低频重复经颅磁刺激联合平衡仪训练对脑卒中患者平衡功能的影响

Effect of low-frequency repetitive transcranial magnetic stimulation combined with balance instrument training on balance dysfunction of stroke patients

目的:探索运动平衡仪训练联合rTMS治疗对改善脑卒中患者平衡功能的效果。方法:脑卒中患者80例按随机数字法将患者分为2组各40例。其中观察组8例脱落,共32例完成治疗,对照组3例脱落,共37例完成治疗。对照组在常规康复治疗的基础上针对平衡功能障碍运用动态平衡仪进行训练,观察组在常规康复治疗的基础上联合运用动态平衡仪及低频rTMS治疗,2组患者均治疗满2个疗程,共24次治疗。分别于治疗前后对2组患者进行BBS评分、FMB评分、Pro-Kin平衡仪测试评定。结果:治疗4周后,2组BBS评分、FMB评分、运动长度及运动椭圆面积均较治疗前明显提高(P<0.05),且观察组各项观察指标均明显高于对照组(P<0.05)。结论:低频rTMS治疗联合平衡仪治疗在改善脑卒中患者平衡功能上效果显著,较单独使用平衡仪治疗有明显优势。

Objective:To explore the efficacy of exercise balance instrument training combined with repetitive transcranial magnetic stimulation(rTMS)treatment for the balance function of stroke patients.Methods:Patients were randomly divided into observation group and control group,40 cases in each group.Among them,8 cases in the observation group fell off,a total of 32 cases completed the treatment,and 3 cases in the control group fell off,a total of 37 cases completed the treatment.The control group was trained with dynamic balance instrument for balance dysfunction on the basis of routine rehabilitation treatment,and the observation group was treated with dynamic balance instrument and low-frequency rTMS on the basis of routine rehabilitation treatment.Both groups were treated for two courses.The BBS score,FMB score and Pro-Kin balance test were assessed before treatment and after 2 sessions of treatment in the two groups.Results:The length of motion and the area of motion ellipse were significantly improved after treatment as compared with those before treatment,and the difference was statistically significant(P<0.05).The observation indexes in the observation group were significantly better than those in the control group,and the difference was statistically significant(P<0.05).Conclusions:The efficacy of rTMS combined with balance instrument in improving the balance function of stroke patients was significant,which was superior to that of balance instrument used alone.