孙秋芳;张芬;刘亚楠;蔡琛;车文生;张智芳;

• 1:郑州人民医院

摘要(Abstract)：

目的探讨高频重复经颅磁刺激(HF-rTMS)联合计算机运动反馈训练对脑卒中患者手功能的影响。方法将120例脑卒中患者随机分为对照组60例,采取HF-rTMS治疗;研究组60例,采取HF-rTMS治疗联合计算机运动反馈训练,均连续治疗4周。比较治疗前后上肢运动功能、上肢感觉功能、手功能、步行功能、认知功能及生活质量变化。结果治疗后2组患侧手指各项功能评分及FMA评分均增加,腕屈肌MAS评分及触觉阈值、两点辨别觉均减小,研究组变化更明显(P<0.05)。治疗后2组患者FAC评分及步幅、步速、步频均增加,研究组增加更明显(P<0.05)。治疗后2组患者MoCA、SS-QOL评分均增加,研究组变化更明显(P<0.05)。结论 HF-rTMS联合计算机运动反馈训练对脑卒中患者上肢运动功能、上肢感觉功能及手功能的改善效果更明显,还有助于患者步行功能、认知功能的改善,提升生活质量。

关键词(KeyWords)： 脑卒中;高频重复经颅磁刺激;计算机运动反馈训练;手功能

Abstract:

Keywords:

基金项目(Foundation): 2018年度河南省科技攻关项目(编号:182102310537)

作者(Author): 孙秋芳;张芬;刘亚楠;蔡琛;车文生;张智芳;

Email:

DOI:

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