高精度经颅直流电刺激联合康复机器人对亚急性期脑卒中患者上肢和手功能的效果

doi:10.3969/j.issn.1006-9771.2023.11.010

《中国康复理论与实践》 ›› 2023, Vol. 29 ›› Issue (11): 1327-1332.doi: 10.3969/j.issn.1006-9771.2023.11.010

高精度经颅直流电刺激联合康复机器人对亚急性期脑卒中患者上肢和手功能的效果

曾雅琴, 程瑞动, 张利, 房珊, 戴允兰, 吕倩, 龚心怡, 叶祥明()

浙江省人民医院/杭州医学院附属人民医院康复医学科，浙江省康复与运动医学研究所，浙江杭州市 310014

收稿日期:2023-04-17 修回日期:2023-06-12 出版日期:2023-11-25 发布日期:2023-11-30
通讯作者: 叶祥明(1966-)，男，汉族，浙江杭州市人，主任医师，博士研究生导师，主要研究方向：康复医学。E-mail： yexmdr@126.com
作者简介:曾雅琴(1990-)，女，汉族，浙江杭州市人，硕士研究生，主治医师，主要研究方向：神经调控技术的研究。
基金资助:
1.浙江省医药卫生科技项目(2022KY499);Medical and Health Science and Technology Project of Zhejiang Province(2022KY499);1.浙江省医药卫生科技项目(2023KY058);2. 国家重点研发计划项目(2017YFC1308500);National Key Research and Development Program of China(2017YFC1308500)

Effect of high-definition transcranial direct current stimulation combined with rehabilitation robot on upper limb and hand function in patients with subacute stroke

ZENG Yaqin, CHENG Ruidong, ZHANG Li, FANG Shan, DAI Yunlan, LÜ Qian, GONG Xinyi, YE Xiangming()

Department of Rehabilitation Medicine, Zhejiang Provincial People's Hospital/People's Hospital of Hangzhou Medical College; Rehabilitation & Sports Medicine Research Institute of Zhejiang Province, Hangzhou, Zhejiang 310014, China

Received:2023-04-17 Revised:2023-06-12 Published:2023-11-25 Online:2023-11-30
Contact: YE Xiangming, E-mail： yexmdr@126.com
Supported by:
Medical and Health Science and Technology Project of Zhejiang Province(2023KY058)

摘要/Abstract

摘要：

目的探讨高精度经颅直流电刺激(HD-tDCS)联合康复机器人对亚急性期脑卒中患者上肢和手功能障碍的康复效果。

方法 2019年12月至2021年12月，浙江省人民医院住院的亚急性期脑卒中患者50例，随机分为对照组(n = 25)和试验组(n = 25)，两组均接受常规康复治疗，在此基础上对照组接受HD-tDCS假刺激联合康复机器人治疗，试验组接受HD-tDCS联合康复机器人治疗，共4周。治疗前后采用上肢动作研究测试量表(ARAT)、Fugl-Meyer评定量表上肢部分(FMA-UE)和运动功能评定量表(MAS)评定上肢和手功能。

结果干预后，两组ARAT、FMA-UE和MAS评分均较治疗前明显升高(∣Z∣ > 3.320, t > 6.379, P < 0.01)；试验组FMA-UE、MAS评分优于对照组(Z = -2.379, t = 3.181, P < 0.05)，试验组ARAT的抓和粗大运动评分优于对照组(∣Z∣ > 2.033, P < 0.05)。

结论 HD-tDCS联合康复机器人能够改善亚急性期脑卒中患者上肢和手功能，效果优于单纯康复机器人治疗。

关键词: 脑卒中, 经颅直流电刺激, 上肢, 康复机器人

Abstract:

Objective To investigate the effect of high-definition transcranial direct current stimulation (HD-tDCS) combined with rehabilitation robot on upper limb and hand dysfunction in patients with subacute stroke.

