摘要
目的探讨高精度经颅直流电刺激(HD-tDCS)联合康复机器人对亚急性期脑卒中患者上肢和手功能障碍的康复效果。方法2019年12月至2021年12月,浙江省人民医院住院的亚急性期脑卒中患者50例,随机分为对照组(n=25)和试验组(n=25),两组均接受常规康复治疗,在此基础上对照组接受HD-tDCS假刺激联合康复机器人治疗,试验组接受HD-tDCS联合康复机器人治疗,共4周。治疗前后采用上肢动作研究测试量表(ARAT)、Fugl-Meyer评定量表上肢部分(FMA-UE)和运动功能评定量表(MAS)评定上肢和手功能。结果干预后,两组ARAT、FMA-UE和MAS评分均较治疗前明显升高(∣Z∣>3.320,t>6.379,P<0.01);试验组FMA-UE、MAS评分优于对照组(Z=-2.379,t=3.181,P<0.05),试验组ARAT的抓和粗大运动评分优于对照组(∣Z∣>2.033,P<0.05)。结论HD-tDCS联合康复机器人能够改善亚急性期脑卒中患者上肢和手功能,效果优于单纯康复机器人治疗。
Objective To investigate the effect of high-definition transcranial direct current stimulation(HD-tDCS)combined with rehabilitation robot on upper limb and hand dysfunction in patients with subacute stroke.Methods From December,2019 to December,2021,50 inpatients with subacute stroke in Zhejiang Provincial People's Hospital were randomly divided into control group(n=25)and experimental group(n=25).Both groups received routine rehabilitation therapy,while the control group added sham HD-tDCS combined with rehabilitation robot,and the experimental group added HD-tDCS combined with rehabilitation robot,for four weeks.The upper limb and hand function was assessed with Action Research Arm Test(ARAT),Fugl-Meyer Assessment-Upper Extremities(FMA-UE)and Motor Assessment Scale(MAS)before and after treatment.Results After treatment,the scores of ARAT,FMA-UE and MAS increased in the two groups(∣Z∣>3.320,t>6.379,P<0.01),while the scores of FMA-UE and MAS were higher in the experimental group than in the control group(Z=-2.379,t=3.181,P<0.05),as well as the scores of grasping and gross motor of ARAT(∣Z∣>2.033,P<0.05).Conclusion The combination of HD-tDCS and rehabilitation robot can be more effective on upper limb and hand function in patients with subacute stroke than rehabilitation robot alone.
作者
曾雅琴
程瑞动
张利
房珊
戴允兰
吕倩
龚心怡
叶祥明
ZENG Yaqin;CHENG Ruidong;ZHANG Li;FANG Shan;DAI Yunlan;LÜQian;GONG Xinyi;YE Xiangming(Department of Rehabilitation Medicine,Zhejiang Provincial People's Hospital/People's Hospital of Hangzhou Medical College,Rehabilitation&Sports Medicine Research Institute of Zhejiang Province,Hangzhou,Zhejiang 310014,China)
出处
《中国康复理论与实践》
CSCD
北大核心
2023年第11期1327-1332,共6页
Chinese Journal of Rehabilitation Theory and Practice
基金
浙江省医药卫生科技项目(No.2022KY499,No.2023KY058)
国家重点研发计划项目(No.2017YFC1308500)。
关键词
脑卒中
经颅直流电刺激
上肢
康复机器人
stroke
transcranial direct current stimulation
upper limb
rehabilitation robot
