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作者: 李欣宇
单位: 泰安市中心医院(青岛大学附属泰安市中心医院、泰山医养中心)

摘要

 To observe the effect of low-frequency repetitive transcranial magnetic stimulation combined with mirror therapy on hand dysfunction in stroke patients.

A total of 72 patients with stroke hand dysfunction treated in the Rehabilitation Medicine Center of Tai'an Central Hospital were randomly divided into experimental group (n=36) and control group (n=36). Patients in both groups received conventional treatment. The control group was treated with 1Hz repetitive transcranial magnetic stimulation on the healthy side, and the experimental group was treated with hand function mirror therapy on the basis of the control group, and the treatment continued for 2 months. Surface electromyography (EMG), hand function grade, Fugl-Meyer assessment (FMA) and Canadian Occupational Performance Scale (COPM) scores were used before, 1 month and 2 months after treatment

After 2 months of treatment, the surface electromyography (EMG), hand function grade, Fugl-Meyer assessment (FMA) and Canadian Occupational Performance Scale (COPM) scores of the affected upper limb were significantly improved in the two groups compared with those before treatment, and the differences were significant (P). <0.001)。 After 2 months of treatment, the surface electromyography analysis, hand function grade, Fugl-Meyer assessment (FMA) and Canadian Occupational Performance Scale (COPM) score of the affected upper limb were significantly improved in the experimental group compared with the control group, and the differences were significant (P<0.05).

Low-frequency repetitive transcranial magnetic stimulation combined with mirror therapy on the unaffected side can significantly improve hand dysfunction in stroke patients.

关键词: strokemirror therapy
来源:中华医学会第二十六次物理医学与康复学学术会议