目的:观察低频重复经颅磁刺激(Low Frequency Repetitive Transcranial Magnetic Stimulation,LF-rTMS)联合推拿治疗对脑卒中后肢体运动功能障碍的疗效。方法:将80例符合纳入标准的脑卒中后肢体运动功能障碍患者采用随机数字表分成治疗...目的:观察低频重复经颅磁刺激(Low Frequency Repetitive Transcranial Magnetic Stimulation,LF-rTMS)联合推拿治疗对脑卒中后肢体运动功能障碍的疗效。方法:将80例符合纳入标准的脑卒中后肢体运动功能障碍患者采用随机数字表分成治疗组和对照组,两组均予以常规药物治疗和康复训练,对照组在此基础上加用LF-rTMS治疗,治疗组在对照组基础上辅以患肢推拿治疗,分别于治疗前、治疗2周后及治疗4周后采用Fug1-Meyer运动功能评分(Fugl-Meyer Assessment,FMA)、改良Barthel指数(Modified Barthel Index,MBI)评分、握力测量仪对患者进行疗效评估。结果:两组治疗前FMA评分、MBI评分及握力值比较均无统计学意义(P>0.05);治疗2周后,两组患者FMA、MBI评分及握力值较治疗前均改善(P<0.05),治疗组在FMA和MBI评分方面优于对照组(P<0.05);治疗4周后,两组患者FMA、MBI评分及握力值均较治疗前进一步改善(P<0.05),且治疗组上述各项指标优于对照组(P<0.05)。结论:LF-rTMS联合患肢推拿能有效促进脑卒中患者肢体运动功能恢复,且具有协同作用,疗效更佳,值得临床推广。展开更多
Objective To discuss the effects of acupuncture plus Tuina(Chinese therapeutic massage)in intervening the mental development,motor function,cerebral hemodynamics,and muscle tone in kids with spastic cerebral palsy(CP)...Objective To discuss the effects of acupuncture plus Tuina(Chinese therapeutic massage)in intervening the mental development,motor function,cerebral hemodynamics,and muscle tone in kids with spastic cerebral palsy(CP).Methods A retrospective analysis was conducted on 87 kids with spastic CP.They were divided into a control group and an observation group based on their original treatment plan.Kids in the control group received symptomatic treatment,motor development therapy,and Tuina treatment.The observation group was additionally given acupuncture treatment.One month was taken as a treatment course.After six courses,the efficacy,change in muscle tone,mental development,gross motor function,fine motor function,and the systolic velocity(Vs),mean velocity(Vm),and pulsatility index(PI)of the anterior cerebral artery(ACA),middle cerebral artery(MCA),and posterior cerebral artery(PCA)were compared between the two groups.Results After treatment,the muscle tone score dropped in both groups(P<0.05)and was significantly lower in the observation group than in the control group(P<0.05).The observation group achieved more significant efficacy than the control group(P<0.05).After the intervention,the mental development index(MDI),psychomotor development index(PDI),gross motor function measure(GMFM)score,and fine motor function measure(FMFM)score all increased in both groups(P<0.05)and were notably higher in the observation group than in the control group(P<0.05).After treatment,the Vs and Vm of the ACA,MCA,and PCA were markedly higher in the observation group than in the control group(P<0.05),and the observation group was significantly lower than the control group comparing the PI of the ACA,MCA,and PCA(P<0.05).Conclusion Based on the symptomatic treatment and motor development therapy,Tuina and acupuncture treatment can effectively treat spastic CP children,manifesting as reducing muscle tone,boosting mental development,and improving motor function and cerebral hemodynamics.展开更多
文摘目的:观察低频重复经颅磁刺激(Low Frequency Repetitive Transcranial Magnetic Stimulation,LF-rTMS)联合推拿治疗对脑卒中后肢体运动功能障碍的疗效。方法:将80例符合纳入标准的脑卒中后肢体运动功能障碍患者采用随机数字表分成治疗组和对照组,两组均予以常规药物治疗和康复训练,对照组在此基础上加用LF-rTMS治疗,治疗组在对照组基础上辅以患肢推拿治疗,分别于治疗前、治疗2周后及治疗4周后采用Fug1-Meyer运动功能评分(Fugl-Meyer Assessment,FMA)、改良Barthel指数(Modified Barthel Index,MBI)评分、握力测量仪对患者进行疗效评估。结果:两组治疗前FMA评分、MBI评分及握力值比较均无统计学意义(P>0.05);治疗2周后,两组患者FMA、MBI评分及握力值较治疗前均改善(P<0.05),治疗组在FMA和MBI评分方面优于对照组(P<0.05);治疗4周后,两组患者FMA、MBI评分及握力值均较治疗前进一步改善(P<0.05),且治疗组上述各项指标优于对照组(P<0.05)。结论:LF-rTMS联合患肢推拿能有效促进脑卒中患者肢体运动功能恢复,且具有协同作用,疗效更佳,值得临床推广。
文摘Objective To discuss the effects of acupuncture plus Tuina(Chinese therapeutic massage)in intervening the mental development,motor function,cerebral hemodynamics,and muscle tone in kids with spastic cerebral palsy(CP).Methods A retrospective analysis was conducted on 87 kids with spastic CP.They were divided into a control group and an observation group based on their original treatment plan.Kids in the control group received symptomatic treatment,motor development therapy,and Tuina treatment.The observation group was additionally given acupuncture treatment.One month was taken as a treatment course.After six courses,the efficacy,change in muscle tone,mental development,gross motor function,fine motor function,and the systolic velocity(Vs),mean velocity(Vm),and pulsatility index(PI)of the anterior cerebral artery(ACA),middle cerebral artery(MCA),and posterior cerebral artery(PCA)were compared between the two groups.Results After treatment,the muscle tone score dropped in both groups(P<0.05)and was significantly lower in the observation group than in the control group(P<0.05).The observation group achieved more significant efficacy than the control group(P<0.05).After the intervention,the mental development index(MDI),psychomotor development index(PDI),gross motor function measure(GMFM)score,and fine motor function measure(FMFM)score all increased in both groups(P<0.05)and were notably higher in the observation group than in the control group(P<0.05).After treatment,the Vs and Vm of the ACA,MCA,and PCA were markedly higher in the observation group than in the control group(P<0.05),and the observation group was significantly lower than the control group comparing the PI of the ACA,MCA,and PCA(P<0.05).Conclusion Based on the symptomatic treatment and motor development therapy,Tuina and acupuncture treatment can effectively treat spastic CP children,manifesting as reducing muscle tone,boosting mental development,and improving motor function and cerebral hemodynamics.
