首页|重复经颅磁刺激联合康复训练在卒中后偏瘫足下垂患者中的应用效果

重复经颅磁刺激联合康复训练在卒中后偏瘫足下垂患者中的应用效果

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目的:观察重复经颅磁刺激联合康复训练在卒中后偏瘫足下垂患者中的应用效果.方法:选取 2020 年 1 月至 2023 年 4 月该院收治的 94 例卒中后偏瘫足下垂患者进行前瞻性研究,按照随机数字表法将其分为对照组和研究组各 47 例.对照组给予康复训练,研究组在对照组基础上联合重复经颅磁刺激治疗,比较两组临床疗效、治疗前后步行功能[Fugl-Meyer运动功能量表(FMA)、功能性步行量表(FAC)]评分、步态参数(步频、步速、步幅、步宽)水平和康复满意度.结果:研究组治疗总有效率为 76.60%(36/47),高于对照组的 51.06%(24/47),差异有统计学意义(P<0.05);治疗后,研究组FMA、FAC评分均高于对照组,差异有统计学意义(P<0.05);研究组步频、步速、步幅、步宽均高于对照组,差异有统计学意义(P<0.05);研究组康复满意度为 87.23%(41/47),高于对照组的68.09%(32/47),差异有统计学意义(P<0.05).结论:重复经颅磁刺激联合康复训练应用于卒中后偏瘫足下垂患者可提高治疗总有效率、步行功能评分、步态参数水平和康复满意度,效果优于单纯康复训练.
Application effects of repetitive transcranial magnetic stimulation combined with rehabilitation training in patients with hemiplegic foot drop after stroke
Objective:To observe application effects of repetitive transcranial magnetic stimulation combined with rehabilitation training in patients with hemiplegic foot drop after stroke.Methods:A prospective study was conducted on 94 patients with hemiplegic foot drop after stroke admitted to this hospital from January 2020 to April 2023.According to the random number table method,they were divided into control group and study group,47 cases in each group.The control group was treated with rehabilitation training,while the study group was treated with repetitive transcranial magnetic stimulation on the basis of that of the control group.The clinical efficacy,the walking function[Fugl-Meyer assessment(FMA),functional ambulation category(FAC)]scores,the gait analysis parameters(stride frequency,pace,stride length,stride width),and the rehabilitation satisfaction were compared between the two groups before and after the treatment.Results:The total effective rate of the study group was 76.60%(36/47),which was higher than 51.06%(24/47)of the control group,and the difference was statistically significant(P<0.05).After the treatment,the FMA and FAC scores of the study group were higher than those of the control group,and the differences were statistically significant(P<0.05).The stride frequency,pace,stride length and stride width of the study group were higher than those of the control group,and the differences were statistically significant(P<0.05).Further,the rehabilitation satisfaction of the study group was 87.23%(41/47),which was higher than 68.09%(32/47)of the control group,and the difference was statistically significant(P<0.05).Conclusions:The repetitive transcranial magnetic stimulation combined with the rehabilitation training in the patients with hemiplegic foot drop after stroke can improve the total effective rate of treatment,the walking function scores,the gait analysis parameter levels and the rehabilitation satisfaction.Moreover,it is superior to single rehabilitation training.

Repetitive transcranial magnetic stimulationRehabilitation trainingStrokeHemiplegiaFoot dropWalking functionSatisfaction

李晓

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新蔡县人民医院康复医学科,河南 驻马店 463500

重复经颅磁刺激 康复训练 卒中 偏瘫 足下垂 步行功能 满意度

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(3)
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