低頻重復經顱磁刺激聯合智能運動反饋訓練對恢復期腦卒中患者上肢運動功能的影響

吳李秀　　俞坤強　　戴夢圓　　周敏亞

[關鍵詞] 低頻重復經顱磁刺激;智能運動反饋訓練;腦卒中;上肢運動功能

[中圖分類號] R743.3? ? ? ? ? [文獻標識碼] B? ? ? ? ? [文章編號] 1673-9701（2021）19-0112-04

Impacts of low-frequency repetitive transcranial magnetic stimulation combined with intelligent motor feedback training on motor function of upper extremity in patients with stroke at recovery stage

WU-Lixiu? ?YU Kunqiang? ?DAI Mengyuan? ?ZHOU Minya

Department of Rehabilitation，the Second People′s Hospital of Lishui，Lishui? ?323000，China

[Abstract] Objective To investigate the impacts of low-frequency repetitive transcranial magnetic stimulation （rTMS） combined with intelligent motor feedback training on motor function of upper extremity in patients with stroke at recovery stage. Methods A total of 200 patients with stroke admitted to the Second People′s Hospital of Lishui during the recovery stage from January 2018 to December 2019 were prospectively selected as the research subjects and were randomly divided into the control group （n=100） and the observation group （n=100）. The control group was given conventional rehabilitation training，while the observation group was given low frequency rTMS combined with intelligent motor feedback training. The muscle strength of upper extremity，passive stretch strength of upper extremity，function recovery of upper extremity and incidence of adverse events of the two groups before and after treatment were observed and compared. Results Before treatment，the differences in the muscle strength of upper extremity，passive stretch strength of upper extremity，and function of upper extremity between the two groups were not statistically significant （P>0.05）. After treatment，the grades of muscle strength of upper extremity，muscle strength of wrist extension，and muscle strength of wrist flexion on the affected side in the observation group were significantly improved，which were superior to those in the control group.The passive stretch strength of upper extremity was significantly decreased and lower than that of the control group. The FMA and MBI scores were significantly higher than those in the control group，with statistically significant differences （P<0.05）. There was no serious adverse reaction observed in the treatment process of the two groups of patients. Conclusion Low frequency rTMS combined with intelligent motor feedback training can safely and effectively promote the motor function recovery of upper extremity in patients with stroke at recovery stage.