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脑机接口联合功能性电刺激对脑卒中患者上肢运动功能的疗效观察

周圆 何建华 杨振 张兰 黄一飞

中国康复2025,Vol.40Issue(6):349-353,5.
中国康复2025,Vol.40Issue(6):349-353,5.DOI:10.3870/zgkf.2025.06.005

脑机接口联合功能性电刺激对脑卒中患者上肢运动功能的疗效观察

Therapeutic effect of brain-computer interface(BCI)combined with functional electrical stimulation on upper limb mo-tor function in stroke patients

周圆 1何建华 1杨振 1张兰 1黄一飞1

作者信息

  • 1. 武汉科技大学附属天佑医院康复医学科,武汉 430061
  • 折叠

摘要

Abstract

Objective:To explore the clinical efficacy of brain-computer interface(BCI)combined with functional e-lectrical stimulation(FES)in the rehabilitation of upper limb motor dysfunction in stroke patients during the recov-ery period.Methods:A total of 40 patients with upper limb dysfunction after stroke were selected and randomly di-vided into a conventional group and a BCI group,with 20 patients in each.Both groups received conventional reha-bilitation therapy.The conventional group underwent FES treatment,while the BCI group received additional BCI training.The Fugl-Meyer Assessment(FMA),Action Research Arm Test(ARAT),Wolf Motor Function Test(WMFT),accuracy of electroencephalogram signals,and Modified Barthel Index(MBI)were used as evaluation in-dicators to assess the rehabilitation effect of upper limb function before treatment and 4 weeks after treatment.Re-sults:Four weeks after treatment,both groups showed significant improvements in FMA,ARAT,WMFT,EEG signal accuracy,and MBI scores(P<0.01).Compared to the conventional group,the brain machine group demon-strated superior performance in FMA,ARAT,WMFT,EEG signal accuracy,and MBI scores(P<0.01).Conclu-sions:Compared with conventional functional electrical stimulation rehabilitation,BCI combined with FES can more effectively improve upper limb motor function in stroke patients.

关键词

脑卒中康复/脑机接口/功能性电刺激/上肢功能

Key words

Stroke rehabilitation/Brain-computer interface/Functional electrical stimulation/Upper limb func-tion

分类

临床医学

引用本文复制引用

周圆,何建华,杨振,张兰,黄一飞..脑机接口联合功能性电刺激对脑卒中患者上肢运动功能的疗效观察[J].中国康复,2025,40(6):349-353,5.

中国康复

1001-2001

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