本体感觉神经肌肉促进绳带训练联合重复经颅磁刺激对脑卒中偏瘫患者上肢运动功能的效果  

Effect of proprioceptive neuromuscular facilitation rope training and repetitive transcranial magnetic stimulation on upper limb motor function of stroke patients with hemiplegia

作　　者：梁天佳[1] 龙耀斌[1] 陆丽燕 周金英 黄福才[1] 邬映超 龙耀翔 韦小翠 LIANG Tianjia;LONG Yaobin;LU Liyan;ZHOU Jinying;HUANG Fucai;WU Yingchao;LONG Yaoxiang;WEI Xiaocui(Department of Rehabilitation Medicine,the Second Affiliated Hospital of Guangxi Medical University,Nanning,Guangxi 530007,China)

机构地区：[1]广西医科大学第二附属医院康复医学科,广西南宁市530007

出　　处：《中国康复理论与实践》2023年第3期262-268,共7页Chinese Journal of Rehabilitation Theory and Practice

基　　金：广西医疗卫生适宜技术开发与推广应用项目(No.S2019010,No.S2020017);广西医疗卫生重点学科建设项目(No.桂卫科教发〔2022〕4号)。

摘　　要：目的探讨本体感觉神经肌肉促进(PNF)绳带训练联合重复经颅磁刺激(rTMS)对脑卒中偏瘫患者上肢运动功能的效果。方法2021年3月至2022年2月,广西医科大学第二附属医院康复医学科的脑卒中偏瘫住院患者90例随机分为对照组、绳带组和联合组,每组各30例。3组均接受常规康复治疗,对照组接受PNF训练,绳带组接受PNF绳带训练,联合组接受PNF绳带训练和rTMS,共4周。治疗前后,采用偏瘫上肢功能测试(香港版)(FTHUE-HK)、Fugl-Meyer评定量表上肢部分(FMA-UE)和改良Barther指数(MBI)进行评定。结果治疗后,3组FTHUE-HK、FMA-UE和MBI评分均提高(t>2.167,P<0.05),联合组优于绳带组(P<0.05),绳带组优于对照组(P<0.05)。结论PNF绳带训练联合rTMS改善脑卒中偏瘫患者上肢运动功能的效果优于单纯PNF训练。Objective To investigate the effect of combination of proprioceptive neuromuscular facilitation(PNF)rope training and repetitive transcranial magnetic stimulation(rTMS)on upper limb motor function of stroke patients with hemiplegia.Methods From March,2021 to February,2022,90 stroke inpatients with hemiplegia in the Department of Rehabilitation Medicine,the Second Affiliated Hospital of Guangxi Medical University were divided into control group(n=30),rope group(n=30)and combination group(n=30)randomly.All the groups received routine rehabilitation,while the control group received routine PNF training,the rope group received PNF rope training,and the combination group received PNF rope training and rTMS,for four weeks.They were assessed with Functional Test for the Hemiplegic Upper Extremity-Hong Kong version(FTHUE-HK),Fugl-Meyer Assessment-Upper Extremities(FMA-UE)and modified Barthel Index(MBI)before and after treatment.Results The scores of FTHUE-HK,FMA-UE and MBI increased in all the three groups after treatment(t>2.167,P<0.05),and they were more in the combination group than in the rope group(P<0.05),and in the rope group than in the control group(P<0.05).Conclusion The combination of PNF rope training and rTMS is more effective on motor function of upper limbs of stroke patients with hemiplegia than PNF training alone.

关 键 词：脑卒中 上肢 运动功能 绳带疗法 本体感觉神经肌肉促进技术 重复经颅磁刺激 

分 类 号：R743.3[医药卫生—神经病学与精神病学]