镜像疗法结合MOTOmed智能运动训练对脑卒中恢复期患者肢体运动功能障碍及皮质运动区μ波的影响  

Effects of mirror therapy combined with MOTOmed intelligent motor training on limb motor dysfunction andμwave in cortical motor area in convalescent stroke patients

作　　者：田建 姜军 王寒明 宋爽 耿久军 张宁 TIAN Jian;JANG Jun;WANG Han-ming;SONG Shuang;GENG Jiu-jun;ZHANG Ning(Rehabilitation Medical Center,Beijing Rehabilitation Hospital,Capital Medical University,Beijing 100043,China)

机构地区：[1]首都医科大学附属北京康复医院康复诊疗中心,北京100043

出　　处：《川北医学院学报》2022年第3期294-298,共5页Journal of North Sichuan Medical College

基　　金：国家重点研发计划(2020YFC2004303)。

摘　　要：目的:探讨镜像疗法(MT)结合MOTOmed智能运动训练对脑卒中恢复期患者肢体运动功能障碍及皮质运动区μ波的影响。方法:选取104例脑卒中患者为研究对象,根据治疗方式不同分为研究组和对照组,每组各52例。对照组给予MT疗法,研究组在此基础上增加MOTOmed智能运动训练,4周为1个疗程,连续训练3个疗程。比较两组患者治疗前、治疗12周后简式Fugl-Meyer评分(FMA)、Berg平衡量表(BBS)、改良Ashworth评分量表(MAS)、肌力分级、功能独立性量表(FIM)、日常生活活动(ADL)、大脑皮质运动区μ波Cz/CPz/CP3/C3的脑电图(EEG)信号及MOTOmed智能运动训练时患侧对称性、主动训练总距离及训练强度。结果:治疗后,两组患者FMA和BBS评分均高于治疗前(P<0.05),且研究组高于对照组(P<0.05);MAS评分均较治疗前下降(P<0.05),且研究组低于对照组(P<0.05);研究组肌力>III级40例(76.92%),对照组肌力>III级30例(57.69%),研究组明显高于对照组(P<0.005);两组患者FIM、BI指数均高于治疗前(P<0.05),且研究组高于对照组(P<0.05);μ抑制值均低于治疗前(P<0.05),且研究组Cz/CPz/CP3/C34个电极处皮质μ抑制值低于对照组(P<0.05);研究组患侧对称性、主动训练总距离及训练强度均高于治疗前及对照组(P<0.05),但对照组治疗前后各指标比较,差异无统计学意义(P>0.05)。结论:MT结合MOTOmed智能运动训练可改善脑卒中恢复期患者肢体运动功能和平衡功能,增强其日常活动功能,且对皮质运动区μ波具有抑制作用。Objective:To analyze the effects of mirror therapy(MT)combined with MOTOmed intelligent motor training on limb motor dysfunction andμwave in cortical motor area in convalescent stroke patients.Methods:A total of 104 stroke patients were selected as the research object.They were divided into study group and control group according to different treatment methods,with 52 cases in each group.The control group received MT therapy,and the research group added MOTOmed intelligent exercise training on this basis,with 4 weeks as a course of training for 3 consecutive courses.Simple FuGL-Meyer Scale(FMA),Berg Balance Scale(BBS),Modified Ashworth Scale(MAS),Muscle strength grade Functional Independence Scale(FIM),activities of daily Living(ADL),EEG signal ofμwave Cz/CPz/CP3/C3 of cerebral cortex motor area,affected side symmetry,total active training distance and training intensity during MOTOmed intelligent motor training were compared between the two groups before treatment and after 12 weeks of treatment.Results:The scores of FMA and BBS in the two groups after treatment were higher than before,and the scores of FMA and BBS in the study group were higher than those in the control group(P<0.05).After treatment,The MAS score of the two groups decreased,and the MAS score of the study group was lower than that of the control group(P<0.05).After treatment,40 cases(76.92%)in the study group had muscle strength of III or above,while 30 cases(57.69%)in the control group had muscle strength of III or above,which was significantly higher than that in the control group(P<0.05).After treatment,THE FIM and BI indexes of the two groups were higher than before,and the FIM and BI indexes of the research group were higher than those of the control group(P<0.05).After treatment,theμinhibition values of Cz/CPz/CP3/C3 in the study group were lower than those in the control group(P<0.05),and theμinhibition values of Cz/CPz/CP3/C3 in the study group were lower than those in the control group(P<0.05).After treatment,the symmetry of affecte

关 键 词：脑卒中 镜像疗法 MOTOmed智能运动训练 肢体运动功能障碍 μ波 

分 类 号：R743.3[医药卫生—神经病学与精神病学]