首页|重复经颅磁刺激联合全身振动训练治疗脑卒中后偏瘫患者的临床研究

重复经颅磁刺激联合全身振动训练治疗脑卒中后偏瘫患者的临床研究

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目的 观察重复经颅磁刺激联合全身振动训练治疗脑卒中后偏瘫患者的临床效果.方法 选取我院 2021 年6月—2023年6月收治的86例脑卒中后偏瘫患者为研究对象,按照随机数字表法将其分为对照组与观察组,各43例.对照组采用全身振动训练治疗,观察组采用重复经颅磁刺激联合全身振动训练治疗.比较两组患者的运动功能、平衡功能及日常生活活动能力.结果 治疗后,观察组功能性步行量表评分为(3.37±0.57)分,Fugel-Meyer运动功能评定量表(FMA)上肢评分为(39.75±4.69)分,FMA下肢评分为(23.75±2.20)分,均高于对照组的(2.35±0.64)分、(31.78±3.72)分、(19.28±1.85)分,躯干损伤量表评分为(18.76±2.12)分,Berg平衡量表评分为(44.60±4.25)分,均高于对照组的(29.75±3.25)分、(35.59±3.76)分,日常生活能力量表评分为(72.75±7.58)分,高于对照组的(62.16±6.10)分,组间差异有统计学意义(P<0.05).结论 脑卒中后偏瘫患者进行重复经颅磁刺激联合全身振动训练,可改善运动平衡功能,提高日常生活能力.
Clinical Study on Repeated Transcranial Magnetic Stimulation Combined with Whole-Body Vibration Training for the Treatment of Post-Stroke Hemiplegia Patients
Objective To observe the clinical effect of repeated transcranial magnetic stimulation combined with whole-body vibration training in the treatment of post-stroke hemiplegia patients.Methods 86 patients with hemiplegia after stroke admitted to our hospital from June 2021 to June 2023 were selected as the study objects,and were divided into a control group and an observation group according to random number table method,with 43 cases in each group.The control group was treated with whole body vibration training,and the observation group was treated with repeated transcranial magnetic stimulation combined with whole body vibration training.The motor function,balance function and activities of daily living were compared between the two groups.Results After treatment,the functional walking scale score of the observation group was(3.37±0.57)points,the upper limb score of the Fugel-Meyer Motor Function Rating Scale(FMA)was(39.75±4.69)points,and the lower limb score in FMA of the observation group was(23.75±2.20)points,they were higher than(2.35±0.64)points,(31.78±3.72)points and(19.28±1.85)points of the control group,the scores of trunk injury scale was(18.76±2.12)points and Berg Balance Scale was(44.60±4.25)points,which were higher than(29.75±3.25)points and(35.59±3.76)points of the control group,the score of daily living ability scale was(72.75±7.58)points,which was higher than(62.16±6.10)points of the control group,and the differences between two groups were statistically significant(P<0.05).Conclusion Repeated transcranial magnetic stimulation combined with whole-body vibration training can improve motor balance function in patients with post-stroke hemiplegia,improve daily living ability.

Poststroke hemiplegiaRepetitive transcranial magnetic stimulationWhole body vibration trainingMotor function

李慕

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邳州市中医院针灸科,江苏邳州 221300

脑卒中后偏瘫 重复经颅磁刺激 全身振动训练 运动功能

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(4)
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