摘要
目的:探索任务导向训练结合低频重复经颅磁刺激(rTMS)对前循环脑梗死(ACI)患者运动步行功能恢复的效果。方法:采用密闭信封法将70例前循环脑梗死的患者分为观察组和对照组各35例。2组患者均接受rTMS治疗,每次治疗20 min;观察组接受以步行任务导向为核心的康复训练,每次治疗60 min;对照组接受60 min常规康复治疗;2组患者均每日训练1次,每周训练5 d,共训练4周。分别于治疗前和治疗4周后,采用Fugl-Meyer运动功能量表下肢部分(FMA-LE)、Berg平衡量表(BBS)、10m步行测试(10MWT)对2组患者的运动功能、平衡功能和步行速度进行评定。结果:治疗4周后,2组患者FMA、BBS及10MWT评分较治疗前均有明显提高(均P<0.05),观察组上述评分显著优于对照组(P<0.05)。结论:任务导向训练结合经颅磁刺激对前循环脑梗死患者运动步行能力有显著改善,值得推广。
Objective:To explore the effect of task-oriented training combined with low-frequency repetitive transcranial magnetic stimulation(rTMS)on the recovery of motor and walking function in patients with anterior circulation cerebral infarction(ACI).Methods:A total of 70 patients with ACI were divided into the experimental group and the control group(n=35 in each group)by the closed envelope method.Both groups of patients received rTMS treatment,20 min each time.The experimental group received walking task-oriented rehabilitation training,each treatment 60 min;the control group received 60 min of routine rehabilitation.Both groups received daily training for 1 time every day,5 days per week,for 4 weeks in total.Before treatment and after 4 weeks of treatment,Fugl-Meyer motor function scale lower extremity(FMA),Berg balance scale(BBS)and 10m walking test(10MWT)were used to evaluate the motor function,balance function and walking of the two groups of patients.Results:After 4 weeks of treatment,the scores of FMA,BBS and 10MWT in the two groups were significantly improved as compared with those before treatment(P<0.05),and the above scores in the experimental group were significantly better than those in the control group(P<0.05).Conclusion:Task-oriented training combined with rTMS can significantly improve the walking ability of patients with ACI,which is worthy of promotion.
作者
郭辉
王剑桥
苏国栋
刘惠林
Guo Hui;Wang Jianqiao;Su Guodong(Department of Physiotherapy, Beijing Bo’ai Hospital, China Rehabilitation Research Centre, Beijing 100068, China)
出处
《中国康复》
2022年第6期336-340,共5页
Chinese Journal of Rehabilitation
关键词
任务导向
经颅磁
前循环脑梗死
步行能力
task-oriented training
transcranial magnetic stimulation
anterior circulation cerebral infarction
motor walking ability
