中国康复2026，Vol.41Issue(6)：348-352,5.DOI:10.3870/zgkf.2026.06.005
经颅直流电刺激联合等速训练的时序性康复对脑卒中患者膝关节的影响
Effects of sequential rehabilitation with transcranial direct current stimulation combined with isokinetic training on the knee joint in stroke patients
摘要
Abstract
Objective:To explore the improvement effects of the sequential rehabilitation program based on the motor priming theory,namely transcranial direct current stimulation(tDCS)combined with isokinetic strength training,on knee joint muscle strength,muscle endurance,and lower limb motor function in stroke patients,and to verify the scientificity of conducting peripheral treatment within the post-central intervention effect time window.Methods:A randomized controlled trial design was adopted,and patients with lower limb motor dysfunction after stroke were enrolled and randomly divided into the experimental group and the control group.The experimental group underwent isokinetic muscle strength training within 60 min after stimulation of the M1 area on the affected side with anode tDCS(2 mA,20 min),while the control group underwent the same isokinetic muscle strength training 60 min after tDCS stimulation.The primary outcome measures included the Fugl-Meyer assessment of low-er extremity motor function(FMA-LE)and the Holden functional ambulation category(FAC),and the secondary measures were peak torque(PT)and total work(TW)of knee flexor and extensor muscles at an angular velocity of 60°/s.Results:After treatment,both groups showed significant improvements in PT,TW,FMA-LE,and FAC scores(P<0.05),with the experimental group showing significantly greater improvement than the control group(P<0.05).All differences were statistically significant.Conclusion:Implementing isokinetic muscle strength training within the effect time window after tDCS can more effectively enhance muscle strength and endurance a-round the knee joint in stroke patients,and promote the recovery of lower limb motor function.关键词
脑卒中/经颅直流电刺激/等速肌力训练/运动启动/时序性康复/膝关节Key words
stroke/transcranial direct current stimulation/isokinetic muscle strength training/motor initiation/time-sequenced rehabilitation/knee joint分类
医药卫生引用本文复制引用
赵润,马将,李红,毛俐俐..经颅直流电刺激联合等速训练的时序性康复对脑卒中患者膝关节的影响[J].中国康复,2026,41(6):348-352,5.基金项目
河北省2023年度医学科学研究课题(20231590) （20231590）
