首页|基于镜像神经元系统的动作观察训练联合重复经颅磁刺激技术在脑卒中偏瘫患者中的应用效果

基于镜像神经元系统的动作观察训练联合重复经颅磁刺激技术在脑卒中偏瘫患者中的应用效果

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目的 探讨对脑卒中偏瘫患者使用基于镜像神经元系统的动作观察训练联合重复经颅磁刺激技术的应用效果.方法 选取 2020 年 3 月—2023 年3月该院收治的 80例脑卒中偏瘫患者为研究对象,按照随机数表法将其分为对照组与观察组,每组 40 例.对照组采用常规治疗联合重复经颅磁刺激技术,观察组在对照组基础上采用基于镜像神经元系统的动作观察训练.对比两组患者的肢体运动功能、手指运动功能、日常生活能力及生活质量.结果 治疗前,两组Fugl-Meyer运动功能、手臂动作调查测试、改良Barthel指数及脑卒中专用生活质量评分比较,组间差异无统计学意义(P>0.05);治疗后,观察组Fugl-Meyer运动功能评分为(14.51±3.23)分,手臂动作调查测试评分为(26.86±5.25)分,改良Barthel指数评分为(53.02±4.43)分,脑卒中专用生活质量评分为(97.11±12.23),均高于对照组,组间差异有统计学意义(P<0.05).结论 基于镜像神经元系统的动作观察训练联合重复经颅磁刺激技术治疗脑卒中偏瘫,不仅能改善肢体运动功能和手指运动功能,还能提高其日常生活能力及生活质量.
The Effect of Motion Observation Training Based on Mirror Neuron System Combined with Repetitive Transcranial Magnetic Stimulation in Stroke Patients with Hemiplegia
Objective To explore the effect of motion observation training based on mirror neuron system combined with repetitive transcranial stimulation on stroke patients with hemiplegia.Methods 80 patients with stroke hemiplegia admitted to our hospital from March 2020 to March 2023 were selected as the research objects,and were divided into a control group and an observation group according to random number table method,with 40 cases in each group.The control group received conventional treatment combined with repetitive transcranial magnetic stimulation,and the observation group received motion observation training based on mirror neuron system on the basis of the control group.Limb motor function,finger motor function,daily living ability and quality of life were compared between the two groups.Results Before treatment,there were no significant differences in the scores of Fugl-Meyer motor function,arm movement survey test,modified Barthel index and stroke specific quality of life score between the two groups(P>0.05);after treatment,Fugl-Meyer Motor Function score(14.51±3.23)points,Arm Movement Survey Test score(26.86±5.25)points,Modified Barthel Index score(53.02±4.43)points and Stroke Specific Quality of Life score(97.11±12.23)points of the observation group were which were higher than those of the control group,and the differences between groups were statistically significant(P<0.05).Conclusion The combination of motion observation training based on mirror neuron system and repetitive transcranial magnetic stimulation in the treatment of hemiplegia can improve the limb motor function and finger motor function of patients with stroke,and improve their daily living ability and quality of life.

StrokeHemiplegiaMirror neuron systemRepetitive transcranial magnetic stimulationSports functionDaily living ability

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江苏省淮安市洪泽区人民医院康复科,江苏淮安 223100

脑卒中 偏瘫 镜像神经元系统 重复经颅磁刺激 运动功能 日常生活能力

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(6)
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