经颅直流电刺激对脑卒中患者上肢运动功能康复的效果

Effect of Transcranial Direct Current Stimulation on Upper Limb Motor Function for Patients with Stroke

目的探讨经颅直流电刺激对脑卒中患者上肢运动功能康复的作用。方法选取2017年12月至2019年12月本院康复医学科住院的初发脑卒中患者50例,病程<6个月,随机分为对照组(n=25)和试验组(n=25),两组均接受上肢常规康复治疗和上肢康复机器人训练,试验组在对照组基础上给予经颅直流电刺激,共2周。治疗前后采用ReConn上肢康复机器人评价体系、简式Fugl-Meyer运动功能评分-上肢部分(FMA-UE)、Carroll手功能评定法(UEFT)和改良Barthel指数(MBI)进行评定。结果治疗前两组各项指标无显著性差异(|t|<2.954,P>0.05)。治疗后两组各项评分均显著改善(|t|>7.551,P<0.001),试验组各项指标均优于对照组(|t|>2.639,P<0.05)。结论经颅直流电刺激能进一步改善脑卒中患者的上肢运功功能,提高患者日常生活活动能力。

Objective To explore the effect of transcranial direct current stimulation on upper limb motor function for stroke pa‐tients.Methods From December,2017 to December,2019,50 first stroke patients in rehabilitation medicine department within six months were randomly divided into control group(n=25)and experimental group(n=25).All the patients accepted upper limbs routine rehabilitation and upper limb robot assisted training,while the experimental group accepted transcranial direct current stimulation in addition,for two weeks.They were evaluated with Reconn up‐per limb rehabilitation robot evaluation system,simple Fugl-Meyer Assessment-Upper Extremities(FMA-UE),Carroll Upper Extremity Function Test(UEFT)and modified Barthel Index(MBI).Results There was no significant difference in all the scores between two groups before treatment(|t|<2.954,P>0.05).All the scores improved after treatment(|t|>7.551,P<0.001),and improved more in the experimental group than in the control group(|t|>2.639,P<0.05).Conclusions Transcranial direct current stimulation can further improve the upper limb motor function and activities of daily living for stroke patients.