阴极经颅直流电刺激对右侧脑损伤患者上肢及手指运动功能的影响

doi:10.3969/j.issn.1006-9771.2023.01.012

Abstract

Abstract:

Objective To investigate the effects of cathodic transcranial direct current stimulation (ctDCS) on upper limb and finger dysfunction after right brain injury (RBI).

Methods From October, 2020 to May, 2022, 40 RBI patients in Beijing Bo'ai Hospital were randomly divided into control group and experimental group, with 20 patients in each group. All the patients accepted conventional drug treatment, conventional rehabilitation treatment and functional occupational therapy. The cathode electrode was placed in the M1 area of the uninjured side of brain, then the control group received sham stimulation and the experimental group received stimulation, for four weeks. They were assessed with Fugl-Meyer Assessment-Upper Extremities (FMA-UE) and -Finger, and the modified Barthel Index (MBI) before and after treatment.

Results After treatment, the scores of FMA-UE, FMA-Finger and MBI improved in the two groups (t > 5.627, P < 0.001), and improved more in the experimental group than in the control group (t > 2.161, P < 0.05).

Conclusion ctDCS can effectively improve the motor function of upper limbs and fingers of RBI patients, and improve the ability of activities of daily living.

Key words: right brain injury, cathode transcranial direct current, functional occupational therapy, motor function, upper limb, finger

CLC Number:

LIU Junming, HUANG Fubiao, LIU Jingya, YANG Xu. Effects of cathodic transcranial direct current stimulation on motor function of upper limbs and fingers in patients with right brain injury[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(1): 82-87.

Figures/Tables 4

References 40

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组别	n	性别/n		年龄/岁	病程/d
组别	n	男	女	年龄/岁	病程/d
对照组	20	12	8	61.09±6.96	36.95±22.25
试验组	20	13	7	58.32±10.28	36.59±23.68
χ²/t值		0.107		-1.048	-0.052
P值		0.704		0.301	0.958

组别	n	治疗前	治疗后	t值	P值
对照组	20	15.75±18.90	27.65±20.54	7.794	< 0.001
试验组	20	22.65±18.18	38.40±19.91	5.813	< 0.001
t值		1.906	2.612
P值		0.064	0.013

组别	n	治疗前	治疗后	t值	P值
对照组	20	4.70±9.60	8.75±8.61	5.627	< 0.001
试验组	20	5.70±9.40	12.35±10.05	5.837	< 0.001
t值		1.404	2.161
P值		0.168	0.037

组别	n	治疗前	治疗后	t值	P值
对照组	20	47.65±21.56	59.15±20.79	11.607	< 0.001
试验组	20	51.00±19.97	72.50±16.10	8.212	< 0.001
t值		0.510	2.271
P值		0.613	0.029

Effects of cathodic transcranial direct current stimulation on motor function of upper limbs and fingers in patients with right brain injury

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