摘要
目的:观察重复经颅磁刺激(rTMS)联合冲击波(ESWT)对脊髓损伤(SCI)后痉挛患者状态的疗效。方法:选取2020年1月-2022年12月新余市人民医院收治的45例不完全性SCI伴有下肢痉挛患者作为研究对象,随机将其分为A组、B组、C组,每组各15例。A组患者给予常规康复治疗,B组患者在A组的基础上给予rTMS治疗;C组患者在A组的基础上给予rTMS联合ESWT治疗。比较治疗前后分别对三组患者改良的Ashworth量表(MAS)、Fugl-Meyer评定量表(FMA)、改良Barthel指数(MBI)情况。结果:治疗后,三组患者MAS明显低于治疗前、FMA及MBI明显高于治疗前,差异有统计学意义(t=3.292、4.583、12.649、-8.921、-12.466、-24.234、-10.208、-13.256、-20.327,P<0.01),其中C组患者MAS均低于B组患者和A组患者,差异有统计学意义(t=2.168、7.341,P<0.05);C组患者FMA、MBI均高于B组患者和A组患者,差异有统计学意义(t=-2.568、-3.877、-2.244、-4.049,P<0.05)。结论:rTMS联合ESWT治疗可以有效改善SCI后患者下肢痉挛状态,同时可提高患者下肢运动功能及日常生活活动能力。
Objective:To observe the effect of repetitive transcranial magnetic stimulation combined with extracorporeal shock wave therapy(ESWT)on spasticity in patients with spinal cord injury(SCI).Methods:A total of 45 patients with incomplete SCI admitted to Xinyu People’s Hospital from January 2020 to December 2022 were selected,all of whom had lower extremity muscle spasms.They were randomly divided into group A,group B and group C,with 15 patients in each group.All three groups were given conventional methods of rehabilitation training,group B was given rTMS treatment,group C was given rTMS combined with ESWT.Modified Ashworth scale,Fugl-Meyer assessment and modified Barthel index of 3 groups were assessed before and after treatment.Results:MAS was significantly lower than before treatment,and FMA and MBI were significantly higher than begore treatement(t=3.292,4.583,12.649,-8.921,-12.466,-24.234,-10.208,-13.256,-20.327;P<0.01),in which the MAS of group C were significantly lower than that of group B and group A(t=2.168,7.341;P<0.05).The FMA and MBI of group C were significantly higher than that of group B and group A(t=-2.568,t=-3.877,t=-2.244,t=-4.049;P<0.05).Conclusion:Transcranial magnetic stimulation combined with extracorporeal shock wave therapy can effectively improve the spasticity of lower limbs after spinal cord injury.It can improve the patient’s motor function and activity of daily life,and it is worth to be studied further.
作者
傅继凡
刘华
徐冬梅
袁建
樊琼
Fu Jifan;Liu Hua;Xu Dongmei(Department of Rehabilitation Medicine,Xinyu People’s Hospotal,Xinyu,Jiangxi,338000,China)
出处
《黑龙江医学》
2024年第9期1104-1106,共3页
Heilongjiang Medical Journal
基金
新余市科技计划项目(20203090850)。
关键词
脊髓损伤
痉挛
重复经颅磁刺激
冲击波
Spinal cord injury
Spasticity
Repetitive transcranial magnetic stimulation
Extracorporeal shock wave therapy
