Application of intelligent rehabilitation robot hand training combined with repeated transcranial magnetic stimulation in stroke patients
10.3969/j.issn.1671-8348.2025.05.016
- VernacularTitle:智能康复机器手联合重复经颅磁刺激在卒中患者的应用研究
- Author:
Jun FENG
1
;
Guoli DONG
;
Qin FENG
;
Xiaoqin ZHU
Author Information
1. 浙江中医药大学研究生院,杭州 310053;杭州市临平区中西医结合医院康复科,杭州 311100
- Keywords:
stroke;
repeated transcranial magnetic stimulation;
intelligent rehabilitation robot hand training;
upper limb motor function;
ability of daily living
- From:
Chongqing Medicine
2025;54(5):1138-1142
- CountryChina
- Language:Chinese
-
Abstract:
Objective Guided by the"central-peripheral-central"theory,this study analyzed the influ-ence of repeated transcranial magnetic stimulation(rTMS)combined with intelligent rehabilitation robot hand training on the rehabilitation effect of stroke patients in the convalesce stage,in order to provide more new ide-as for clinical patients.Methods A total of 86 stroke patients who were treated in the department of rehabili-tation in Integrated Traditional and Western Medicine Hospital of Linping District,Hangzhou from July 2021 to July 2024 were prospectively selected and divided into observation group(n=43)and control group(n=43)by random number table method.The observation group received rTMS based"central-peripheral-central"theory combined with intelligent rehabilitation robot hand training on the basis of routine rehabilitation,while the control group received intelligent rehabilitation robot hand training combined with rTMS pseudo-stimula-tion intervention on the basis of routine rehabilitation.The changes of upper Fugl-Meyer motor function as-sessment(FMA),Modified Barthel Index(MBI),upper limb movement pattern(Brunnstrom Staging Scale)and joint motion before and after intervention were recorded in two groups.Results After intervention,the scores of FMA and MBI in two groups were higher than before intervention,and the observation group was significantly higher than that of the control group(P＜0.05).After intervention,the rate of patients in Brunnstrom stage Ⅱ was decreased,while the rates of patients in Brunnstrom stage Ⅲ and Ⅳ were increased,and the observation group was better than the control group(P＜0.05).After the intervention,the motion degrees of shoulder forward flexion,shoulder abduction,shoulder back extension,elbow flexion,elbow exten-sion,forearm pronation,forearm pronation,carpal palm flexion and wrist back extension in two groups were significantly higher than that before the intervention,and the observation group was significantly higher than the control group(P＜0.05).Conclusion Intelligent rehabilitation robot hand training combined with rTMS can improve upper limb active joint motion,upper limb motor function and daily living ability of stroke pa-tients in the convalescence period.