Methods From December, 2019 to December, 2021, 50 inpatients with subacute stroke in Zhejiang Provincial People's Hospital were randomly divided into control group (n = 25) and experimental group (n = 25). Both groups received routine rehabilitation therapy, while the control group added sham HD-tDCS combined with rehabilitation robot, and the experimental group added HD-tDCS combined with rehabilitation robot, for four weeks. The upper limb and hand function was assessed with Action Research Arm Test (ARAT), Fugl-Meyer Assessment-Upper Extremities (FMA-UE) and Motor Assessment Scale (MAS) before and after treatment.

Results After treatment, the scores of ARAT, FMA-UE and MAS increased in the two groups (∣Z∣ > 3.320, t > 6.379, P< 0.01), while the scores of FMA-UE and MAS were higher in the experimental group than in the control group (Z =-2.379, t = 3.181, P< 0.05), as well as the scores of grasping and gross motor of ARAT (∣Z∣ > 2.033, P< 0.05).

Conclusion The combination of HD-tDCS and rehabilitation robot can be more effective on upper limb and hand function in patients with subacute stroke than rehabilitation robot alone.

Key words: stroke, transcranial direct current stimulation, upper limb, rehabilitation robot

中图分类号:

R743.3

曾雅琴, 程瑞动, 张利, 房珊, 戴允兰, 吕倩, 龚心怡, 叶祥明. 高精度经颅直流电刺激联合康复机器人对亚急性期脑卒中患者上肢和手功能的效果[J]. 《中国康复理论与实践》, 2023, 29(11): 1327-1332.

ZENG Yaqin, CHENG Ruidong, ZHANG Li, FANG Shan, DAI Yunlan, LÜ Qian, GONG Xinyi, YE Xiangming. Effect of high-definition transcranial direct current stimulation combined with rehabilitation robot on upper limb and hand function in patients with subacute stroke[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(11): 1327-1332.

