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虚拟现实技术联合重复经颅磁刺激对脑卒中偏瘫患者上肢运动功能的影响

崔海超 翟宏伟 张明 陈伟

临床与病理杂志2017,Vol.37Issue(11):2439-2444,6.
临床与病理杂志2017,Vol.37Issue(11):2439-2444,6.DOI:10.3978/j.issn.2095-6959.2017.11.025

虚拟现实技术联合重复经颅磁刺激对脑卒中偏瘫患者上肢运动功能的影响

Effect of virtual reality alliance frequency combined with repetitive transcranial magnetic stimulation on the upper limb dysfunction after stroke

崔海超 1翟宏伟 2张明 2陈伟3

作者信息

  • 1. 南京中医药大学研究生学院,南京210023
  • 2. 徐州市中心医院康复医学科,江苏徐州221009
  • 3. 徐州市康复医院,江苏徐州221009
  • 折叠

摘要

Abstract

Objective:To investigate the effects of virtual reality alliance frequency combined with repetitive transcranial magnetic stimulation (rTMS) on the upper limb dysfunction after stroke.Methods:Forty-two patients suffering from upper limb dysfunction were randomly divided into a study group and a control group,21 patients in each group.Both groups were given routine rehabilitation and virtual reality therapy,the patients in the study group were augmented frequency rTMS.The scores of Brunnstrom staging,simple Fugl-Meyer Assessment (FMA),modified Barthel index (MBI) and simple test for evaluating hand function (STEF) before and 4 weeks after the treatment were used to evaluate the upper limb movement function recovery.Results:After treatment for 4 weeks,the score of the Brunnstrom staging was 4.19±0.75 in the study group,and 3.29±0.71 in the control group;the score of FMA was 51.10±8.24 in the study group,and 37.14±7.88 in the control group;the score of MBI was 63.10±6.01 in the study group,and 49.76±7.49 in the control group;the score of STEF was 66.62±7.34 in the study group,and 54.90±9.63 in the control group,the differences were all statistically significant when compared with before treatment (P<0.05).The scores were significantly higher in the study group than those in the control group (P<0.05).Conclusion:On the basis of conventional treatment,virtual reality technology combined with rTMS can improve the function of upper limb movement in patients with hemiplegia of cerebral apoplexy and the quality of daily life of patients,which is worthy of clinical promotion.

关键词

虚拟现实技术/重复经颅磁刺激/偏瘫/上肢

Key words

virtual reality/repetitive transcranial magnetic stimulation/hemiplegia upper limb

引用本文复制引用

崔海超,翟宏伟,张明,陈伟..虚拟现实技术联合重复经颅磁刺激对脑卒中偏瘫患者上肢运动功能的影响[J].临床与病理杂志,2017,37(11):2439-2444,6.

基金项目

江苏省青年医学人才基金(QNRC2016376) (QNRC2016376)

徐州市医学青年后备人才工程(2016015) (2016015)

徐州市科技创新项目(KC16SW167). This work was supported by Jiangsu Provincial Medical Youth Talent(QNRC2016376),Xuzhou Medical Young Talents Project(2016015)and Xuzhou Science and Technology Project (KC16SW167). (KC16SW167)

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