0 . 0 5 )。干預(yù)后,研究組上肢運(yùn)動(dòng)功能FMA-UE評(píng)分、手功能UEFI評(píng)分、日常生活能力MBI評(píng)分高于對(duì)照組( P<0 . 0 5 );腕關(guān)節(jié)活動(dòng)度的掌屈、背伸、橈偏、尺偏各項(xiàng)評(píng)分高于對(duì)照組( P<0 . 0 5 )。干預(yù)后,研究組MEP潛伏期、中樞運(yùn)動(dòng)傳導(dǎo)時(shí)間低于對(duì)照組( P<0 . 0 5 ),MEP波幅高于對(duì)照組( P<0 . 0 5 )。干預(yù)后,兩組患者上肢肌張力各項(xiàng)指標(biāo)較干預(yù)前均有不同程度改善( P<0 . 0 5 ),研究組改善程度更顯著( P<0 . 0 5 )。結(jié)論:上肢康復(fù)機(jī)器人聯(lián)合雙側(cè)序貫rTMS可促進(jìn)腦卒中患者康復(fù),能顯著改善患者的上肢運(yùn)動(dòng)及手功能,提高腕關(guān)節(jié)活動(dòng)度及改善運(yùn)動(dòng)誘發(fā)電位。-龍?jiān)雌诳W(wǎng)" />

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上肢康復(fù)機(jī)器人聯(lián)合雙側(cè)序貫rTMS在促進(jìn)腦卒中患者康復(fù)中的效果

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(達(dá)州市中西醫(yī)結(jié)合醫(yī)院康復(fù)醫(yī)學(xué)科四川達(dá)州635000)

鍵詞腦卒中;上肢康復(fù)機(jī)器人;雙側(cè)序貫重復(fù)經(jīng)顱磁刺激;上肢功能;運(yùn)動(dòng)誘發(fā)電位中圖分類號(hào) R493 文獻(xiàn)標(biāo)識(shí)碼 A文章編號(hào) 2096-7721(2025)04-0628-05

Effect of upper limb rehabilitation robot combined with bilateral sequential rTMS on promoting rehabilitation of stroke patients

XIONG Xingjuan, LIU Xun, WANG Yue, LIU Fei, YU Yongsheng

AbstractObjective:Toexploretheeffectofupperlimbrehabilitationobotcombinedwithbilateralsequentialrepetitivetransanial magneticstimulation(rTMS)opromotingrehabilitationoftrokepatients.Methods:82strokepatientsadmitedtoDzhouIntegrated TCM&Western Medicine HospitalfromJanuary 2O2 to August 2O24 were selected.They were divided into the studygroup (n=41) andtheontrolgroup(n=4l)usingarandomnumbertable.Patientsinthecontrolgroupweregivensymptomaticdrugtreatmetand conventionalhabiliationintervention,whilethestudygoupeceivedupperlibreabilitationrobottrainingcombinedwithilateal sequentialrTSinterventiononthebasisoftecontrolgoup.Thechangesofupperimbmovementandhandfunction,wistrageof motion,ndmotorevokedpotential(EP)levelsbeforeandafterinterventionwereomparedbetweenthetwogroups.Results:Before intervention,there was no significant diference in the above indicators between the two groups ( P>0 . 0 5 ) .Afterintervention,theAUEscoreofupperlimbmotorfunction,UEFscoreofhandfunction,MBsoreforactivitiesofailylivingandthecoresofacie of wristrangeofmotion(alarflexion,dorsalextensionadialdeviatio,andunadeviatio)intestudygoupwerehghrantoe in the control group ( P - Key wordsStroke; UpperLimbRehabilitationRobot;BilateralSequentialrTMS; UpperLimbFunction;MotorEvokedPotential

腦卒中是一種臨床常見(jiàn)的急性腦血管疾病,其發(fā)病率、致殘率和死亡率均居高不下,已成為全球重大公共衛(wèi)生問(wèn)題[1]。(剩余9654字)

目錄
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