| 赵威东,张爱花,邢乃飞,鲁树茂,唐友梅.低频重复经颅磁刺激联合等速肌力训练模式干预对脑卒中的影响[J].,2022,(11):2149-2152 |
| 低频重复经颅磁刺激联合等速肌力训练模式干预对脑卒中的影响 |
| Effects of Isokinetic Training and Low Frequency Repetitive Transcranial Magnetic Stimulation on Muscle Strength of Lower Limbs in Patients with Stroke |
| 投稿时间：2022-01-09 修订日期：2022-01-31 |
| DOI：10.13241/j.cnki.pmb.2022.11.029 |
| 中文关键词: 等速肌力训练 低频重复经颅磁刺激 脑卒中 |
| 英文关键词: Isokinetic muscle training Low frequency repetitive transcranial magnetic stimulation Stroke |
| 基金项目:山东省医药卫生科技发展计划项目（202103071006） |
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| 中文摘要: |
| 摘要 目的：探讨等速肌力训练与低频重复经颅磁刺激对脑卒中患者下肢肌力的影响。方法：选择2020年2月到2021年8月在本院住院诊治的脑卒中患者96例作为研究对象，采用完全随机化1：1信封抽签原则把患者分为联合组与对照组各48例。对照组给予等速肌力训练，联合组在对照组治疗基础上给予低频重复经颅磁刺激治疗。两组在4周后记录下肢肌力变化情况。结果：（1）两组治疗后的美国国立卫生院神经功能缺损评分（NIHSS）低于治疗前，联合组低于对照组（P<0.05）。（2）两组治疗后的简化Fugl-Meye下肢评分高于治疗前，联合组高于对照组（P<0.05）。（3）两组治疗后的120 °/s时膝关节的伸肌与屈肌峰力矩体重比都高于治疗前，联合组高于对照组（P<0.05）。（4）两组治疗后的运动诱发电位潜伏期低于治疗前，波幅高于治疗前，联合组与对照组对比有差异（P<0.05）。结论：等速肌力训练联合低频重复经颅磁刺激在脑卒中患者的应用能促进改善神经功能与运动诱发电位，从而提高患者的下肢肌力与运动能力。 |
| 英文摘要: |
| ABSTRACT Objective: To explore the effect of isokinetic muscle training and rTMS on the muscle strength of the lower limbs of stroke patients. Methods: From February 2020 to August 2021, 96 cases of stroke patients who were hospitalized in our hospital were selected as the research objects, and the patients were divided into combination group and control group of 48 cases in each groups used the principle of fully randomized 1:1 envelope drawing. example. The control group were given isokinetic training, and the combination group were given rTMS on the basis of the control group. Both groups were treated and observed for 4 weeks, and the changes in lower limb muscle strength were recorded. Results: (1)After treatment, the National Institute of Health stroke scale (NIHSS) of the two groups were lower than before treatment, and the combination group were lower than the control group (P<0.05). (2)The simplified Fugl-Meye lower limb scores after treatment in the two groups were higher than before treatment, and the combination group were higher than the control group (P<0.05). (3)After treatment, the weight ratio of the knee joint extensor and flexor peak moments in the two groups were higher than before treatment at 120 °/s, and the combination group were different with control group (P<0.05). (4)The latency of motor evoked potentials after treatment in the two groups were lower than before treatment, and the amplitude were higher than before treatment, the difference compared between the combination group and the control group were also significant(P<0.05). Conclusion: The application of isokinetic muscle training combined with rTMS in stroke patients can promote the improvement of neurological function and motor evoked potentials, thereby improving the lower limb muscle strength and exercise ability of patients. |
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