Clinical observation of transcranial direct current stimulation combined with mirror therapy in the treat-ment for poststroke shoulder-hand syndrome
10.3969/j.issn.1001-1242.2025.09.004
- VernacularTitle:经颅直流电刺激联合镜像疗法治疗脑卒中后肩手综合征的疗效观察
- Author:
Pan XU
1
;
Chunjun ZHANG
1
;
Wenli WANG
1
Author Information
1. 昆明医科大学第二附属医院康复医学科,云南省 昆明市,650000
- Publication Type:Journal Article
- Keywords:
shoulder-hand syndrome;
pain;
transcranial direct current stimulation;
mirror therapy
- From:
Chinese Journal of Rehabilitation Medicine
2025;40(9):1314-1319
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe the clinical efficacy of transcranial direct current stimulation(tDCS)and tDCS com-bined with mirror therapy in the treatment of shoulder-hand syndrome after stroke.Method:Forty-five patients with post-stroke shoulder-hand syndrome were divided into the combined group,tDCS group and the conventional group,with 15 cases in each group.In the combined group,tDCS combined with mirror therapy was added on the basis of routine rehabilitation.The tDCS group added tDCS treatment on the ba-sis of routine rehabilitation treatment.The conventional group received routine rehabilitation treatment.The treat-ment lasted for 10 days.Before and after treatment,shoulder-numerical rating scale(S-RNS),hand-numerical rating scale(H-RNS),edema degree of affected hand,Fugl-Meyer assessment of upper extremity(FMA-UE),modified bar-thel index(MBI)and shoulder-hand syndrome scale(SHSS)were used to evaluate patients in the three groups.Result:Compared with before treatment,the S-NRS,H-NRS score,hand edema degree,FMA-UE,MBI and SHSS score in the combined group and tDCS group were significantly improved(P<0.05)after treat-ment,while the H-NRS score in conventional group was significantly improved(P<0.05).After the treatment,the shoulder-NRS score of the combined group was significantly decreased and the SHSS and MBI score were also significantly increased,compared with that of the tDCS and conventional group(P<0.05).The MBI score of the tDCS group was significantly increased compared with the conventional group(P<0.05).Conclusion:tDCS can improve the clinical symptoms of post-stroke SHS,the combination of mirror therapy is more effective.