图/表 5

表1

表2

表3

表4

表5

参考文献 43

[1]	ZHAO Y, HUA X, REN X W, et al. Increasing burden of stroke in China: a systematic review and meta-analysis of prevalence, incidence, mortality, and case fatality[J]. Int J Stroke, 2023, 18(3): 259-267. doi: 10.1177/17474930221135983
[2]	WOLF S L, WINSTEIN C J, MILLER J P, et al. Effect of constraint-induced movement therapy on upper extremity function 3 to 9 months after stroke: the EXCITE randomized clinical trial[J]. JAMA, 2006, 296(17): 2095-2104. doi: 10.1001/jama.296.17.2095 pmid: 17077374
[3]	HUANG Y J, WANG S M, CHEN C, et al. High-definition transcranial direct current with electrical theta burst on post-stroke motor rehabilitation: a pilot randomized controlled trial[J]. Neurorehabil Neural Repair, 2022, 36(9): 645-654. doi: 10.1177/15459683221121751
[4]	AMANI A, MARYAM Y, HADI S, et al. Effect of triangular electrode schemes on Broca's cortical stimulation: conventional and HD-tDCS study[J]. Med Biol Eng Comput, 2021, 59(4): 913-924. doi: 10.1007/s11517-021-02338-6
[5]	SHAH-BASAK P P, SIVARATNAM G, TETI S, et al. High definition transcranial direct current stimulation modulates abnormal neurophysiological activity in post-stroke aphasia[J]. Sci Rep, 2020, 10(1): 19625. doi: 10.1038/s41598-020-76533-0
[6]	XU H, ZHOU Y J, WANG J S, et al. Effect of HD-tDCS on white matter integrity and associated cognitive function in chronic schizophrenia: a double-blind, sham-controlled randomized trial[J]. Psychiatry Res, 2023, 324: 115183. doi: 10.1016/j.psychres.2023.115183
[7]	DHARANI R, GOYAL N, MUKHERJEE A, et al. Adjuvant high-definition transcranial direct current stimulation for negative symptoms in schizophrenia: a pilot study[J]. J ECT, 2021, 37(3): 195-201. doi: 10.1097/YCT.0000000000000756 pmid: 33661184
[8]	KOLD S, GRAVEN N T. Modulation of central pain mechanisms using high-definition transcranial direct current stimulation: a double-blind, sham-controlled study[J]. Eur J Pain, 2023, 27(2): 303-315. doi: 10.1002/ejp.v27.2
[9]	KOLD S, GRAVEN N T. Modulation of experimental prolonged pain and sensitization using high-definition transcranial direct current stimulation: a double-blind, sham-controlled study[J]. J Pain, 2022, 23(7): 1220-1233. doi: 10.1016/j.jpain.2022.01.012
[10]	HE F, LI Y J, LI C X, et al. Repeated anodal high-definition transcranial direct current stimulation over the left dorsolateral prefrontal cortex in mild cognitive impairment patients increased regional homogeneity in multiple brain regions[J]. PLoS One, 2021, 16(8): e0256100. doi: 10.1371/journal.pone.0256100
[11]	LENGU K, RYAN S, PELTIER S J, et al. Effects of high definition-transcranial direct current stimulation on local GABA and glutamate levels among older adults with and without mild cognitive impairment: an exploratory study[J]. J Alzheimers Dis, 2021, 84(3): 1091-1102. doi: 10.3233/JAD-201091 pmid: 34602464
[12]	HENIN S, FEIN D, SMOUHA E, et al. The effects of compensatory auditory stimulation and high-definition transcranial direct current stimulation (HD-tDCS) on tinnitus perception: a randomized pilot study[J]. PLoS One, 2016, 11(11): e0166208. doi: 10.1371/journal.pone.0166208
[13]	VILLAMAR M F, WIVATVONGVANA P, PATUMANOND J, et al. Focal modulation of the primary motor cortex in fibromyalgia using 4×1-ring high-definition transcranial direct current stimulation (HD-tDCS): immediate and delayed analgesic effects of cathodal and anodal stimulation[J]. J Pain, 2013, 14(4): 371-383. doi: 10.1016/j.jpain.2012.12.007 pmid: 23415877
[14]	BASTANI A, JABERZADEH S. a-tDCS differential modulation of corticospinal excitability: the effects of electrode size[J]. Brain Stimul, 2013, 6(6): 932-937. doi: 10.1016/j.brs.2013.04.005 pmid: 23664681
