中国康复理论与实践2025，Vol.31Issue(11)：1271-1278,8.DOI:10.3969/j.issn.1006-9771.2025.11.004
基于双峰平衡恢复模型的经颅直流电刺激对缺血性脑卒中患者上肢功能障碍的效果
Effect of transcranial direct current stimulation based on bimodal balance model on upper limb dysfunction after ischemic stroke
摘要
Abstract
Objective To explore the clinical effect of transcranial direct current stimulation(tDCS)treatment strategy based on bi-modal balance model on upper limb dysfunction after ischemic stroke. Methods From October,2023 to December,2024,60 patients with ischemic stroke in General Hospital of Ningxia Medi-cal University were randomly divided into control group(n=30)and experimental group(n=30).Both groups received basic rehabilitation,the control group received tDCS based on the theory of interhemispheric competi-tion model,and the experimental group received tDCS based on the theory of bimodal equilibrium model,for four weeks.Before and after intervention,the effect of both groups was evaluated using Fugl-Meyer Assessment-Upper Extremities(FMA-UE),modified Ashworth Scale(MAS),Action Research Arm Test(ARAT)and modi-fied Barthel Index(MBI).Neurophysiological parameters such as cortical latency(CL)and central motor conduc-tion time(CMCT)were detected and correlated analysis was performed. Results Two cases in the control group and one in the experimental group dropped down.After intervention,the scores of FMA-UE,ARAT and MBI increased in both groups(|t|>13.748,P<0.001),and the above scores were higher in the experimental group than in the control group(|t|>2.321,P<0.05);the MAS grade of the elbow flexor muscle group improved in the experimental group(|Z|=2.095,P<0.05).The CL and CMCT in both groups de-creased(|t|>2.752,P<0.001),and they were better in the experimental group than in the control group(|t|>2.082,P<0.05).There was a correlation between FMA-UE and CMCT(r=-0.433,P<0.05). Conclusion tDCS based on bimodal balance model can improve upper limb dysfunction more effectively in patients with ischemic stroke.关键词
缺血性脑卒中/上肢/经颅直流电刺激/双峰平衡Key words
ischemic stroke/upper limb/transcranial direct current stimulation/bimodal balance model分类
临床医学引用本文复制引用
田富宝,李泓钰,田洋,许宁,李珂,白川萍,杨彩军..基于双峰平衡恢复模型的经颅直流电刺激对缺血性脑卒中患者上肢功能障碍的效果[J].中国康复理论与实践,2025,31(11):1271-1278,8.基金项目
宁夏医科大学校级课题(No.XM2022006) Supported by Research Projects of Ningxia Medical University(No.XM2022006) （No.XM2022006）
