经颅直流电刺激对脑卒中患者上肢运动功能障碍的疗效  

Effects of Transcranial Direct Current Stimulation on Motor Function of Upper Limbs in Stroke Patients

作　　者：尹昱[1] 左秀芹 吕艳玲[1] 贾子善[2] 赵振彪[1] 槐雅萍 闫彦宁[1] 

机构地区：[1]河北省人民医院康复科,河北石家庄市050051 [2]中国人民解放军总医院康复医学中心,北京市100853

出　　处：《中国康复理论与实践》2015年第7期830-833,共4页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的探讨经颅直流电刺激(t DCS)对脑卒中患者上肢运动功能障碍恢复的效果。方法 80例脑卒中偏瘫患者随机分为实验组(n=40)与对照组(n=40)。两组均行常规康复训练,实验组行t DCS治疗,对照组行伪刺激。治疗前及治疗1个月后采用Brunnstrom上肢和手分级、Fugl-Meyer评定(FMA)中上肢运动功能、手臂动作调查测试(ARAT)、卒中患者运动功能评估量表(MAS)和改良Barthel指数(MBI)进行评定。结果治疗后,两组患者各项评分均优于治疗前(P<0.05),实验组上肢和手Brunnstrom分级、FMA、ARAT评分优于对照组(P<0.05)。结论 t DCS有助于改善脑卒中患者上肢运动功能。Objective To investigate the effects of transcranial direct current stimulation （tDCS） on motor function of upper limbs of stroke patients. Methods 80 stroke patients were randomly divided into experimental group and control group. Both groups accepted routine rehabilitation, while the experimental group accepted anodal stimulation, and the control group received sham stimulation. They were as-sessed with Brunnstrom stages of arms and hands, Fugl-Meyer Assessment （FMA） of upper extremities, Action Research Arm Test （ARAT）, Motor Assessment Scale （MAS） and modified Barthel Index （MBI） before and 1 month after treatment. Results All the scores improved in both groups after treatment （P〈0.05）, and improved more in the Brunnstrom stages of arms and hands, FMA, ARAT in the experimental group than in the control group （P〈0.05）. Conclusion tDCS may promote the recovery of arms and hands function of stroke patients.

关 键 词：脑卒中 经颅直流电刺激 运动功能 上肢 

分 类 号：R743.3[医药卫生—神经病学与精神病学]