[15]	FLOOD A, WADDINGTON G, KEEGAN R J, et al. The effects of elevated pain inhibition on endurance exercise performance[J]. PeerJ, 2017, 5(3): e3028. doi: 10.7717/peerj.3028
[16]	RADEL R, TEMPEST G, DENIS G, et al. Extending the limits of force endurance: stimulation of the motor or the frontal cortex?[J]. Cortex, 2017, 97(11): 96-108. doi: 10.1016/j.cortex.2017.09.026
[17]	MENG H J, CAO N, LIN Y T, et al. Motor learning enhanced by combined motor imagery and noninvasive brain stimulation is associated with reduced short-interval intracortical inhibition[J]. Brain Behav, 2019, 9(4): e01252. doi: 10.1002/brb3.2019.9.issue-4
[18]	RANZANI R, LAMBERCY O, METZGER J C, et al. Neurocognitive robot-assisted rehabilitation of hand function: a randomized control trial on motor recovery in subacute stroke[J]. J Neuroeng Rehabil, 2020, 17(1): 115. doi: 10.1186/s12984-020-00746-7 pmid: 32831097
[19]	中华医学会神经病学分会, 中华医学会神经病学分会脑血管病学组. 中国各类主要脑血管病诊断要点2019[J]. 中华神经科杂志, 2019, 52(9): 710-715.
[20]	陈慧, 蔡倩, 徐亮, 等. 经颅直流电刺激联合镜像疗法对脑卒中患者上肢运动功能的影响[J]. 中国康复理论与实践, 2020, 26(3): 301-305. doi: 10.3969/j.issn.1006-9771.2020.03.007
	CHEN H, CAI Q, XU L, et al. The effect of transcranial direct current stimulation combined with mirror therapy on upper limb motor function in stroke patients[J]. Chin J Rehabil Theory Pract, 2020, 26(3): 301-305.
[21]	汤从智, 蔡倩, 杨玺, 等. 经颅直流电刺激介入任务导向性训练对脑卒中患者上肢功能障碍的影响[J]. 中华物理医学与康复杂志, 2019, 41(8): 570-574.
	TANG C Z, CAI Q, YANG X, et al. The effect of transcranial direct current stimulation intervention task oriented training on upper limb dysfunction in stroke patients[J]. Chin J Phys Med Rehabil, 2019, 41(8): 570-574.
[22]	FLEMING M K, ROTHWELL J C, SZTRIHA L, et al. The effect of transcranial direct current stimulation on motor sequence learning and upper limb function after stroke[J]. Clin Neurophysiol, 2017, 128(7): 1389-1398. doi: S1388-2457(17)30133-5 pmid: 28410884
[23]	MORTENSEN J, FIGLEWSKI K, ANDERSEN H. Combined transcranial direct current stimulation and home-based occupational therapy for upper limb motor impairment following intracerebral hemorrhage: a double-blind randomized controlled trial[J]. Disabil Rehabil, 2016, 38(7): 637-643. doi: 10.3109/09638288.2015.1055379 pmid: 26079636
[24]	MAENZA C, GOOD D C, WINSTEIN C J, et al. Functional deficits in the less-impaired arm of stroke survivors depend on hemisphere of damage and extent of paretic arm impairment[J]. Neurorehabil Neural Repair, 2020, 34(1): 39-50. doi: 10.1177/1545968319875951 pmid: 31538852
[25]	MORRIS D M, USWATTE G, CRAGO J E, et al. The reliability of the Wolf Motor Function Test for assessing upper extremity function after stroke[J]. Arch Phys Med Rehabil, 2001, 82(6): 750-755. doi: 10.1053/apmr.2001.23183
[26]	PICKERING R L, HUBBARD I J, BARKER K J, et al. Assessment of the upper limb in acute stroke: the validity of hierarchal scoring for the Motor Assessment Scale[J]. Aust Occup Ther J, 2010, 57(3): 174-182. doi: 10.1111/j.1440-1630.2009.00810.x pmid: 20854586
[27]	王艺霏, 何佳佳, 田浩. 非侵入性脑刺激在脑卒中康复中的研究进展[J]. 中国康复, 2021, 36(11): 684-689.
	WANG Y F, HE J J, TIAN H. Research progress on non-invasive brain stimulation in stroke rehabilitation[J]. Chin J Rehabil, 2021, 36(11): 684-689.
[28]	陈意, 高强. 脑卒中运动功能障碍康复的研究进展[J]. 华西医学, 2022, 37(5): 757-764.
	CHEN Y, GAO Q. Research progress on rehabilitation of motor dysfunction after stroke[J]. West China Med J, 2022, 37(5): 757-764.
[29]	贾杰. "中枢-外周-中枢"闭环康复——脑卒中后手功能康复新理念[J]. 中国康复医学杂志, 2016, 31(11): 1180-1182.
