检验医学与临床2025，Vol.22Issue(7)：885-888,893,5.DOI:10.3969/j.issn.1672-9455.2025.07.005
经颅磁刺激仪联合改良强制性运动疗法对脑梗死患者肌力、肢体功能及认知功能的影响
A study on the effects of transcranial magnetic stimulator combined with modified mandatory exercise therapy on muscle strength,limb function and cognitive function in patients with cerebral infarction
摘要
Abstract
Objective To explore the effects of the combined use of transcranial magnetic stimulator com-bined with modified mandatory exercise therapy(mCIMT)on muscle strength,limb function and cognitive function in patients with cerebral infarction.Methods A total of 100 patients with cerebral infarction admit-ted to Yueyang City Central Hospital from March 2022 to January 2023 were selected as the research sub-jects.According to the random number table method,the patients were divided into control group and observa-tion group,with 50 cases in each group.The control group was treated with mCIMT,the observation group re-ceived transcranial magnetic stimulation on the basis of mCIMT therapy.The upper limb muscle strength of patients was evaluated using the manual muscle strength test,and the motor function of patients was assessed using the Fugl-Meyer Scale(FMA).The balance function of patients was evaluated using the Berg Balance Scale(BBS),and the cognitive function,memory and neurological function of patients were evaluated using the Montreal Cognitive Status Scale(MoCA),Wechsler Memory Scale(WMS)and National Institutes of Health Stroke Scale(NIHSS)scores respectively.Use the Modified Barthel Index(MBI)score and Activities of Daily Living(ADL)score to assess daily living abilities of patients.The recovery of muscle strength after treatment,limb function,cognitive function,neurological function and daily living ability before and after treatment between the two groups of patients were compared.Results The excellent rate of muscle strength in the observation group after treatment was 66.00%,which was significantly higher than the 44.00%in the control group,the difference was statistically significant(P<0.05).Before treatment,there was no statistical-ly significant difference in the scores of upper limb FMA,lower limb FMA,BBS,MoCA,WMS,NIHSS and ADL between the two groups(P>0.05).After treatment,the observation group had higher upper limb FMA,lower limb FMA and BBS scores than those in the control group,higher MoCA,WMS and MBI scores than those in the control group,and lower NIHSS and ADL scores than those in the control group,with statis-tically significant differences(P<0.05).Conclusion The combination of transcranial magnetic stimulator and mCIMT for rehabilitation treatment of cerebral infarction patients can improve their muscle strength,limb function and cognitive function,and enhance their quality of life significantly.关键词
经颅磁刺激仪/改良强制性运动疗法/脑梗死/肌力/肢体功能/认知功能Key words
transcranial magnetic stimulator/modified mandatory exercise therapy/cerebral infarc-tion/muscle strength/limb function/cognitive function分类
医药卫生引用本文复制引用
张鹏程,周翠,尚云峰,陈爱连,李江山..经颅磁刺激仪联合改良强制性运动疗法对脑梗死患者肌力、肢体功能及认知功能的影响[J].检验医学与临床,2025,22(7):885-888,893,5.基金项目
湖南省自然科学基金项目(2022JJ70043). （2022JJ70043）
