Effects of mental practice combined with transcranial direct current stimulation on the function of the upper limbs in hemiplegic patients with stroke
10.3969/j.issn.1009-0754.2017.04.008
- VernacularTitle:运动想象训练联合经颅直流电刺激对脑卒中偏瘫患者上肢功能的影响
- Author:
Xingwang CHE
1
;
Jincheng CHENG
;
Dongsheng JIANG
;
Hongrui LI
;
Huiping YUAN
;
Huanhuan MA
;
Shuiping WANG
Author Information
1. 阜阳市人民医院康复科
- Keywords:
Mental practice;
Transcranial direct current stimulation;
Stroke;
Function of upper limbs
- From:
Journal of Navy Medicine
2017;38(4):303-306
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical effects of mental practice (MP) combined with transcranial direct current stimulation (tDCS) on functional recovery of hemiplegic upper limbs in patients with stroke.Methods The study was conducted by using case-control method.Eighty hemiplegia patients with stroke hospitalized in the Department of Rehabilitation Medicine of Fuyang People's Hospital from August 2015 to December 2016 were recruited for the study.The patients were randomly divided into 2 groups:the observation group (n =41) and the control group (n =39).The patients of the 2 groups were all treated with tDCS,but the patients in the observation group were implemented with MP,once a day,5 days a week and for a succession of 4 weeks.Therapeutic efficacy was evaluated both before treatment and 4 weeks after treatment,by using Fugl-Meyer assessment (FMA) and the modified Barthel index (MBI).Results Before treatment,there were no significant differences in FMA scores and MBI scores,when comparisons were made between the 2 groups.Following treatment for 4 weeks,the FMA and MBI scores of the 2 groups were all significantly improved.However,statistical significance could be seen in the FMA scores of the observation group,as compared with the control group (P ＜0.05).Conclusion Mental practice combined with tDCS could produce good effects on the motor function of the upper limbs in hemiplegic patients with stroke.