[30]	朱琳, 曲斯伟, 刘霖, 等. 阳极经颅直流电刺激联合镜像疗法对脑卒中患者上肢功能的效果[J]. 中国康复理论与实践, 2022, 28(11): 1247-1251. doi: 10.3969/j.issn.1006-9771.2022.11.002
	ZHU L, QU S W, LIU L, et al. The effect of anodic transcranial direct current stimulation combined with mirror therapy on upper limb function in stroke patients[J]. Chin J Rehabil Theory Pract, 2022, 28(11): 1247-1251.
[31]	REMSIK A B, GJINI K, WILLIAMS L, et al. Ipsilesional mu rhythm desynchronization correlates with improvements in affected hand grip strength and functional connectivity in sensorimotor cortices following BCI-FES intervention for upper extremity in stroke survivors[J]. Front Hum Neurosci, 2021, 15(12): 725645. doi: 10.3389/fnhum.2021.725645
[32]	CHEN S, CAO L, SHU X K, et al. Longitudinal electroencephalography analysis in subacute stroke patients during intervention of brain-computer interface with exoskeleton feedback[J]. Front Neurosci, 2020, 14(8): 809. doi: 10.3389/fnins.2020.00809
[33]	DATTA A, BANSAL V, DIAZ J, et al. Gyri-precise head model of transcranial direct current stimulation: improved spatial focality using a ring electrode versus conventional rectangular pad[J]. Brain Stimul, 2009, 2(4): 201-207, 207.e1. doi: 10.1016/j.brs.2009.03.005 pmid: 20648973
[34]	SOLOMONS C D, V SHANMUGASUNDARAM V. Transcranial direct current stimulation: a review of electrode characteristics and materials[J]. Med Eng Phys, 2020, 85(11): 63-74. doi: 10.1016/j.medengphy.2020.09.015
[35]	ALAM M, TRUONG D Q, KHADKA N, et al. Spatial and polarity precision of concentric high-definition transcranial direct current stimulation (HD-tDCS)[J]. Phys Med Biol, 2016, 61(12): 4506-4521. doi: 10.1088/0031-9155/61/12/4506 pmid: 27223853
[36]	肖松林, 周俊鸿, 王宝峰, 等. 高精度经颅直流电刺激对足部肌肉力量、踝关节运动觉及静态平衡的影响[J]. 体育科学, 2020, 40(5): 42-51.
	XIAO S L, ZHOU J H, WANG B F, et al. The effect of high-precision transcranial direct current stimulation on foot muscle strength, ankle joint motion perception, and static balance[J]. Chin Sport Sci, 2020, 40(5): 42-51.
[37]	熊艺妩, 陈云, 江勇, 等. 高精度经颅直流电刺激对脑功能网络的影响[J]. 医用生物力学, 2021, 36(增刊): 372.
[38]	KAKUDA W. Future directions of stroke rehabilitation[J]. Rinsho Shinkeigaku, 2020, 60(3): 181-186. doi: 10.5692/clinicalneurol.cn-001399
[39]	LEE H C, KUO F L, LIN Y N, et al. Effects of robot-assisted rehabilitation on hand function of people with stroke: a randomized, crossover-controlled, assessor-blinded study[J]. Am J Occup Ther, 2021, 75(1): 7501205020p1-7501205020p11.
[40]	CALABRO R S, ACCORINTI M, PORCARI B, et al. Does hand robotic rehabilitation improve motor function by rebalancing interhemispheric connectivity after chronic stroke? Encouraging data from a randomised-clinical-trial[J]. Clin Neurophysiol, 2019, 130(5): 767-780. doi: S1388-2457(19)30079-3 pmid: 30904771
[41]	陈创, 唐朝正, 王桂丽, 等. 经颅直流电刺激结合任务导向性训练对慢性期脑卒中患者上肢及手功能障碍的影响[J]. 中国康复, 2017, 32(3): 202-204.
	CHEN C, TANG C Z, WANG G L, et al. The effect of transcranial direct current stimulation combined with task oriented training on upper limb and hand dysfunction in patients with chronic stroke[J]. Chin J Rehabil, 2017, 32(3): 202-204.
[42]	杨婷, 陈慧柚, 高政, 等. 经颅直流电刺激联合上肢机器人训练对脑卒中后偏瘫上肢运动功能影响的磁共振弥散张量成像研究[J]. 中华物理医学与康复杂志, 2021, 43(9): 781-786.
	YANG T, CHEN H Y, GAO Z, et al. Magnetic resonance diffusion tensor imaging study on the effect of transcranial direct current stimulation combined with upper limb robot training on upper limb motor function in hemiplegia after stroke[J]. Chin J Phys Med Rehabil, 2021, 43(9): 781-786.
[43]	DI PINO G, PELLEGRINO G, ASSENZA G, et al. Modulation of brain plasticity in stroke: a novel model for neurorehabilitation[J]. Nat Rev Neurol, 2014, 10(10): 597-608. doi: 10.1038/nrneurol.2014.162 pmid: 25201238

