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

doi:10.3969/j.issn.1006-9771.2023.08.002

Abstract

Abstract:

Objective To observe the effect of hyperbaric oxygen therapy (HBOT) combined with repetitive peripheral magnetic stimulation (rPMS) on ankle motor function and balance of stroke patients.
Methods From April, 2022 to March, 2023, 96 patients in the First Affiliated Hospital of Bengbu Medical College were randomly divided into control group (n = 32), rPMS group (n = 32) and combined group (n = 32). The control group received conventional rehabilitation; rPMS group received rPMS on the basis of the control group; and the combined group received HBOT on the basis of rPMS group, for two weeks. Before and after treatment, the plantar weight-bearing ratio of the affected side, Berg Balance Scale (BBS), active range of motion (AROM) of ankle dorsiflexion of the affected side, and integrated electromyographic (iEMG) values during maximum isometric contraction of the tibialis anterior and gastrocnemius muscles were measured.
Results Two cases dropped out in each group, and 90 cases were finally included, and no adverse events occurred during treatment. Before treatment, there was no significant difference in plantar weight-bearing ratio of the affected side, BBS score, AROM of ankle dorsiflexion of the affected side, and iEMG of tibialis anterior and gastrocnemius among three groups (F < 2.070, P > 0.05). After treatment, all the indicators significantly improved in all the groups (|t| > 27.004, P < 0.001), and they were better in the combined group than in rPMS group and the control group (P < 0.001); except the proportion of plantar weight-bearing on the affected side, the other indicators were better in rPMS group than in the control group (P < 0.001).
Conclusion rPMS can promote the recovery of ankle motor function and balance of stroke patients, and the effect combining with HBOT is better.

Key words: stroke, ankle, motor function, balance, repetitive peripheral magnetic stimulation, hyperbaric oxygen therapy

CLC Number:

R743.3

SUN Tengfang, REN Mengting, YANG Lin, WANG Yaoting, WANG Hongyu, YAN Xingzhou. Effect of hyperbaric oxygen therapy combined with repetitive peripheral magnetic stimulation on ankle motor function and balance of stroke patients[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(8): 875-881.

Figures/Tables 6

References 48

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组别	n	性别(男/女)/n	年龄/岁	病程/d	卒中类型(脑出血/脑梗死)/n	患侧(左/右)/n
对照组	30	21/9	61.27±10.56	23.27±15.84	7/23	13/17
rPMS组	30	17/13	57.23±9.32	28.63±16.03	11/19	16/14
联合组	30	21/9	55.90±10.43	29.17±14.40	13/17	7/23
χ²/F值		1.575	2.288	1.340	2.756	5.833
P值		0.455	0.108	0.267	0.252	0.054

组别	n	治疗前	治疗后	t值	P值
对照组	30	27.99±2.368	36.39±2.629	-36.315	< 0.001
rPMS组	30	26.73±3.616	37.27±3.517	-75.118	< 0.001
联合组	30	27.84±3.331	41.28±3.558^a,b	-27.004	< 0.001
F值		1.423	19.143
P值		0.247	< 0.001

组别	n	治疗前	治疗后	t值	P值
对照组	30	32.07±1.741	41.30±1.860	-34.766	< 0.001
rPMS组	30	31.63±1.497	43.17±1.206^a	-44.114	< 0.001
联合组	30	31.70±1.765	45.67±1.516^a,b	-49.606	< 0.001
F值		0.584	59.909
P值		0.560	< 0.001

组别	n	治疗前	治疗后	t值	P值
对照组	30	1.63±0.890	4.57±0.935	-27.545	< 0.001
rPMS组	30	1.87±0.860	5.57±1.194^a	-28.860	< 0.001
联合组	30	1.90±0.845	7.27±1.230^a,b	-34.570	< 0.001
F值		0.846	43.972
P值		0.433	< 0.001

组别	n	治疗前	治疗后	t值	P值
对照组	30	27.93±1.131	37.76±1.369	-59.365	< 0.001
rPMS组	30	27.60±0.927	39.49±1.106^a	-125.414	< 0.001
联合组	30	27.39±1.039	42.87±1.352^a,b	-130.943	< 0.001
F值		2.070	123.500
P 值		0.132	< 0.001

Effect of hyperbaric oxygen therapy combined with repetitive peripheral magnetic stimulation on ankle motor function and balance of stroke patients

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组别	n	治疗前	治疗后	t值	P值
对照组	30	18.86±0.668	28.067±0.200	-59.887	< 0.001
rPMS组	30	18.93±0.825	30.18±1.077^a	-68.743	< 0.001
联合组	30	18.78±0.772	32.92±1.427^a,b	-72.585	< 0.001
F值		0.308	121.362
P值		0.736	< 0.001

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