经颅直流电刺激对脑卒中患者上肢运动功能的效果

doi:10.3969/j.issn.1006-9771.2023.03.005

Abstract

Abstract:

Objective To observe the effect of transcranial direct current stimulation (tDCS) on motor function of upper limbs of stroke patients with hemiplegia.

Methods From October, 2020 to October, 2021, 65 patients from Wuhan No.1 Hospital were randomly divided into control group (n = 32) and observation group (n = 33). All the patients received routine rehabilitation and mirror therapy, and the observation group received tDCS in addition, for four weeks. They were assessed with Fugl-Meyer Assessment-Upper Extremities (FMA-UE), Action Research Arm Test (ARAT) and modified Barthel index (MBI) before and after treatment.

Results The scores of FMA-UE, ARAT and MBI improved in the both groups after treatment (|t| > 10.455, Z = -2.793, P< 0.001), and all the scores were better in the observation group than in the control group (|t| > 4.152, Z = -2.045, P< 0.05).

Conclusion The combination of tDCS can effectively promote the recovery of upper limb motor function of stroke patients.

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

CLC Number:

R743.3

PANG Zhengzheng, LÜ Yaxi, GAO Chunhua, YU Liguo, ZHANG Huan. Effect of transcranial direct current stimulation on upper limb motor function of patients with stroke[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(3): 275-279.

Figures/Tables 4

References 30

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组别	n	性别(男/女)/n	年龄/岁	病程/d	卒中性质(出血/梗死)/n	偏瘫侧(左/右)/n
对照组	32	17/15	64.52±5.21	27.62±4.17	14/18	17/15
观察组	33	19/14	63.93±4.98	28.23±4.78	13/20	16/17
χ²/t值		0.081	0.513	0.372	0.063	< 0.001
P值		0.793	0.682	0.716	0.834	0.974

组别	n	治疗前	治疗后	t值	P值
对照组	32	13.91±5.78	27.97±8.15	10.455	< 0.001
观察组	33	14.74±6.25	38.23±6.17	15.343	< 0.001
t值		0.963	4.152
P值		0.329	< 0.001

组别	n	治疗前	治疗后	Z值	P值
对照组	32	1.19±4.21	4.79±10.46	-2.793	< 0.001
观察组	33	1.28±4.32	10.21±14.58	-3.427	< 0.001
Z值		-0.867	-2.045
P值		0.390	0.030

组别	n	治疗前	治疗后	t值	P值
对照组	32	27.45±5.94	37.42±5.98	-11.676	< 0.001
观察组	33	29.23±7.54	62.81±13.41	-10.659	< 0.001
t值		2.894	-7.989
P值		0.057	< 0.001

Effect of transcranial direct current stimulation on upper limb motor function of patients with stroke

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