摘要
目的:探讨肌内效贴结合高频重复经颅磁刺激对脑卒中后构音障碍的干预效果.方法:选取75例脑卒中后构音障碍的患者,随机分为对照组、肌内效贴组、联合治疗组3组,每组25例.对照组患者给予常规训练,包括呼吸训练、唇舌操训练、发声发音训练,每天30min,每周5d,共4周.肌内效贴组在对照组的基础上给予肌内效贴治疗,联合治疗组在对照组的基础上给予肌内效贴联合经颅磁刺激治疗.在治疗前、治疗4周后分别对3组患者进行言语响度、言语清晰度、最长发声时(MPT)检测及Frenchay构音障碍评定,比较3组在言语响度、清晰度、呼吸控制能力及构音器官的运动功能方面的差异.结果:治疗前,3组患者的言语响度、言语清晰度、MPT值及Fren-chay构音障碍评分比较差异无统计学意义;治疗4周后,3组言语响度、言语清晰度、MPT值、Frenchay构音障碍评分均高于治疗前(均P＜0.05).联合治疗组言语响度、言语清晰度、MPT值、Frenchay构音障碍评分高于对照组和肌内效贴组(均P＜0.05).结论:肌内效贴与经颅磁刺激联合治疗可以改善脑卒中后构音障碍患者的言语响度、清晰度、呼吸控制能力及构音器官的运动功能.
Abstract
Objective:To explore the intervention effect of Kinesio tape combined with transcranial magnetic stimu-lation(TMS)on post-stroke articulation disorders.Methods:A total of 75 patients with post-stroke articulation dis-orders were randomly divided into 3 groups,with 25 cases in each group.The control group received routine train-ing,including breathing training,lip and tongue exercises,and vocal pronunciation training,for 30 min a day,5 days a week.Observation group 1 was treated with Kinesio tape on the bases of the control group,while observation group 2 was treated with TMS on the bases of observation group 1.The speech loudness,clarity,longest duration of speech(MPT),and Frenchay articulation disorders were evaluated,and differences in speech loudness,clarity,respiratory control ability,and motor function of articulation organs were compared among three groups before and 4 weeks after treatment.Results:Before treatment,there was no statistically significant difference in speech loudness,speech clarity,MPT value,and Frenchay articulation disorder score among the three groups.After 4 weeks of treatment,the speech loudness,speech clarity,MPT value,and Frenchay articulation disorder scores in the combi-nation treatment group were higher than those in the control group and Kinesio tape group(P＜0.05),and the speech loudness,speech clarity,MPT value,and Frenchay articulation disorder scores in the three groups were bet-ter after treatment than before treatment(P＜0.05).Conclusion:The combination of Kinesio tape and TMS can significantly improve the patient's speech loudness,clarity,respiratory control ability,and motor function of articu-latory organs.
基金项目
上海市第二康复医院院内项目(Y-2022-04)
宝山区医学重点专科项目(BSZK-2023-BZ12)
国家科技期刊平台
NSTL
万方数据