神经反馈康复训练对脑卒中患者上肢运动功能的作用  

Effect of Neural Feedback Rehabilitation Training for Upper Extremity Exercise Function of Stroke Patients

作　　者：李明芬[1] 贾杰[2] 刘烨[3] 吴毅[2] 刘斯饶 

机构地区：[1]福建中医药大学,福建福州市35000 [2]复旦大学附属华山医院康复医学科 上海,200040 [3]上海交通大学计算机科学与工程系 上海,200240 [4]浙江省台州市立医院 浙江台州,318000

出　　处：《按摩与康复医学》2013年第11期11-14,共4页Chinese Manipulation and Rehabilitation Medicine

基　　金：国家十二五支撑课题,编号2013BAI01B003;上海市科委生物医药重大项目,编号10DZ1950800;13411951001;国家自然基金,编号90920014;91120305

摘　　要：目的：研究基于脑机接口的神经反馈康复训练对脑卒中患者上肢运动功能的作用及其机制。方法：15名脑卒中后严重上肢运动功能障碍患者随机分为观察组与对照组，两组均接受常规康复训练，观察组另予BCI神经反馈康复训练，对照组予BCI随机反馈康复训练；评价两组FMA、ARAT及ERD。结果：观察组FMA及ARAT评分显著高于对照组（P<0.05）；观察组患侧脑区ERD显著强于对照组（P<0.05）。结论：基于BCI的神经反馈康复训练可改善脑卒中患者的上肢运动功能，增强患者患侧脑区ERD强度，促进患者功能重塑。Objective:To investigate the effect of neural feedback rehabilitation training based on brain computer interface (BCI) for stroke patients’ upper extremity exercise function. Methods:15 stroke patients were randomly divided into observation group and control group, two groups received routine rehabilitation training, the observation group were additionally treated with BCI neural feedback rehabilitation training, while the control group was treated for BCI random feedback rehabilitation training;evaluation of two groups of Fugl-Meyer Motor Assessment (FMA), Action Re-search Arm Test (ARAT) and Event-Related Desynchronization (ERD). Results:FMA and ARAT in observation group was significantly higher than that of control group (P<0.05);observation group ipsilateral brain ERD was significantly stronger than that in the control group (P<0.05). Conclu-sion:Neural feedback rehabilitation training based on BCI can improve stroke patients’upper extremity exercise function and can enhance ERD of affected hemisphere, which may promote stroke patients’brain reorganization.

关 键 词：脑卒中 上肢运动功能 神经反馈康复训练 功能重塑 脑机接口 

分 类 号：R743.3[医药卫生—神经病学与精神病学]