中国康复理论与实践2016，Vol.22Issue(9)：1004-1007,4.DOI:10.3969/j.issn.1006-9771.2016.09.003
不同强度低频重复经颅磁刺激对脑卒中后上肢运动功能障碍的疗效
Effects of Various Intensity of Repetitive Transcranial Magnetic Stimulation on Upper Limbs Motor Function af-ter Stroke
摘要
Abstract
Objective To investigate the effects of various intensity of 1 Hz repetitive transcranial magnetic stimulation (rTMS) on up-per limbs motor function after stroke. Methods From December, 2014 to December, 2015, sixty patients with ischemic stroke were random-ly divided into high density group (HD, n=20), low density group (LD, n=20) and control group (n=20). They all received routine rehabilita-tion and medication. The HD group received rTMS over contralesional motor cortex twice a day, while the LD group received rTMS once a day, and the control group received sham stimulation, 10 minutes a time for 10 days. They were tested with motor-evoked potentials (MEPs), Fugl-Meyer Assessment (FMA) of upper limbs and modified Barthel Index (MBI) before and after treatment. Results The ampli-tude of MEPs of the affected cortex, the scores of FMA and MBI were more in HD and LD groups than in the control group after treatment (P<0.01), and were more in HD group than in LD group (P<0.01). No serious side-effect was found. Conclusion rTMS was feasible for pa-tients with stroke to improve the upper limbs motor function. It is more effective as more times a day.关键词
脑卒中/重复经颅磁刺激/运动/上肢/康复Key words
stroke/repetitive transcranial magnetic stimulation/motor/upper limbs/rehabilitation分类
医药卫生引用本文复制引用
李冰洁,李芳,张通..不同强度低频重复经颅磁刺激对脑卒中后上肢运动功能障碍的疗效[J].中国康复理论与实践,2016,22(9):1004-1007,4.基金项目
国家“十二五”科技支撑课题(No.2011BAI08B11)。 （No.2011BAI08B11）
