重复经颅磁刺激联合生物反馈对脑卒中上肢运动功能的康复评价

Rehabilitation evaluation of recurrent transcranial magnetic stimulation combined with biofeedback for upper extremity motor function in stroke

目的 探讨重复经颅磁刺激(rTMS)联合生物反馈对脑卒中患者上肢运动功能的康复效果。方法 选取脑卒中患者120例,随机分为观察组和对照组各60例,2组患者均给予常规药物及康复治疗,观察组在常规康复的基础上给予rTMS和生物反馈治疗。颅磁刺激联合生物治疗前应用加拿大功能神经功能量表(CNS)、FuglMeyer运动功能量表(FMA)和改良Barthel指数(MBI)对2组患者的上肢运动功能以及日常生活活动能力进行评定;经4周治疗后再进行效果评价。结果 治疗后4周观察组CNS、MBI、FMA评分均高于对照组,差异具有统计学意义(P<0.05)。结论 rTMS联合生物反馈康复训练可改善脑卒中患者的上肢运动功能,有效地提高患者的生活质量。

Objective To explore the effect of repetitive transcranial magnetic stimulation(rTMS) combined with biofeedback on the rehabilitation of upper limb motor function in stroke patients. Methods A total of 120 patients with stroke were randomly divided into observation group and control group (60 patients in each group).Every patient was given conventional drugs and rehabilitation.The observation group was also given rTMS and biofeedback therapy on the basis of routine rehabilitation.Canadian Neurological Scale(CNS),Fugl Meyer Assessment of motor recovery table (FMA) and Modified Barthel Index (MBI) were used to evaluate the upper extremity motor function and activities of daily living in stroke patients before using cranial magnetic stimulation combined with biotherapy.After four weeks of treatments,the effect was evaluated again.Results After 4 weeks of treatments,the scores of CNS,MBI and FMAin the observation group were higher than those in the control group,and the difference were statistically significant ( P <0.05). Conclusion rTMS combined with biofeedback rehabilitation training can promote the upper limb motor function of stroke patients and effectively improve the quality of life of patients.