35.64±7.20	10.991	< 0.001
F值		0.981	2.047
P值		0.381	0.139

组别	n	治疗前	治疗后	t值	P值
A组	20	71.07±6.59	67.49±5.13	6.258	< 0.001
B组	20	73.09±7.34	68.04±5.42	9.844	< 0.001
C组	20	71.41±5.05	63.78±5.71^a,b	16.536	< 0.001
F值		0.570	3.643
P值		0.569	0.032

组别	n	治疗前	治疗后	t值	P值
A组	20	28.93±6.59	32.51±5.13	-6.258	< 0.001
B组	20	26.92±7.34	31.97±5.42	-9.844	< 0.001
C组	20	28.60±5.05	36.22±5.71^a,b	-16.536	< 0.001
F值		0.570	3.643
P值		0.569	0.032

组别	n	治疗前	治疗后	t值	P值
A组	20	78.48±4.56	72.31±5.07	9.479	< 0.001
B组	20	79.43±4.99	73.13±4.29	11.966	< 0.001
C组	20	80.33±5.79	68.60±5.84^a,b	16.288	< 0.001
F值		0.649	4.474
P值		0.527	0.016

组别	n	治疗前	治疗后	t值	P值
A组	20	21.52±4.56	27.70±5.07	-9.479	< 0.001
B组	20	20.57±4.99	26.87±4.29	-11.966	< 0.001
C组	20	19.67±5.79	31.41±5.84^a,b	-16.288	< 0.001
F值		0.649	4.474
P值		0.527	0.016

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