中国康复理论与实践2025，Vol.31Issue(10)：1134-1142,9.DOI:10.3969/j.issn.1006-9771.2025.10.004
经颅直流电刺激与功能性电刺激单独或同步干预对健康青年握力及脑激活的效应比较:基于功能性近红外光谱的研究
Effect of single or combined transcranial direct current stimulation and functional electrical stimulation on grip strength and brain activation in young healthy individuals:a functional near-infrared spectroscopy-based study
摘要
Abstract
Objective To compare the effect of transcranial direct current stimulation(tDCS),functional electrical stimulation(FES)of the forearm flexors,and their combined intervention on grip strength and cerebral cortical activation in healthy young adults. Methods From December,2024 to March,2025,twelve healthy right-handed young volunteers aged 20 to 23 years were recruited from the Fifth Hospital of Xiamen.They were randomly assigned to receive tDCS alone(tDCS group),FES alone(FES group),or simultaneous tDCS-FES(Sim group)in a crossover design.For tDCS,synchronous bihemispheric stimulation of the primary motor cortex(M1)was applied(anode on the left/cathode on the right).FES was delivered to the right flexor carpi radialis and flexor digitorum superficialis muscles.Isometric maximal grip strength was measured before and after each intervention,and functional near-infrared spectroscopy(fNIRS)was used to synchronously monitor oxyhemoglobin(HbO2)during grip strength tasks. Results A case dropped down.The effect of time on grip strength was significant(F=3.964,P=0.048);Post-hoc tests revealed that grip strength significantly increased after intervention in both FES group and Sim group(P<0.05).The effect of groups was significant on HbO2 of the left prefrontal cortex(PFC)and left premotor and supplemen-tary motor cortex(PMC)(F>3.613,P<0.05);Post-hoc tests revealed that the HbO2 of the left PFC and left pri-mary sensory cortex was higher in FES group than in Sim group,while the HbO2 of the left PMC and right PMC was higher in tDCS group than in Sim group(all P<0.05).Correlation analysis indicated that the grip strength was positively correlated with the HbO2 of the bilateral M1 only in Sim group(r>0.694,P<0.05). Conclusion For healthy young adults,tDCS alone mainly activates motor-related brain regions such as PFC and PMC,while FES alone directly enhances peripheral muscle force output and activates the left PFC to participate in mo-tor regulation.The combined intervention achieves the maximum gain in grip strength through a brain-limb inte-grated regulation mechanism,which may be associated with optimization of neural resource and M1 activity.关键词
脑-肢体协同调控技术/经颅直流电刺激/功能性电刺激/功能性近红外光谱/握力Key words
brain-limb coordinated rehabilitation/transcranial direct current stimulation/functional electrical stimulation/functional near-infrared spectroscopy/grip strength分类
医药卫生引用本文复制引用
王滢雅,李泰标,苏啊红,林友益,周鲜红,田鹿,谢洪武..经颅直流电刺激与功能性电刺激单独或同步干预对健康青年握力及脑激活的效应比较:基于功能性近红外光谱的研究[J].中国康复理论与实践,2025,31(10):1134-1142,9.基金项目
1.南昌大学第二附属医院科研启动金项目(No.B3563) （No.B3563）
2.福建省科技计划项目(No.2022Y01020084) （No.2022Y01020084）
3.江西中医药大学大学生创新创业训练计划项目(No.202410412291X) Supported by Scientific Research Startup Fund of the Second Affiliated Hospital of Nanchang University(No.B3563),Fujian Science and Technology Plan(No.2022Y01020084),and Jiangxi University of Chinese Medicine Undergraduate Innovation and Entrepreneurship Training Program(No.202410412291X) （No.202410412291X）
