多重感觉刺激模态的气电手训练系统联合低频重复经颅磁刺激对脑卒中患者手部运动和触压觉的效果

doi:10.3969/j.issn.1006-9771.2025.04.011

Abstract

Abstract:

Objective To explore the effect of the pneumatic and electric hand training system with multiple sensory stimulation modalities combined with low-frequency repetitive transcranial magnetic stimulation on hand movement and tactile pressure sensation in patients with stroke.
Methods From May, 2023 to October, 2024, 62 stroke patients from the First Affiliated Hospital of University of South China were randomly divided into control group (n = 31) and experimental group (n = 31). Both groups received conventional rehabilitation, and 1 Hz low-frequency repetitive transcranial magnetic stimulation in the primary cerebral motor cortex on the unaffected side, while the experimental group received the pneumatic and electric hand training system with multiple sensory stimulation modalities in addition, for four weeks. They were assessed with Fugl-Meyer Assessment-Upper Extremities (FMA-UE), Motor Assessment Scale (MAS), Semmes Weinstein Monofilament Test (SWMT) and modified Barthel index (MBI) before and after treatment.
Results One case dropped out in control group and one in the experimental group. After treatment, the scores of FMA-UE, MAS, SWMT and MBI increased in both groups (|t| > 5.464, P < 0.001), expect the score of SWMT in the control group (P > 0.05), and all scores were better in the experimental group than in the control group (|t| > 2.195, P < 0.05).
Conclusion The pneumatic and electric hand training system with multiple sensory stimulation modalities combined with low-frequency repetitive transcranial magnetic stimulation can improve the motor and tactile pressure function of stroke patients, and improve their activity of daily living.

Key words: stroke, hand function, pneumatic and electric hand training system, multisensory stimulation, low-frequency repetitive transcranial magnetic stimulation

CLC Number:

R743.3

LIU Pengcheng, QU Mengjian, LONG Liping, WANG Yalin, YANG Mingzhu, LIU Peiyong, ZHOU Jun, LIU Jing. Effect of pneumatic and electric hand training system with multiple sensory stimulation modalities combined with low-frequency repetitive transcranial magnetic stimulation on hand movement and tactile pressure sensation in patients with stroke[J]. Chinese Journal of Rehabilitation Theory and Practice, 2025, 31(4): 458-465.

Figures/Tables 5

Table 1

Table 2

Comparison of FMA-UE score before and after training"

组别	n	测试	$x - ± s$	t值	P值
对照组	30	前测	13.93±13.01	-8.740	< 0.001
		后测	19.93±15.38
试验组	30	前测	15.40±13.48	-8.887	< 0.001
		后测	23.83±13.39
治疗前两组均值差			-1.47±3.42	-0.304	0.557
治疗后两组均值差			-3.90±3.72	-2.078	0.043

Table 2

Table 3

Comparison of MAS scores before and after training"

组别	n	测试	$x - ± s$	t值	P值
对照组	30	前测	14.20±10.94	-5.464	< 0.001
		后测	17.07±10.93
试验组	30	前测	16.50±10.55	-8.523	< 0.001
		后测	21.90±9.95
治疗前两组均值差			-2.30±2.77	-0.829	0.411
治疗后两组均值差			-4.83±2.70	-3.080	0.003

Table 3

Table 4

Table 5

Comparison of MBI score before and after training"

组别	n	测试	$x - ± s$	t值	P值
对照组	30	前测	46.03±18.48	-7.387	< 0.001
		后测	61.00±19.40
试验组	30	前测	52.00±19.81	-7.460	< 0.001
		后测	71.67±18.21
治疗前两组均值差			-5.97±4.95	-1.206	0.233
治疗后两组均值差			-10.67±4.86	-2.195	0.032

Table 5

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组别	n	性别(男/女)/n	年龄/岁	病程/d	卒中类型(出血/梗死)/n	偏瘫侧(左/右)/n
对照组	30	24/6	57.97±10.07	27.9(10,39.2)	6/24	17/13
试验组	30	21/9	56.10±11.46	28.6(14,40.0)	9/21	16/14
χ²/t/Z值		0.800	0.670	-0.592	0.800	0.067
P值		0.371	0.506	0.554	0.371	0.795

Effect of pneumatic and electric hand training system with multiple sensory stimulation modalities combined with low-frequency repetitive transcranial magnetic stimulation on hand movement and tactile pressure sensation in patients with stroke

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