Effect of rope-assisted proprioceptive neuromuscular facilitation combined with rope-assisted brain-computer in-terface training on upper limb function in stroke patients with hemiplegia:a randomized controlled trial
10.3969/j.issn.1006-9771.2024.08.013
- VernacularTitle:绳带辅助本体感觉神经肌肉促进技术训练联合绳带辅助脑机接口训练对脑卒中偏瘫上肢康复效果的随机对照试验
- Author:
Tianjia LIANG
1
;
Yaobin LONG
;
Liyan LU
;
Jinying ZHOU
;
Fucai HUANG
;
Linpeng HUANG
;
Yingchao WU
;
Yaoxiang LONG
;
Xiaocui WEI
;
Zhong LIU
Author Information
1. 广西医科大学第二附属医院康复医学科,广西南宁市 530007
- Keywords:
stroke;
upper limb;
rope therapy;
proprioceptive neuromuscular facilitation;
brain-computer interface;
rehabilitation;
randomized controlled trial
- From:
Chinese Journal of Rehabilitation Theory and Practice
2024;30(8):972-978
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of combination of rope-assisted proprioceptive neuromuscular facilitation(PNF)training and rope-assisted brain-computer interface(BCI)training on upper limb function in stroke patients with hemiplegia. Methods From March,2022 to February,2023,96 inpatients with stroke hemiplegia from the Second Affiliated Hospital of Guangxi Medical University were randomly divided into conventional group(n=32),PNF group(n=32)and combined group(n=32).All the groups received routine rehabilitation treatment.The conventional group re-ceived upper limb PNF training,the PNF group received upper limb rope-assisted PNF training,and the com-bined group received both upper limb rope-assisted PNF training and upper limb rope-assisted BCI training,for four weeks.They were assessed with Functiongal Test for the Hemiplegic Upper Extremity-Hong Kong version(FTHUE-HK),Fugl-Meyer Assessment-Upper Extremities(FMA-UE)and modified Barthel Index(MBI)before and after treatment. Results The intra-group effect(F>341.219,P<0.001),inter-group effect(F>21.705,P<0.001)and interaction effect(F>3.171,P<0.05)were significant in the scores of FTHUE-HK and MBI.The intra-group effect(F=520.472,P<0.001)and inter-group effect(F=41.939,P<0.001)were significant in the scores of FMA-UE,and the interaction effect was not(P>0.05).After treatment,the FTHUE-HK,FMA-UE and MBI scores were the best in the combined group(P<0.05). Conclusion The combination of rope-assisted PNF training with rope-assisted BCI device training could further improve the motor function of the upper limbs in stroke patients with hemiplegia,and enhance their activities of daily liv-ing.