摘要
目的探讨阴极经颅直流电刺激(ctDCS)对右侧脑损伤(RBI)上肢及手指运动功能障碍的影响。方法2020年10月至2022年5月,北京博爱医院住院RBI患者40例,随机分为对照组和试验组,各20例。两组均接受常规药物治疗、常规康复治疗和功能性作业治疗。阴极电极片置于未受损大脑半球M1区,对照组伪刺激,试验组真刺激,共治疗4周。治疗前后,采用Fugl-Meyer评定量表上肢部分(FMA-UE)、FuglMeyer评定量表手指部分、改良Barthel指数(MBI)进行评定。结果治疗后,两组FMA-UE、FMA手指和MBI评分显著提高(t>5.627,P<0.001),且试验组高于对照组(t>2.161,P<0.05)。结论ctDCS可有效提高RBI患者上肢及手指的运动功能,提高日常生活活动能力。
Objective To investigate the effects of cathodic transcranial direct current stimulation(ctDCS)on upper limb and finger dysfunction after right brain injury(RBI).Methods From October,2020 to May,2022,40 RBI patients in Beijing Bo’ai Hospital were randomly divided into control group and experimental group,with 20 patients in each group.All the patients accepted conventional drug treatment,conventional rehabilitation treatment and functional occupational therapy.The cathode electrode was placed in the M1 area of the uninjured side of brain,then the control group received sham stimulation and the experimental group received stimulation,for four weeks.They were assessed with Fugl-Meyer Assessment-Upper Extremities(FMA-UE)and-Finger,and the modified Barthel Index(MBI)before and after treatment.Results After treatment,the scores of FMA-UE,FMA-Finger and MBI improved in the two groups(t>5.627,P<0.001),and improved more in the experimental group than in the control group(t>2.161,P<0.05).Conclusion ctDCS can effectively improve the motor function of upper limbs and fingers of RBI patients,and improve the ability of activities of daily living.
作者
刘俊明
黄富表
刘静娅
杨絮
LIU Junming;HUANG Fubiao;LIU Jingya;YANG Xu(Capital Medical University School of Rehabilitation Medicine,Beijing,100068,China;Department of Occupational Therapy,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
2023年第1期82-87,共6页
Chinese Journal of Rehabilitation Theory and Practice
基金
中国康复研究中心项目(No.2022ZX-23)
国家自然科学基金重点支持项目(No.U1913209)。
关键词
右侧脑损伤
阴极经颅直流电刺激
功能性作业治疗
运动功能
上肢
手指
right brain injury
cathode transcranial direct current
functional occupational therapy
motor function
upper limb
finger
