经颅直流电刺激联合机器人治疗对脑卒中患者上肢功能康复的研究进展

Research progress of transcranial direct current stimulation and robotic therapy for the impaired upper limb motor function in stroke patients

中风后上肢功能障碍发病率高且难以恢复,严重影响患者的日常生活能力和生活质量.学者们一直在探索新型且有效的中风后上肢功能障碍的康复方法.经颅直流电刺激（tDCS）是一种典型的非侵入性脑刺激形式,其通过调节大脑皮层的兴奋性来改善运动表现,广泛用于上肢功能康复.研究结果表明,tDCS结合重复性康复训练可以显著改善中风患者的运动功能.机器人治疗（RT）可提供高强度、重复性的运动疗法,能满足不同层次患者的康复需求.因此,tDCS联合RT可有效增强脑卒中患者的上肢功能康复效果.对tDCS联合RT治疗脑卒中后上肢功能的研究现状进行了综述,如目标患者、治疗方法、康复效果、组合方法等,并对该领域的研究趋势和未来发展思路进行了讨论.

The upper limb dysfunction after stroke has a high incidence,and is difficult to recovery,which seriously affects the patients＇ activities of daily living and the quality of life.Scholars have been exploring new and effective rehabilitation strategies for upper limb dysfunction after stroke.Transcranial direct current stimulation （tDCS）,a typical form of non-invasive brain stimulation,is widely used in upper limb function rehabilitation by modulating the excitability of the cerebral cortex to improve motion performance.Some results showed that tDCS combined with repetitive rehabilitation training can significantly improve the motion function of stroke patients.Robotic therapy （RT） provides high-intensity,repetitive motion therapy that meets the training needs of patients at different levels.Therefore,tDCS combined with RT can effectively enhance the upper limb function rehabilitation effect of stroke patients.In this paper,the research status of tDCS combined with RT in the treatment of upper limb function after stroke were reviewed such as target patients,treatment methods,rehabilitation effects,combination methods,etc.The research trends and future development ideas in this field were discussed.