高频重复经颅磁刺激对脑卒中患者手功能康复的疗效

doi:10.3969/j.issn.1006-9771.2018.02.012

Abstract

Abstract: Objective To observe the effect of high-frequency repetitive transcranial magnetic stimulation (rTMS) on hand function in patients after stroke.Methods From June, 2016 to September, 2017, 30 stroke patients were randomly divided into control group (n=30) and experimental group (n=30). Both groups received routine training after sham rTMS or 3 Hz rTMS. Fugl-Meyer Assessment (FMA), modified Ashworth Scale (MAS) and modified Barthel Index (MBI) were used to evaluate the hand function and the activities of daily living before and after treatment.Results Finally 27 patients completed the experiment. After treatment, the FMA score increased in both groups (Z>2.070, P<0.05), and the difference value was higher in the experimental group than in the control group (Z=-2.296, P<0.05); the MAS score improved in the experimental group (Z=-2.456, P<0.05), no difference was found in the control group (Z=-0.816, P>0.05), and the difference value was higher in the experimental group than in the control group (Z=-2.792, P<0.01); the MBI score improved in both groups (t>3.085, P<0.01), however, no difference was found in the MBI score and the difference value between two groups (t<0.246, P>0.05).Conclusion High-frequency rTMS could promote the hand function in patients after stroke.

Key words: stroke, hand function, repetitive transcranial magnetic stimulation, high-frequency

CLC Number:

R743.3

XIAO Chang-lin, PAN Cui-huan, CHEN Yan, YE Zheng-mao, FU Zhen, JIANG Rong-rong, LIN Wen-qian, LUO Li-juan. Effect of High-frequency Repetitive Transcranial Magnetic Stimulation on Hand Function in Patients after Stroke[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2018, 24(2): 179-183.

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Effect of High-frequency Repetitive Transcranial Magnetic Stimulation on Hand Function in Patients after Stroke

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