中国康复2024，Vol.39Issue(6)：329-335,7.DOI:10.3870/zgkf.2024.06.002
基于功能性近红外光谱技术探索脑卒中后偏瘫患者不同踝关节牵伸训练任务与皮层活动的相关性
Correlation between different stretching training tasks of ankle joint and brain cortical activation in post-stroke patients with hemiplegia base on fNIRS
摘要
Abstract
Objective:To investigate the differences in the regions of interest(ROIs)related to different stretching training tasks of the ankle joint,and to identify the correlations between the tasks and the activation of ROIs in post-stroke patients with hemiplegia.Methods:In this study,26 post-stroke patients with hemiplegia were recruited and divided into 2 groups:14 cases of non-dominant hemispheric group and 12 cases of the dominant hemispheric group.Each participant received several clinical functional assessments before the experiment.A multichannel fNIRS sys-tem was used to monitor and record the oxyhemoglobin(oxy-Hb)in each cortical areas of interest during the experi-mental tasks.Results:The active dorsiflexion and plantar flexion training tasks of ankle joint had higher brain acti-vation than passive ankle dorsiflexion and plantar flexion training and resting state(P＜0.05),while passive train-ing tasks had higher brain activation than resting state(P＜0.05).On the whole,ROIs activation on the affected side was higher than that on the non-affected side in the dominant hemisphere.The lateralization index(LI)of the dominant hemisphere group was more likely to be greater than 0.In the non-dominant hemisphere group,there was a positive correlation between the activation of SMC associated with ankle training and 6MWT walking distance(r=0.5531-0.6165,P＜0.05).Conclusion:There are some differences and correlations between different stretching training tasks of ankle joint and cortical activity in post-stroke patients with hemiplegia.关键词
fNIRS/脑卒中/偏瘫/踝关节/牵伸训练/皮层活动/相关性Key words
fNIRS/stroke/hemiplegia/ankle joint/stretching training/brain cortical activation/correlation分类
医药卫生引用本文复制引用
李洁心,徐聪琴,邵梦鸣,邱纪方,胡瀚尹,周煜达,刘文兵,徐彬,章水晶,舒馨馨..基于功能性近红外光谱技术探索脑卒中后偏瘫患者不同踝关节牵伸训练任务与皮层活动的相关性[J].中国康复,2024,39(6):329-335,7.基金项目
吴阶平医学基金会中国康复医疗机构联盟基金资助项目面上课题B类(20160208) （20160208）
浙江康复医疗中心2015年度院级科研课题(zkzxky201501) （zkzxky201501）
浙江康复医疗中心2022年度院级科研课题(ZK2202) （ZK2202）