组别	n	性别 (男/女)/n	年龄/岁	卒中半球 (左/右)/n	卒中类型 (脑梗死/脑出血)/n	病程/月	Brunnstrom分期
组别	n	性别 (男/女)/n	年龄/岁	卒中半球 (左/右)/n	卒中类型 (脑梗死/脑出血)/n	病程/月	上肢	手	下肢
对照组	25	16/9	56.12±12.16	8/17	15/10	1.5(1, 2.25)	2(1.5, 3)	3(1, 3)	3(2, 5)
试验组	25	14/11	59.88±13.54	13/12	17/8	1.25(1, 2)	3(2, 3)	3(1, 3.5)	3(2.5,4.5)
χ²/t/Z值		0.333	1.033	2.053	0.347	-0.586	-0.544	-0.281	-0.391
P值		0.564	0.307	0.152	0.556	0.558	0.586	0.779	0.696

组别	n	治疗前	治疗后	Z值	P值
对照组	25	0(0, 8)	3(0, 12)	-3.320	0.001
试验组	25	3(0, 16.5)	17(0, 34)	-3.726	< 0.001
Z值		-1.772	-1.951
P值		0.241	0.051

组别	n	治疗前	治疗后	Z值	P值
对照组	25	15(5.5, 22.5)	20(9.5, 27.5)	-3.829	< 0.001
试验组	25	16(7.5, 30.5)	34(16, 51)	-4.374	< 0.001
Z值		-0.857	-2.379
P值		0.381	0.017

组别	n	治疗前	治疗后	t值	P值
对照组	25	16.48±10.03	21.08±9.53	6.379	< 0.001
试验组	25	20.96±11.41	30.04±10.37	8.407	< 0.001
t值		1.475	3.181
P值		0.147	0.003

组别	n	抓		握		捏		粗大运动
组别	n	治疗前	治疗后	治疗前	治疗后	治疗前	治疗后	治疗前	治疗后
对照组	25	0(0, 3)	0(0, 3.5)^a	0(0, 1)	0(0, 1.5)	0(0, 0)	0(0，1)	0(0, 3.5)	3(0, 5.5)^a
试验组	25	0(0, 5.5)	6(0, 12)^a	0(0, 1.5)	1(0, 5)^a	0(0, 2)	0(0，8)	1(0, 5.5)	7(0, 9)^a
Z值		-0.362	-2.174	-0.233	-1.559	-0.661	-1.646	-1.038	-2.033
P值		0.717	0.030	0.816	0.119	0.509	0.100	0.299	0.042

高精度经颅直流电刺激联合康复机器人对亚急性期脑卒中患者上肢和手功能的效果

Effect of high-definition transcranial direct current stimulation combined with rehabilitation robot on upper limb and hand function in patients with subacute stroke

