机器人外科学杂志（中英文）2025，Vol.6Issue(4)：628-632,5.DOI:10.12180/j.issn.2096-7721.2025.04.020
上肢康复机器人联合双侧序贯rTMS在促进脑卒中患者康复中的效果
Effect of upper limb rehabilitation robot combined with bilateral sequential rTMS on promoting rehabilitation of stroke patients
摘要
Abstract
Objective:To explore the effect of upper limb rehabilitation robot combined with bilateral sequential repetitive transcranial magnetic stimulation(rTMS)on promoting rehabilitation of stroke patients.Methods:82 stroke patients admitted to Dazhou Integrated TCM&Western Medicine Hospital from January 2022 to August 2024 were selected.They were divided into the study group(n=41)and the control group(n=41)using a random number table.Patients in the control group were given symptomatic drug treatment and conventional rehabilitation intervention,while the study group received upper limb rehabilitation robot training combined with bilateral sequential rTMS intervention on the basis of the control group.The changes of upper limb movement and hand function,wrist range of motion,and motor evoked potential(MEP)levels before and after intervention were compared between the two groups.Results:Before intervention,there was no significant difference in the above indicators between the two groups(P>0.05).After intervention,the FMA-UE score of upper limb motor function,UEFI score of hand function,MBI score for activities of daily living,and the scores of each item of wrist range of motion(palmar flexion,dorsal extension,radial deviation,and ulnar deviation)in the study group were higher than those in the control group(P<0.05).After intervention,the MEP latency and central motor conduction time of the study group were lower than those of the control group(P<0.05),and the MEP wave amplitude of the study group was higher than that of the control group(P<0.05).All indicators of upper limb muscle tone improved to certain degree in both groups compared with that before intervention(P<0.05),and the improvement was more significant in the study group(P<0.05).Conclusion:Upper limb rehabilitation robot combined with bilateral sequential rTMS can promote the rehabilitation of stroke patients,significantly improve patients'upper limb movement and hand function,increase wrist range of motion,and improve motor evoked potential.关键词
脑卒中/上肢康复机器人/双侧序贯重复经颅磁刺激/上肢功能/运动诱发电位Key words
Stroke/Upper Limb Rehabilitation Robot/Bilateral Sequential rTMS/Upper Limb Function/Motor Evoked Potential分类
医药卫生引用本文复制引用
熊兴娟,刘勋,王月,刘菲,余永胜..上肢康复机器人联合双侧序贯rTMS在促进脑卒中患者康复中的效果[J].机器人外科学杂志（中英文）,2025,6(4):628-632,5.基金项目
四川省中医药管理局课题(2020LC0106)Project of Sichuan Provincial Administration of Traditional Chinese Medicine(2020LC0106) （2020LC0106）
