经颅直流电刺激对脑卒中患者上肢运动功能康复的效果

doi:10.3969/j.issn.1006-9771.2021.09.013

Abstract

Abstract:

Objective To explore the effect of transcranial direct current stimulation on upper limb motor function for stroke patients.Methods From December, 2017 to December, 2019, 50 first stroke patients in rehabilitation medicine department within six months were randomly divided into control group (n = 25) and experimental group (n = 25). All the patients accepted upper limbs routine rehabilitation and upper limb robot assisted training, while the experimental group accepted transcranial direct current stimulation in addition, for two weeks. They were evaluated with Reconn upper limb rehabilitation robot evaluation system, simple Fugl-Meyer Assessment-Upper Extremities (FMA-UE), Carroll Upper Extremity Function Test (UEFT) and modified Barthel Index (MBI).Results There was no significant difference in all the scores between two groups before treatment (|t| < 2.954, P > 0.05). All the scores improved after treatment (|t| > 7.551, P < 0.001), and improved more in the experimental group than in the control group (|t| > 2.639, P < 0.05).Conclusions Transcranial direct current stimulation can further improve the upper limb motor function and activities of daily living for stroke patients.

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

WANG Wei,SONG Wei-qun,ZHANG Yan-ming,HU jie,YAN li,ZHANG Da-hua. Effect of Transcranial Direct Current Stimulation on Upper Limb Motor Function for Patients with Stroke[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(9): 1082-1086.

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组别	n	性别（n）		年龄（岁）	病程（d）	病变性质（n）		病变侧（n）
组别	n	男	女	年龄（岁）	病程（d）	梗死	出血	左	右
对照组	25	17	8	58.2±5.031	23.4±6.572	20	5	17	8
试验组	25	16	9	57.5±5.352	22.9±6.053	19	6	18	7
χ²/t值		0.542		0.082	0.834	0.191		< 0.001
P值		0.441		0.921	0.422	0.532		0.991

组别	n	治疗前	治疗后	t值	P值
对照组	25	35.36±14.862	50.08±16.807	-13.372	< 0.001
试验组	25	32.56±13.509	62.16±15.534	-14.090	< 0.001
t值		-0.697	2.639
P值		0.489	0.011

组别	n	治疗前	治疗后	t值	P值
对照组	25	13.80±2.753	24.44±3.453	-16.693	< 0.001
试验组	25	14.80±3.027	42.20±4.546	-32.672	< 0.001
t值		1.222	15.555
P值		0.228	< 0.001

组别	n	治疗前	治疗后	t值	P值
对照组	25	14.24±7.671	30.52±16.350	-7.551	< 0.001
试验组	25	13.56±6.103	44.96±21.879	-9.238	< 0.001
t值		-0.347	2.643
P值		0.730	0.011

组别	n	治疗前	治疗后	t值	P值
对照组	25	27.00±5.951	36.40±5.866	-10.666	< 0.001
试验组	25	35.20±12.539	61.80±14.133	-9.569	< 0.001
t值		2.954	-8.299
P值		0.055	< 0.001

Effect of Transcranial Direct Current Stimulation on Upper Limb Motor Function for Patients with Stroke

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