基础医学与临床 ›› 2025, Vol. 45 ›› Issue (1): 81-85.doi: 10.16352/j.issn.1001-6325.2025.01.0081

• 临床研究 • 上一篇    下一篇

触觉振动反馈训练联合1Hz重复经颅磁刺激对卒中偏瘫患者的影响

李勃1, 刘立斌1*, 李影1, 刘京1, 赵留庄2   

  1. 1.北京市大兴区人民医院 神经康复科, 北京 102600;
    2.首都医科大学 大兴教学医院 神经内科, 北京 102600
  • 收稿日期:2023-12-20 修回日期:2024-06-05 出版日期:2025-01-05 发布日期:2024-12-25
  • 通讯作者: *huqia97765@163.com
  • 基金资助:
    首都卫生发展全科医学与社区卫生科研专项(院校类)一般项目-4(2023-2Y-004)

Effect of tactile vibration feedback training combined with 1 Hz repetitive transcranial magnetic stimulation on stroke patients with hemiplegia

LI Bo1, LIU Libin1*, LI Ying1, LIU Jing1, ZHAO Liuzhuang2   

  1. 1. Department of Neurorehabilitation, Daxing District People′s Hospital, Beijing 102600;
    2. Department of Neurology, Daxing Teaching Hospital, Capital Medical University, Beijing 102600, China
  • Received:2023-12-20 Revised:2024-06-05 Online:2025-01-05 Published:2024-12-25
  • Contact: *huqia97765@163.com

摘要: 目的 分析触觉振动反馈训练联合1 Hz重复经颅磁刺激对卒中偏瘫患者肢体平衡能力及步行能力的影响。方法 选取2021年8月至2023年8月在大兴区人民医院诊治的卒中偏瘫患者98例,按照治疗方案不同分为训练组和刺激组,各49例。训练组给予触觉振动反馈训练治疗,刺激组给予触觉振动反馈训练联合1 Hz重复经颅磁刺激治疗。分析两组中医症状、平衡能力、步行能力、生活情况及疗效。结果 治疗8周后,两组口角流涎积分、语言不利积分、偏身麻木积分均低于治疗前(P<0.05),且刺激组低于训练组(P<0.05);两组Lindmark平衡反应评分、Berg平衡量表(BBS)评分、步长、10-m最大步行速度(10 mMWS)、Barthel指数(BI)评分及功能独立性评测(FIM)量表评分高于治疗前(P<0.05),且刺激组高于训练组(P<0.05);刺激组总有效率(91.84%)大于训练组(69.39%)(P<0.05)。结论 触觉振动反馈训练联合1Hz重复经颅磁刺激治疗卒中偏瘫患者可减轻临床症状,较好提高肢体平衡能力、步行能力、生活能力,疗效确切。

关键词: 触觉振动反馈训练, 1 Hz重复经颅磁刺激, 卒中偏瘫, 平衡能力, 步行能力

Abstract: Objective To analyze the effects of tactile vibration feedback training combined with 1 Hz repetitive transcranial magnetic stimulation on limb balance and walking ability of stroke patients with hemiplegia. Methods From August 2021 to August 2023, 98 patients with stroke and hemiplegia who were diagnosed and treated in Daxing District People's Hospital were selected and divided into training group and stimulation group according to different treatment schemes with 49 in each. The training group was given tactile vibration feedback training, and the stimulation group was given tactile vibration feedback training combined with 1 Hz repetitive trans-cranial magnetic stimulation. The clinical symptoms, ability of keeping balance and walk, life situation and curative effect of the two groups were analyzed. Results After 8 weeks of treatment, the scores of mouth and drooling points, language impairment points, and hemiparalysis points in the two groups were all lower than those before treatment (P<0.05), and the above indexes in the stimulation group were even lower than those in the training group (P<0.05). After 8 weeks of treatment, the scores of Lindmark Balance Reaction, Berg Balance scale (BBS), stride length, 10-meters maximum walking speed(10 mMWS), Barthel index(BI) and Functional Independence Measure(FIM) in both groups were higher than those before treatment (P<0.05), and the above indexes in the stimulation group were higher than those in the training group(P<0.05). After 8 weeks of treatment, the total effective rate in the stimulation group (91.84%) was higher than that in the training group (69.39%)(P<0.05). Conclusions Tactile vibration feedback training plus 1 Hz repetitive trans-cranial magnetic stimulation can significantly alleviate the clinical symptoms of stroke patients with hemiplegia and can improve their ability of keeping balance, walking and management of daily life.

Key words: tactile vibration feedback training, 1 Hz repetitive transcranial magnetic stimulation, stroke hemiplegia, balance ability, walking ability

中图分类号: