经颅直流电刺激结合功能性电刺激对脑卒中平台期患者上肢运动功能康复影响的研究

发布时间：2018-03-10 20:24

本文选题：经颅直流电刺激　切入点：功能性电刺激　出处：《中国康复医学杂志》2017年09期 　论文类型：期刊论文

【摘要】：目的:将经颅直流电刺激(tDCS)和功能性电刺激(FES)结合,观察这种联合治疗干预方式对脑卒中平台期患者上肢功能的影响。方法:3例脑卒中后平台期偏瘫患者在4周基线期后接受4周的tDCS结合FES治疗干预。干预前后用Fugl-Meyer上肢运动功能评分(U-FMA)、表面肌电图(sEMG)、经颅磁刺激(TMS)进行评定。结果:干预后U-FMA分数较干预前提高。7个主动肌中有5个表面肌电激活性干预前后有明显变化。用TMS成对刺激方法评估受试者健侧大脑短潜伏期皮质内抑制与短潜伏期皮质内易化结果显示部分的干预前后变化。结论:tDCS结合FES治疗干预改善了受试者上肢的运动功能,该方案可能是针对脑卒中平台期患者的一种有前景的干预康复方案。
[Abstract]:Objective: to combine transcranial direct current (TDC) stimulation with functional electrical stimulation (FESs). To observe the effect of combined therapy and intervention on upper limb function in patients with cerebral apoplexy at platform stage methods three patients with post-stroke platform hemiplegia were treated with tDCS combined with FES for 4 weeks after the baseline period of 4 weeks. Fugl-Meyer 's upper limb motor function score was evaluated by U-FMA, surface electromyography (EMG) and transcranial magnetic stimulation (TMS). Results: after intervention, U-FMA score was higher than that before and after intervention, and 5 of 7 active muscles had obvious changes before and after intervention. TMS was used. Paired stimulation method was used to evaluate the changes of inhibition and facilitation in the contralateral short latency cortex of the subjects before and after intervention. Conclusion the effects of FES combined with the intervention of TDCS can improve the motor function of the upper extremity of the subjects. It may be a promising interventional rehabilitation program for stroke patients at platform stage.
【作者单位】：上海交通大学机械与动力工程学院机器人研究所;上海市复旦大学附属华山医院康复科;
【基金】：国家自然科学基金(51475292) 国家高技术研究发展计划(863计划)(2015AA020501)
【分类号】：R493;R743.3

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