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Application effect of transcranial direct current stimulation combined with core stability training in cerebral infarction patients with hemiplegia |
GU Lei WU Liang▲ |
Department of Rehabilitation, Beijing Xiaotangshan Hospital, Beijing 102208, China |
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Abstract Objective To explore the application effect of transcranial direct current stimulation combined with core stability training in cerebral infarction patients with hemiplegia. Methods A total of 98 patients with cerebral infarction hemiplegia admitted to Beijing Xiaotangshan Hospital from May 2019 to May 2021 were selected as the research objects, and they were divided into the control group (49 cases) and the observation group (49 cases) according to the random number table method. The control group was given core stability training, and the observation group was given transcranial direct current stimulation on the basis of the control group for four weeks. The degree of neurological deficit (National Institutes of Health stroke scale [NIHSS]), balance ability (Berg balance scale [BBS]), motor function (Fugl-Meyer assessment [FMA]), daily life ability (Barthel index [BI]) and quality of life (stroke impact scale [SIS]) before and after intervention were compared between the two groups. Results There were no significant differences in NIHSS, BBS, FMA, BI and SIS scores between the two groups before intervention (P>0.05). After intervention, NIHSS scores of the two groups were lower than those before intervention, and NIHSS score of the observation group was lower than that of the control group, the differences were statistically significant (P<0.05). After intervention, BBS, FMA, BI and SIS scores of the two groups were higher than those before intervention, and BBS, FMA, BI and SIS scores of the observation group were higher than those of the control group, the differences were statistically significant (P<0.05). Conclusion Transcranial direct current stimulation combined with core stability training can reduce the degree of neurological deficit in hemiplegic patients with cerebral infarction, improve balance ability and limb motor function, and comprehensively improve the quality of life.
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1] |
周露,房芳,毛丹,等.核心稳定性康复训练对中老年脑梗死偏瘫患者的治疗与护理[J].护士进修杂志,2020,35(23):2172-2174.
|
[2] |
赵晓琳,刘天龙,周禹鑫,等.重复经颅磁刺激对脑卒中患者运动功能障碍的影响[J].中国康复医学杂志,2018,33(7):800-805.
|
[3] |
王引言,方晟宇,李连旺,等.重复经颅磁刺激治疗脑胶质瘤术后运动功能障碍的临床分析(附五例报告)[J].中华神经外科杂志,2020,36(5):458-462.
|
[4] |
中国中西医结合学会神经科专业委员会.中国脑梗死中西医结合诊治指南(2017)[J].中国中西医结合杂志,2018, 38(2):136-144.
|
[5] |
黄瑞珏,寿宇雁,李兆燕.NIHSS与MAP在缺血性脑卒中溶栓后出血中的预测价值[J].护理与康复,2017,16(12):1280-1282.
|
[6] |
陈丹凤,燕铁斌,黎冠东,等.三种平衡评定量表在脑卒中早期患者中的应用及其相关性研究[J].中国康复,2018, 33(2):133-135.
|
[7] |
胡国金,孙秀丽,张义发,等.Fugl-Meyer量表在脑卒中镜像治疗中应用及与FIM量表相关性分析[J].临床荟萃,2019, 34(2):116-119.
|
[8] |
李小峰,陈敏.改良Barthel指数评定量表的设计与应用[J].护理研究,2015,29(5):1657-1658.
|
[9] |
周小炫,方云华,陈善佳,等.健康调查简表和脑卒中影响量表在脑卒中康复临床中应用情况的调查分析[J].中国康复医学杂志,2014,29(5):455-459.
|
[10] |
蒋玉燕,郭良堂.运动想象疗法联合西药、康复训练对脑卒中偏瘫患者平衡功能、表面肌电图的影响[J].中国医药导报,2018,15(5):71-75.
|
[11] |
伍俊,王小莉.康复训练联合rTMS对脑梗死偏瘫患者肢体功能及生活能力的影响[J].贵州医药,2018,42(10):1235-1237.
|
[12] |
赵春香,王瑞刚.核心稳定性训练对脑梗死偏瘫患者的疗效观察[J].安徽医药,2019,35(1):2171-2174.
|
[13] |
华强,夏文广,李冰冰,等.经颅直流电刺激联合虚拟情景互动训练对脑梗死偏瘫上肢功能及ADL的影响[J].中国康复,2020,35(1):15-18.
|
[14] |
韩茜茜,徐宁,王秀秀,等.强制性运动疗法联合重复经颅磁刺激对脑卒中患者上肢运动功能的影响[J].中华物理医学与康复杂志,2020,42(12):1067-1071.
|
[15] |
陆操,金丹丹,傅晓倩,等.低频重复经颅磁刺激联合小组模式康复训练对脑卒中偏瘫患者上肢及手功能的影响[J].中国康复,2018,33(5):457-460.
|
|
|
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