经颅直流电刺激联合运动康复训练对脑卒中患者下肢运动功能和血清Hcy水平的影响OACSTPCD

Objective:To investigate the effects of transcranial direct current stimulation(tDCS)combined with exercise reha-bilitation training on lower limb motor function and serum homocysteine(Hcy)levels in stroke patients.Methods:119 stroke patients were divided into control group(n =59)and experimental group(n =60)according to different treatment methods.Both groups were given exercise rehabilitation training.In addition,the experimental group was given tDCS stimulation,and the control group was given tDCS pseudo stimulation.Both groups were treated continuously for 4 weeks.The evaluation data of knee flexion angle,ankle dorsiflexion angle,Fugl-Meyer lower limb motor function assessment scale(FMA-LE),Berg balance scale(BBS),'standing-walking'timing test(TUGT),Holden functional walking classification(FAC),modified Barthel index(MBI)and National Institutes of Health Stroke Scale(NHISS)were compared and analyzed before and after treatment,and serum Hcy levels were detected before and after treatment in the two groups.Results:Compared with the control group,the knee flexion angle,ankle dorsiflexion angle,FMA-LE and BBS scores of the experimental group were higher after treatment(P<0.05).The TUGT and NHISS scores of the experimental group were lower than those of the control group(P<0.05),and the FAC grading and MBI scores were higher than those of the control group(P<0.05).The serum Hcy level in the experimental group was lower than that in the control group(P<0.05).Conclusion:tDCS combined with exercise rehabilitation training can improve the lower limb motor function and walking ability of stroke patients,and reduce the serum Hcy level.