重复外周磁刺激对左右颈7神经交叉移位术后脑卒中患者上肢运动功能的效果

doi:10.3969/j.issn.1006-9771.2023.06.008

Abstract

Abstract:

Objective To explore the effect of repetitive peripheral magnetic stimulation on upper limb motor function rehabilitation of stroke patients after contralateral seventh cervical nerve transfer (CC7).
Methods From May, 2020, to May, 2022, 34 stroke patients with hemiplegia underwent CC7 in Jing'an District Centre Hospital of Shanghai were randomly divided into control group (n = 17) and observation group (n = 17). Both groups received conventional rehabilitation. The observation group accepted repetitive peripheral magnetic stimulation, and the control group received sham stimulation, for eight weeks. They were assessed with Fugl-Meyer Assessment-Upper Extremities (FMA-UE) and Hua-Shan Grading of Upper Extremity (H-S grading) before and after treatment.
Results Two cases dropped down in each group. There was difference in gender between two groups (χ² = 6.136, P < 0.05). After treatment, the scores of FMA-UE and H-S grading significantly improved in both groups (t > 4.000, P < 0.01), and the improvement was better in the observation group than in the control group (t > 2.362, P < 0.05).
Conclusion Repetitive peripheral magnetic stimulation could improve the motor function of upper limb and hand of stroke patients with hemiplegia after CC7.

Key words: stroke, contralateral seventh cervical nerve transfer, repetitive peripheral magnetic stimulation, upper limb, motor function

CLC Number:

R743.3

XU Miaomiao, LI Nan, YING Ying, YANG Kaixiang, YANG Jingrui, LI Jie, QIU Yanqun. Effect of repetitive peripheral magnetic stimulation on upper limb motor function of stroke patients after contralateral seventh cervical nerve transfer[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(6): 686-690.

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References 23

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组别	n	性别(男/女)/n	年龄/岁	病程/年	偏瘫侧(左/右)/n	卒中类型(梗死/出血)/n
对照组	15	10/5	48±14.34	4.033±3.221	10/5	11/4
观察组	15	13/2	46±13.26	3.767±3.017	9/6	9/6
χ²/t值		6.136	1.190	0.436	3.394	0.144
P值		0.013	0.244	0.670	0.065	0.705

组别	n	治疗前	治疗后	差值	t值	P值
对照组	15	31.47±11.98	36.27±12.64	4.800±3.448	5.392	< 0.001
观察组	15	28.53±9.826	36.87±10.39	8.333±4.655	6.934	< 0.001
t值		0.733	0.142	2.362
P值		0.469	0.888	0.025

组别	n	治疗前	治疗后	差值	t值	P值
对照组	15	2.667±1.113	3.200±1.207	0.533±0.516	4.000	0.001
观察组	15	2.067±0.961	3.533±1.302	1.467±0.640	8.876	< 0.001
t值		1.580	0.727	4.396
P值		0.125	0.473	0.001

Effect of repetitive peripheral magnetic stimulation on upper limb motor function of stroke patients after contralateral seventh cervical nerve transfer

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