Repetitive peripheral magnetic stimulation improves severe upper limb paresis in early acute phase stroke survivors
Repetitive peripheral magnetic stimulation improves severe upper limb paresis in early acute phase stroke survivors
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DOI：
10.3233/nre-203085
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发表时间：
2020-01-01
影响因子：
2
通讯作者：
Takahashi, Rina
中科院分区：
文献类型：
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作者：
Obayashi, Shigeru;Takahashi, Rina
背景技术背景：这是非常困难的患者与严重的上肢（UE）轻瘫中风后，以达到完全恢复，因为缺乏一个明确的方法，以改善严重UE轻瘫发病后立即occurrence.OBJECTIVE：调查的影响，重复外周磁刺激（rPMS）对严重UE轻瘫在早期急性期stroke.METHODS：19名参与者与严重UE残疾符合标准。10名受试者在每次标准护理之前接受15-20分钟的rPMS，而9名年龄和严重程度匹配的受试者接受2次20分钟的标准护理。结果测量包括Fugl-Meyer运动评估量表（FMA-UE）的UE运动部分，Wolf运动功能测试（WMFT）和箱块测试（BBT）。结果：rPMS组在卒中后中位数9.2天接受治疗（平均疗程：7.8）（对照组在5天后接受16.5次治疗）。为了调整不同的治疗持续时间，我们将“进展率”定义为UE功能评分的增益除以治疗持续时间。FMA-UE和WMFT的进展率有显着差异，但在BBT。结论：本研究表明，在中风的早期急性期，rPMS对严重UE轻瘫的有益影响。
BACKGROUND: It is very difficult for patients with severe upper extremity (UE) paresis after stroke to achieve full recovery because of the lack of a definitive approach for improving severe UE paresis immediately after onset.OBJECTIVE: to investigate the effects of repetitive peripheral magnetic stimulation (rPMS) on severe UE paresis during early acute phase of stroke.METHODS: Nineteen participants with severe UE disability met the criteria. 10 subjects received 15-20 minutes of rPMS prior to standard care per session, while 9 age- and severity-matched subjects received two times 20 minutes of standard care. Outcome measures included UE motor section of the Fugl-Meyer Motor Assessment Scale (FMA-UE), Wolf motor function test (WMFT), and box and block test (BBT).RESULTS: The rPMS group received treatment (average sessions: 7.8) after a median 9.2 days from stroke (16.5 sessions after 5 days for control). To adjust the different treatment durations, we defined "progress rate" as the gains of UE function scores divided by treatment duration. The progress rate was significantly different in FMA-UE and WMFT, but not in BBT.CONCLUSIONS: The present study suggested beneficial effects of rPMS on severe UE paresis during early acute phase of stroke.