| 热迪娜·亚生,再努热·阿不拉汗,阿依努尔·艾尼,陶 静,陈 敏.重复经颅磁刺激联合等速肌力训练对不完全性脊髓损伤患者神经电生理指标、下肢肌力和脊髓功能独立性的影响[J].,2021,(19):3719-3722 |
| 重复经颅磁刺激联合等速肌力训练对不完全性脊髓损伤患者神经电生理指标、下肢肌力和脊髓功能独立性的影响 |
| Effects of Repetitive Transcranial Magnetic Stimulation Combined with Isokinetic Muscle Strength Training on Neuroelectrophysiological Indexes, Lower Limb Muscle Strength and Spinal Cord Functional Independence in Patients with Incomplete Spinal Cord Injury |
| 投稿时间：2020-12-28 修订日期：2021-01-25 |
| DOI：10.13241/j.cnki.pmb.2021.19.024 |
| 中文关键词: 重复经颅磁刺激 等速肌力训练 不完全性脊髓损伤 电生理 下肢肌力 脊髓功能 |
| 英文关键词: Repetitive transcranial magnetic stimulation Isokinetic muscle strength training Incomplete spinal cord injury Neuroelectrophysiological Lower limb muscle strength Spinal cord function |
| 基金项目:新疆维吾尔自治区卫生健康青年医学科技人才专项科研项目（WJWY-202026） |
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| 摘要 目的：探讨重复经颅磁刺激（TMS）联合等速肌力训练对不完全性脊髓损伤（SCI）患者神经电生理指标、下肢肌力和脊髓功能独立性的影响。方法：选取2018年3月~2019年12月期间我院收治87例不完全性SCI患者，根据入院奇偶顺序分为观察组（n=44）和对照组（n=43），两组均给予常规康复训练，对照组在此基础上联合等速肌力训练，观察组在对照组基础上联合TMS，对比两组神经电生理指标[静息运动阈值（RMT）和运动诱发电位（MEP）]、下肢肌力指标[屈、伸肌群的峰力矩（PT）、力矩加速能（TAE）以及胭绳肌与股四头肌肌力比率（H/Q）]、功能独立性评定(FIM)量表、疼痛简化McGill疼痛问卷(SF-MPQ）、Barthel指数评定量表（BI）评分。结果：治疗4周后，观察组RMT较治疗前降低，且低于对照组（P<0.05）；MEP较治疗前升高，且高于对照组（P<0.05）。治疗4周后，两组屈肌群PT、屈肌群TAE、伸肌群PT、伸肌群TAE、H/Q、FIM、BI评分均较治疗前升高，且观察组高于对照组（P<0.05）；两组SF-MPQ评分均较治疗前下降（P<0.05），且观察组低于对照组（P<0.05）。结论：TMS联合等速肌力训练治疗不完全性SCI患者可刺激患者神经功能恢复，提高患者脊髓功能独立性，改善下肢肌力，减轻患者的神经性疼痛。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the effects of repetitive transcranial magnetic stimulation (TMS) combined with isokinetic muscle strength training on neuroelectrophysiological indexes, lower limb muscle strength and spinal cord functional independence in patients with incomplete spinal cord injury (SCI). Methods: 87 patients with incomplete SCI admitted to our hospital from March 2018 to December 2019 were selected, and divided into observation group (n=44) and control group (n=43) according to odd and even order after admission. Both groups were given routine rehabilitation training. The control group was combined with isokinetic muscle strength training on this basis, and the observation group was combined with TMS on the basis of the control group. The nerve electrophysiology index [resting movement threshold (RMT) and motor evoked potentials (MEP)], lower limb muscle strength index [flexor and extensor peak torque (PT), torque acceleration energy (TAE) and Yan rope muscle and quadriceps muscle power ratio (H/Q)], functional independence evaluation (FIM) scale, simplified McGill pain pain questionnaire (SF - MPQ), Barthel index (BI) scores of both groups were compared. Results: 4 weeks after treatment, RMT in the observation group was lower than that before treatment, and lower than that in the control group (P<0.05). MEP was higher than that before treatment, and higher than that in the control group (P<0.05). 4 weeks after treatment, the flexor group PT, flexor group TAE, extensor group PT, extensor group TAE, H/Q, FIM and BI scores in both groups were all higher than those before treatment, and those in the observation group were higher than those in the control group (P<0.05). SF-MPQ scores in both groups were lower than that before treatment (P<0.05), and observation group was lower than control group (P<0.05). Conclusion: TMS combined with isokinetic muscle strength training for patients with incomplete SCI can stimulate nerve recovery, improve functional independence of the spinal cord, improve muscle. |
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