摘要
目的观察脑机接口控制的功能性电刺激对脑卒中后上肢运动功能障碍的影响。方法2019年7月至2020年11月,本院神经康复科住院脑卒中患者34例随机分为对照组(n=17)和试验组(n=17),分别接受单纯功能性电刺激和脑机接口控制的功能性电刺激。治疗前后分别比较两组患侧肘关节反应时间、肘关节位置觉误差、Fugl-Meyer评定量表上肢部分(FMA-UE)、改良Barthel指数(MBI)和事件相关去同步化(ERD)强度进行评价。结果两组患侧肘关节反应时间、肘关节位置觉误差、FMA-UE、MBI评分和ERD强度均有所改善(F>10.825,|Z|>3.624,P<0.05),且试验组优于对照组(F>5.853,|Z|>3.201,P<0.05)。结论脑机接口控制的功能性电刺激对脑卒中患者上肢功能障碍的康复具有积极作用。
Objective To observe the effects of functional electrical stimulation(FES)controlled by brain-computer interface on upper limb motor dysfunction in stroke patients.Methods From July,2019 to November,2020,34 stroke patients hospitalized in neurological rehabilitation department were randomly divided into control group(n=17)and experimental group(n=17).They were treated with simple FES and FES controlled by brain-computer interface,respectively.The reaction time,joint position error of elbow joint,the scores of Fugl-Meyer Assessment-Upper Extremity(FMA-UE),modified Barthel Index(MBI)and event-related desynchronization(ERD)powers of affected upper limb were evaluated before and after intervention.Results After intervention,the reaction time,joint position error of the elbow joint,the scores of FMA,MBI and ERD power of the affected elbow joint improved in both groups(F>10.825,|Z|>3.624,P<0.05),and they were better in the experimental group than in the control group(F>5.853,|Z|>3.201,P<0.05).Conclusion FES controlled by brain-computer interface is positive on the rehabilitation of stroke patients with upper limb dysfunction.
作者
唐千乇
张通
TANG Qian-tuo;ZHANG Tong(Capital Medical University School of Rehabilitation Medicine,Beijing 100068,China;Beijing Bo'ai Hospital,China Rehabilitation Research Center,Beijing 100068,China)
出处
《中国康复理论与实践》
CSCD
北大核心
2021年第7期802-806,共5页
Chinese Journal of Rehabilitation Theory and Practice
基金
国家自然科学基金项目(No.U1613228)
中国康复研究中心项目(No.2019-HZ-07)。
关键词
脑卒中
运动想象
脑机接口
功能性电刺激
stroke
motor imagery
brain-computer interface
functional electrical stimulation
