摘要
目的:探讨重复经颅磁刺激(rTMS)联合悬吊运动训练对脑卒中后偏瘫患者平衡能力及运动功能的影响。方法:选取82例脑卒中后偏瘫患者,按照随机数字表法,将患者分为悬吊运动组和联合组,各41例。悬吊运动组患者给予悬吊运动训练治疗,联合组在此基础上给予rTMS治疗。观察治疗前(T0)和治疗2周后(T1),2组患者的平衡能力、运动功能、日常生活活动能力以及步行能力。结果:T1时刻,悬吊运动组和联合组患者睁眼、闭眼状态运动椭圆面积和运动距离以及10 m步行测试(10 MWT)显著降低,Berg平衡量表(BBS)、上肢运动功能评定量表(FMA-UE)、下肢运动功能评定量表(FMA-LE)、改良Barthel指数(MBI)、Holden步行功能分级(Holden)水平显著升高(P<0.05),且两组患者之间上述指标差异均有统计学意义(P<0.05)。结论:rTMS联合悬吊运动训练可有效改善脑卒中后偏瘫患者平衡能力及运动功能。
Abstract
Objective: To investigate the effects of repetitive transcranial magnetic stimulation (rTMS) combined with suspension exercise training on balance ability and motor function in patients with hemiplegia after stroke. Methods: A total of 82 patients with hemiplegia after stroke were selected and randomly divided into a suspension exercise group and a combined treatment group, with 41 patients in each group, using a random number table method. Patients in the suspension exercise group received suspension exercise training, while those in the combined treatment group received rTMS therapy in addition to suspension exercise training. Balance ability, motor function, activities of daily living (ADL), and walking ability were evaluated before treatment (T0) and after 2 weeks of treatment (T1) in both groups. Results: At T1, both the suspension exercise group and the combined treatment group showed significant reductions in motion ellipse area, motion distance under open-eye and closed-eye conditions, and the 10-meter walk test (10 MWT). Additionally, significant improvements were observed in Berg Balance Scale (BBS) scores, Upper Extremity Motor Function Assessment Scale (FMA-UE) scores, Lower Extremity Motor Function Assessment Scale (FMA-LE) scores, Modified Barthel Index (MBI) scores, and Holden Walking Function Classification (Holden) levels (P<0.05). Moreover, statistically significant differences in these indicators were found between the two groups (P<0.05). Conclusion: rTMS combined with suspension exercise training can effectively improve balance ability and motor function in patients with hemiplegia after stroke.
关键词
重复经颅磁刺激;悬吊运动训练;脑卒中后偏瘫;平衡能力;运动功能
Key words
repetitive transcranial magnetic stimulation; suspension exercise training; post-stroke hemiplegia; balance ability; motor function
张丽春,马迪,杨绯,贺彦君,徐泉.
重复经颅磁刺激联合悬吊运动训练对脑卒中后偏瘫患者平衡能力及运动功能的影响[J]. 神经损伤与功能重建. 2026, 21(9): 520-523 https://doi.org/10.16780/j.cnki.sjssgncj.20250127
ZHANG Lichun, MA di, YANG Fei, HE Yanjun, XU Quan.
Effects of Repetitive Transcranial Magnetic Stimulation Combined with Suspension Exercise Training on Balance Ability and Motor Function in Post-stroke Hemiplegic Patients[J]. Neural Injury and Functional Reconstruction. 2026, 21(9): 520-523 https://doi.org/10.16780/j.cnki.sjssgncj.20250127
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基金
北京市中医药科技发展资金项目(头针联合有氧运动对中风偏瘫患者康复干预的临床研究,No. QN-2020-06)