目的 观察重复经颅磁刺激(rTMS)联合头眼运动对脑卒中后偏瘫患者下肢运动及平衡功能的影响。 方法 选取脑卒中后偏瘫患者40例，按照随机数字表法分为对照组与观察组，每组20例。2组患者均给予常规药物及康复治疗，观察组在此基础上增加rTMS治疗及头眼运动，rTMS治疗每日1次，共20 d，头眼运动每次每个动作1 min，每日2次，每周5 d，连续4周。分别于治疗前及治疗4周后(治疗后)，采用Fugl-Meyer评估量表下肢部分(FMA-LE)、Berg平衡量表(BBS)、起立行走测试(TUG)、改良Barthel指数(MBI)评估患者的下肢运动与平衡功能。 结果 治疗前，2组患者FMA-LE、BBS、TUG、MBI比较，差异无统计学意义(P>0.05)。治疗4周后，2组患者FMA-LE、BBS、MBI评分均较组内治疗前增加，TUG用时均较组内治疗前缩短(P<0.05)。观察组治疗后FMA-LE[(27.05±4.06)分]、BBS[(39.00±5.85)分]、TUG[(18.15±3.22)s]、MBI[(66.55±8.67)分]改善优于对照组(P<0.05)。 结论 rTMS联合头眼运动可显著改善脑卒中后偏瘫患者的下肢运动及平衡功能。 Objective To observe any effect of supplementing head-eye movement with repeated transcranial magnetic stimulation (rTMS) on the lower limb movement and balance of hemiplegic stroke survivors. Methods Forty stroke survivors with hemiplegia were divided at random into a control group and an observation group, each of 20. Both groups received conventional medication and head-eye movement rehabilitation training, while the observation group was additionally provided with rTMS daily for 20 days. The head-eye movement training involved one minute for each movement, twice a day, five days a week for 4 weeks. Before and after the treatments, both groups were assessed using the Fugl-Meyer Assessment Scale for the Lower Extremities (FMA-LE), the Berg Balance Scale (BBS), timed up and go tests (TUGs), and the Modified Barthel Index (MBI). Results The treatment improved both groups′ average FMA-LE, BBS and MBI scores significantly, and significantly shortened their average TUG times. The observation group showed significantly greater improvement than the control group, on average. Conclusion Combining rTMS with head-eye movement can significantly improve the lower limb movement and balance of hemiplegic stroke survivors.
Combining transcranial magnetic stimulation with head-eye movement improves the lower limb movement and balance of hemiplegic stroke survivors
Objective To observe any effect of supplementing head-eye movement with repeated transcranial magnetic stimulation (rTMS) on the lower limb movement and balance of hemiplegic stroke survivors. Methods Forty stroke survivors with hemiplegia were divided at random into a control group and an observation group, each of 20. Both groups received conventional medication and head-eye movement rehabilitation training, while the observation group was additionally provided with rTMS daily for 20 days. The head-eye movement training involved one minute for each movement, twice a day, five days a week for 4 weeks. Before and after the treatments, both groups were assessed using the Fugl-Meyer Assessment Scale for the Lower Extremities (FMA-LE), the Berg Balance Scale (BBS), timed up and go tests (TUGs), and the Modified Barthel Index (MBI). Results The treatment improved both groups′ average FMA-LE, BBS and MBI scores significantly, and significantly shortened their average TUG times. The observation group showed significantly greater improvement than the control group, on average. Conclusion Combining rTMS with head-eye movement can significantly improve the lower limb movement and balance of hemiplegic stroke survivors.
StrokeTranscranial magnetic stimulationEye movementMotor function of the lower extremitiesBalance
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