《中国康复理论与实践》

《中国康复理论与实践》 ›› 2019, Vol. 25 ›› Issue (5): 590-592.doi: 10.3969/j.issn.1006-9771.2019.05.017

• 临床观察 • 上一篇    下一篇

重复经颅磁刺激联合镜像疗法对脑卒中上肢和手康复的个案报道

杨延辉1, 张洁1, 董媛媛1, 贾杰1,2   

  1. 1.陕西省康复医院，陕西西安市 710065
    2.复旦大学附属华山医院康复医学科，上海市 200040
  • 收稿日期:2018-09-06 修回日期:2018-10-22 出版日期:2019-05-25 发布日期:2019-05-29
  • 通讯作者: 贾杰，E-mail: shannonjj@126.com
  • 作者简介:杨延辉(1979-)，男，汉族，河南汝州市人，主管技师，主要研究方向：脑卒中、颅脑损伤、周围神经损伤、骨折术后等手和上肢功能康复。

Repeated Transcranial Magnetic Stimulation Combined with Mirror Therapy for Upper Limb and Hand Rehabilitation after Stroke: A Case Report

YANG Yan-hui1, ZHANG Jie1, DONG Yuan-yuan1, JIA Jie1,2   

  1. 1.Shaanxi Rehabilitation Hospital, Xi’an, Shaanxi 710065, China
    2.Department of Rehabilitation, Huashan Hospital, Fudan University, Shanghai 200040, China
  • Received:2018-09-06 Revised:2018-10-22 Published:2019-05-25 Online:2019-05-29
  • Contact: JIA Jie, E-mail: shannonjj@126.com

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摘要： 目的 探讨重复经颅磁刺激联合镜像疗法对脑卒中上肢和手康复的影响。方法 一例右侧基底节脑出血患者，间断接受常规康复3个月，效果不满意。采取经颅磁刺激结合镜像疗法康复6周。采用Brunnstrom分期(手/上肢)、Fugl-Meyer评定量表、偏瘫上肢功能评定、改良Ashworth量表、改良Barthel指数、明尼苏达协调性测试和Jebsen手功能测试等进行评定。结果 治疗后，患者偏瘫上肢功能提高，明尼苏达协调性测试与Jebsen手功能测试时间缩短，痉挛缓解。结论 重复经颅磁刺激结合镜像疗法对脑卒中后上肢和手的运动功能恢复有一定疗效。

关键词: 脑卒中, 重复经颅磁刺激, 镜像疗法, 手, 上肢

Abstract: Objective To explore the effects of repetitive transcranial magnetic stimulation (rTMS) combined with mirror therapy (MT) on upper limb and hand function after stroke.Methods A patient after right basal ganglia hemorrhage accepted intermittent routine rehabilitation for more than three months, and did not satisfy in upper limb and hand function recovery. Then, he accepted rTMS combined with MT for six weeks. He was assessed with Brunnstrom stage, Fugl-Meyer Assessment, limb function evaluation of hemiplegia, modified Ashworth Scale, modified Barthel Index, Minnesota Rate of Manipulation Test and Jebsen Hand Function Test before and after treatment. Results The patient improved in motor function, Minnesota Rate of Manipulation Test and Jebsen Hand Function Test, with spasm relief after treatment. Conclusion rTMS combined with MT can be applied for rehabilitation of upper limbs and hands after stroke.

Key words: stroke, repetitive transcranial magnetic stimulation, mirror therapy, hands, upper limbs

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