绳带辅助本体感觉神经肌肉促进技术训练联合绳带辅助脑机接口训练对脑卒中偏瘫上肢康复效果的随机对照试验

doi:10.3969/j.issn.1006-9771.2024.08.013

Abstract

Abstract:

Objective To investigate the effect of combination of rope-assisted proprioceptive neuromuscular facilitation (PNF) training and rope-assisted brain-computer interface (BCI) training on upper limb function in stroke patients with hemiplegia.

Methods From March, 2022 to February, 2023, 96 inpatients with stroke hemiplegia from the Second Affiliated Hospital of Guangxi Medical University were randomly divided into conventional group (n = 32), PNF group (n = 32) and combined group (n = 32). All the groups received routine rehabilitation treatment. The conventional group received upper limb PNF training, the PNF group received upper limb rope-assisted PNF training, and the combined group received both upper limb rope-assisted PNF training and upper limb rope-assisted BCI training, for four weeks. They were assessed with Functiongal 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 intra-group effect (F > 341.219, P < 0.001), inter-group effect (F > 21.705, P < 0.001) and interaction effect (F > 3.171, P < 0.05) were significant in the scores of FTHUE-HK and MBI. The intra-group effect (F =520.472, P < 0.001) and inter-group effect (F = 41.939, P < 0.001) were significant in the scores of FMA-UE, and the interaction effect was not (P > 0.05). After treatment, the FTHUE-HK, FMA-UE and MBI scores were the best in the combined group (P < 0.05).

Conclusions The combination of rope-assisted PNF training with rope-assisted BCI device training could further improve the motor function of the upper limbs in stroke patients with hemiplegia, and enhance their activities of daily living.

Key words: stroke, upper limb, rope therapy, proprioceptive neuromuscular facilitation, brain-computer interface, rehabilitation, randomized controlled trial

CLC Number:

R743.3

LIANG Tianjia, LONG Yaobin, LU Liyan, ZHOU Jinying, HUANG Fucai, HUANG Linpeng, WU Yingchao, LONG Yaoxiang, WEI Xiaocui, LIU Zhong. Effect of rope-assisted proprioceptive neuromuscular facilitation combined with rope-assisted brain-computer interface training on upper limb function in stroke patients with hemiplegia: a randomized controlled trial[J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(8): 972-978.

Figures/Tables 5

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References 40

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组别	n	性别(男/女)/n	年龄/岁	卒中类型(梗死/出血)/n	病程/d	偏瘫侧/(左/右)/n
常规组	32	20/12	58.33±5.87	22/10	21.01±7.21	12/20
PNF组	32	19/13	56.41±4.98	20/12	20.17±6.95	14/18
联合组	32	21/11	57.06±6.04	21/11	23.42±7.15	10/22
χ²/F值		0.267	0.956	0.277	1.805	1.067
P值		0.875	0.388	0.871	0.170	0.587

变量	组别	n	治疗前		治疗后
变量	组别	n	均值	标准差	均值	标准差
FTHUE-HK	常规组	32	2.01	0.65	2.48	0.76
	PNF组	32	2.12	0.81	2.95	0.75
	联合组	32	2.16	0.69	3.35	0.78
FMA-UE	常规组	32	19.32	4.52	22.51	5.33
	PNF组	32	18.95	4.91	25.86	5.64
	联合组	32	19.10	5.02	28.74	5.85
MBI	常规组	32	33.87	6.92	38.25	8.36
	PNF组	32	32.69	7.48	42.67	8.12
	联合组	32	34.05	7.35	47.52	8.95

变量		平方和	自由度	均方	F值	P值
FTHUE-HK	组内	32.505	1	32.505	341.219	< 0.001
	组间	4.135	2	2.068	21.705	< 0.001
	组内×组间	8.573	2	4.286	4.750	0.011
FMA-UE	组内	2073.755	1	2073.755	520.472	< 0.001
	组间	334.198	2	167.099	41.939	< 0.001
	组内×组间	288.010	2	144.005	2.851	0.063
MBI	组内	4134.797	1	4134.797	510.450	< 0.001
	组间	668.375	2	334.187	41.256	< 0.001
	组内×组间	735.542	2	367.771	3.171	0.047

变量	组别	组别	平均值差	P值	95%CI
变量	组别	组别	平均值差	P值	上限	下限
FTHUE-HK	常规组	PNF组	-0.110	0.551	-0.477	0.257
	常规组	联合组	-0.150	0.374	-0.485	0.185
	PNF组	联合组	-0.040	0.832	-0.416	0.336
FMA-UE	常规组	PNF组	0.370	0.755	-1.988	2.728
	常规组	联合组	0.220	0.854	-2.167	2.607
	PNF组	联合组	-0.150	0.904	-2.631	2.331
MBI	常规组	PNF组	1.180	0.515	-2.421	4.781
	常规组	联合组	-0.180	0.920	-3.747	3.387
	PNF组	联合组	-1.360	0.466	-5.066	2.346

变量	组别	组别	平均值差	P值	95%CI
变量	组别	组别	平均值差	P值	上限	下限
FTHUE- HK	常规组	PNF组	-0.470	0.015	-0.847	-0.093
FTHUE- HK	常规组	联合组	-0.870	< 0.001	-1.255	-0.485
	PNF组	联合组	-0.400	0.041	-0.782	-0.018
FMA-UE	常规组	PNF组	-3.350	0.017	-6.092	-0.608
	常规组	联合组	-6.230	< 0.001	-9.027	-3.433
	PNF组	联合组	-2.880	0.049	-5.752	-0.008
MBI	常规组	PNF组	-4.420	0.036	-8.538	-0.302
	常规组	联合组	-9.270	< 0.001	-13.598	-4.942
	PNF组	联合组	-4.850	0.027	-9.120	-0.580

Effect of rope-assisted proprioceptive neuromuscular facilitation combined with rope-assisted brain-computer interface training on upper limb function in stroke patients with hemiplegia: a randomized controlled trial

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