RichHTML

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

图/表 5

参考文献 43

相关文章 15

Metrics

本文评价

推荐阅读 0

[1]	周治宁, 周容, 肖燕文, 王博文, 吕娇娇, 刘宇. 多靶区经颅直流电刺激对健康成年人工作记忆-姿势控制双任务表现的影响[J]. 《中国康复理论与实践》, 2024, 30(1): 21-28.
[2]	林娜, 高菡璐, 卢惠苹, 陈燕清, 郑军凡, 陈述荣. 虚拟现实技术对脑卒中上肢功能影响的弥散张量成像研究[J]. 《中国康复理论与实践》, 2024, 30(1): 61-67.
[3]	王昊懿, 史亚伟, 鲁俊, 许光旭. 主观垂直感知障碍对脑卒中患者功能影响的回顾性研究[J]. 《中国康复理论与实践》, 2024, 30(1): 68-73.
[4]	陈珺雯, 陈谦, 陈程, 李淑月, 刘玲玲, 吴存书, 龚翔, 鲁俊, 许光旭. 改良八段锦身体活动对脑卒中患者心肺功能、运动功能和日常生活活动能力的效果[J]. 《中国康复理论与实践》, 2024, 30(1): 74-80.
[5]	胡永林, 马颖, 窦超, 陆安民, 江小鸽, 宋新建, 肖玉华. 肩部控制训练联合神经松动术对脑卒中偏瘫患者肩痛及上肢功能的效果[J]. 《中国康复理论与实践》, 2024, 30(1): 81-86.
[6]	王贺, 韩靓, 阚梦凡, 于少泓. 电刺激治疗脑卒中后肩手综合征有效性的系统评价与Meta分析[J]. 《中国康复理论与实践》, 2023, 29(9): 1048-1056.
[7]	孙藤方, 任梦婷, 杨琳, 王耀霆, 王红雨, 闫兴洲. 高压氧治疗联合重复外周磁刺激干预脑卒中患者踝运动功能和平衡能力的效果[J]. 《中国康复理论与实践》, 2023, 29(8): 875-881.
[8]	王亚楠, 刘西花. 脑卒中偏瘫患者主观和客观平衡功能测量的相关性及预测效能[J]. 《中国康复理论与实践》, 2023, 29(8): 890-895.
[9]	王海云, 王寅, 周信杰, 何爱群. 基于“中枢-外周-中枢”理论的经颅直流电刺激结合针刺干预脑卒中患者中枢及上肢功能的效果[J]. 《中国康复理论与实践》, 2023, 29(8): 919-925.
[10]	陈怡婷, 王倩, 崔慎红, 李映彩, 张思鈺, 魏衍旭, 任慧, 冷军, 陈斌. 双侧序贯重复经颅磁刺激干预脑卒中患者上肢运动功能的效果[J]. 《中国康复理论与实践》, 2023, 29(8): 926-932.
[11]	李振亚, 孙洁, 郭鹏飞, 王光明. 脑卒中患者口期和咽期吞咽功能改变与误吸的相关性：基于电视透视吞咽检查[J]. 《中国康复理论与实践》, 2023, 29(8): 933-939.
[12]	李芳, 霍速, 杜巨豹, 刘秀贞, 李小爽, 宋为群. 经颅直流电刺激联合任务导向性康复训练对脊髓损伤大鼠前肢运动障碍的效果[J]. 《中国康复理论与实践》, 2023, 29(7): 777-781.
[13]	华玲, 张一楠, 郑玉, 孙俏仪, 房辉, 宋达. 手控节律音乐治疗对脑卒中后单侧空间忽略的效果[J]. 《中国康复理论与实践》, 2023, 29(7): 833-838.
[14]	蒋孝翠, 刘臻, 苏清伦, 赵秦, 夏晓昧, 陆飞. 间歇性Theta节律经颅磁刺激对脑卒中后非流利性失语的影响[J]. 《中国康复理论与实践》, 2023, 29(7): 839-843.
[15]	许苗苗, 李楠, 应颖, 杨凯翔, 杨婧瑞, 李杰, 邱彦群. 重复外周磁刺激对左右颈7神经交叉移位术后脑卒中患者上肢运动功能的效果[J]. 《中国康复理论与实践》, 2023, 29(6): 686-690.