脑机接口控制的功能性电刺激对脑卒中患者上肢功能障碍的康复效果

doi:10.3969/j.issn.1006-9771.2021.07.011

Abstract

Abstract:

Objective To observe the effects of functional electrical stimulation (FES) controlled by brain-computer interface on upper limb motor dysfunction in stroke patients.

Methods From July, 2019 to November, 2020, 34 stroke patients hospitalized in neurological rehabilitation department were randomly divided into control group (n = 17) and experimental group (n = 17). They were treated with simple FES and FES controlled by brain-computer interface, respectively. The reaction time, joint position error of elbow joint, the scores of Fugl-Meyer Assessment-Upper Extremity (FMA-UE), modified Barthel Index (MBI) and event-related desynchronization (ERD) powers of affected upper limb were evaluated before and after intervention.

Results After intervention, the reaction time, joint position error of the elbow joint, the scores of FMA, MBI and ERD power of the affected elbow joint improved in both groups (F > 10.825, |Z| > 3.624, P < 0.05), and they were better in the experimental group than in the control group (F > 5.853, |Z| > 3.201, P < 0.05).

Conclusion FES controlled by brain-computer interface is positive on the rehabilitation of stroke patients with upper limb dysfunction.

Key words: stroke, motor imagery, brain-computer interface, functional electrical stimulation

CLC Number:

R743.3

TANG Qian-tuo,ZHANG Tong. Effects of Functional Electrical Stimulation Controlled by Brain-computer Interface on Upper Limb Dysfunction in Stroke Patients[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(7): 802-806.

Figures/Tables 6

References 26

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组别	n	性别(男/女,n)	年龄(岁)	病程(d)	MMSE评分
对照组	17	11/6	51.27±8.56	50.87±14.87	27.43±0.43
试验组	17	12/5	49.93±8.82	51.53±15.43	27.32±0.54
χ²/t值		0.171	0.796	0.116	0.277
P值		0.679	0.436	0.908	0.784

组别	治疗前	治疗后	F值	P值
对照组	303.75±30.98	277.41±28.50	13.393	0.002
试验组	293.29±30.02	259.25±21.17	15.672	0.001
F值	1.136	5.853
P值	0.302	0.028

组别	治疗前	治疗后	F值	P值
对照组	7.30±0.67	6.70±0.61	10.825	0.005
试验组	7.01±0.58	5.96±1.01	16.662	0.001
F值	2.634	7.212
P值	0.124	0.016

组别	治疗前	治疗后	Z值	P值
对照组	31.94±2.56	44.70±2.36	-3.624	< 0.001
试验组	32.05±2.10	48.52±3.28	-3.625	< 0.001
Z值	-0.070	-3.201
P值	0.944	0.001

组别	治疗前	治疗后	Z值	P值
对照组	55.35±2.99	72.70±3.75	-3.628	< 0.001
试验组	52.23±3.25	78.65±4.92	-3.625	< 0.001
Z值	-1.199	-3.391
P值	0.230	0.001

Effects of Functional Electrical Stimulation Controlled by Brain-computer Interface on Upper Limb Dysfunction in Stroke Patients

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组别	治疗前	治疗后	F值	P值
对照组	12.21±1.69	13.49±1.16	16.970	0.001
试验组	13.12±1.51	15.00±1.35	15.555	0.001
F值	3.645	10.748
P值	0.074	0.005

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