本体感觉神经肌肉促进绳带训练联合重复经颅磁刺激对脑卒中偏瘫患者上肢运动功能的效果

doi:10.3969/j.issn.1006-9771.2023.03.003

Abstract

Abstract:

Objective To investigate the effect of combination of proprioceptive neuromuscular facilitation (PNF) rope training and repetitive transcranial magnetic stimulation (rTMS) on upper limb motor function of stroke patients with hemiplegia.

Methods From March, 2021 to February, 2022, 90 stroke inpatients with hemiplegia in the Department of Rehabilitation Medicine, the Second Affiliated Hospital of Guangxi Medical University were divided into control group (n = 30), rope group (n = 30) and combination group (n = 30) randomly. All the groups received routine rehabilitation, while the control group received routine PNF training, the rope group received PNF rope training, and the combination group received PNF rope training and rTMS, for four weeks. They were assessed with Functional Test for the Hemiplegic Upper Extremity-Hong Kong version (FTHUE-HK), Fugl-Meyer Assessment-Upper Extremities (FMA-UE) and modified Barthel Index (MBI) before and after treatment.

Results The scores of FTHUE-HK, FMA-UE and MBI increased in all the three groups after treatment (t > 2.167, P < 0.05), and they were more in the combination group than in the rope group (P < 0.05), and in the rope group than in the control group (P < 0.05).

Conclusion The combination of PNF rope training and rTMS is more effective on motor function of upper limbs of stroke patients with hemiplegia than PNF training alone.

Key words: stroke, upper extremity, motor function, rope therapy, proprioceptive neuromuscular facilitation, repetitive transcranial magnetic stimulation

CLC Number:

R743.3

LIANG Tianjia, LONG Yaobin, LU Liyan, ZHOU Jinying, HUANG Fucai, WU Yingchao, LONG Yaoxiang, WEI Xiaocui. Effect of proprioceptive neuromuscular facilitation rope training and repetitive transcranial magnetic stimulation on upper limb motor function of stroke patients with hemiplegia[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(3): 262-268.

Figures/Tables 5

References 40

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组别	n	性别(男/女)/n	年龄/岁	病程/d	卒中类型(梗死/出血)/n	偏瘫侧(左/右)/n
对照组	30	18/12	56.02±6.94	116.57±15.21	19/11	14/16
绳带组	30	19/11	54.57±7.83	118.42±16.19	20/10	11/19
联合组	30	17/13	55.16±7.19	115.32±15.81	18/12	12/18
χ²/F值		0.278	0.297	0.295	0.287	0.643
P值		0.870	0.744	0.746	0.866	0.725

组别	n	治疗前	治疗后	t值	P值
对照组	30	2.48±1.02	3.13±1.07	2.408	0.019
绳带组	30	2.55±1.06	3.71±1.08^a	4.199	< 0.001
联合组	30	2.62±1.05	4.29±1.12^a,b	5.958	< 0.001
F值		0.135	8.491
P值		0.874	< 0.001

组别	n	治疗前	治疗后	t值	P值
对照组	30	29.85±5.26	33.24±5.47	2.447	0.018
绳带组	30	28.58±5.06	36.75±5.56^a	2.465	0.017
联合组	30	27.67±5.18	39.87±5.71^a,b	8.668	< 0.001
F值		1.347	10.597
P值		0.265	< 0.001

组别	n	治疗前	治疗后	t值	P值
对照组	30	44.85±9.32	50.13±9.55	2.167	0.034
绳带组	30	43.18±8.15	55.38±9.46^a	5.352	< 0.001
联合组	30	45.27±9.18	60.98±9.87^a,b	6.384	< 0.001
F值		0.463	9.527
P值		0.631	< 0.001

Effect of proprioceptive neuromuscular facilitation rope training and repetitive transcranial magnetic stimulation on upper limb motor function of stroke patients with hemiplegia

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