{"title":"反复经颅磁刺激对急性脑卒中患者单侧忽视的影响:一项随机对照试验","authors":"Hyun Gyu Cha PT, PhD , Myoung Kwon Kim PT, PhD","doi":"10.1016/j.hkpj.2015.04.001","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>Rehabilitation of the unilateral neglect of acute stroke patients represents a major challenge.</p></div><div><h3>Objectives</h3><p>This study aimed to evaluate the effects of repetitive transcranial magnetic stimulation on the functional recovery of stroke patients with unilateral neglect.</p></div><div><h3>Methods</h3><p>Twenty patients with stroke were randomly assigned to two groups: a repetitive transcranial magnetic stimulation group (experimental) and a control group. The stroke patients in the experimental group underwent repetitive transcranial magnetic stimulation therapy and comprehensive rehabilitation therapy. The stroke patients in the control group underwent sham magnetic stimulation therapy and comprehensive rehabilitation therapy. The patients in both groups received therapy 5 days per week for 4 weeks. The Motor Free Visual Perception Test (MVPT), Line Bisection Test (LBT), Albert Test (AT), and Star Cancellation Test (SCT) were assessed before and after the 4-week therapy period.</p></div><div><h3>Results</h3><p>The experimental group showed a significant increase in the MVPT, LBT, AT, and SCT values compared with the preintervention values (<em>p</em> < 0.05). Furthermore, the control group showed a significant increase in the MVPT, LBT, and AT results compared with the preintervention results (<em>p</em> < 0.05). A significant difference in the post-training gains for the MVPT (8.9 ± 2.5 vs. 4.8 ± 3.0), LBT (−19.3 ± 7.5 vs. −6.5 ± 9.5), AT (13.1 ± 8.0 vs. 4.0 ± 1.9), and SCT (−13.6 ± 6.9 vs. −4.5 ± 6.9) were observed between the experimental group and the control group (<em>p</em> < 0.05). In addition, the effect size for gains in the experimental and control groups was very large in MVPT and AT (effect size = 3.25 and 2.90), respectively, and the effect size for gains in the experimental and control groups was small in LBT and SCT (effect size = 0.22 and 0.23, respectively).</p></div><div><h3>Conclusion</h3><p>The current study findings indicated that repetitive transcranial magnetic stimulation may be beneficial in decreasing the unilateral neglect of stroke patients.</p></div>","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":"33 2","pages":"Pages 53-58"},"PeriodicalIF":0.9000,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkpj.2015.04.001","citationCount":"10","resultStr":"{\"title\":\"The effects of repetitive transcranial magnetic stimulation on unilateral neglect of acute stroke patients: A randomised controlled trial\",\"authors\":\"Hyun Gyu Cha PT, PhD , Myoung Kwon Kim PT, PhD\",\"doi\":\"10.1016/j.hkpj.2015.04.001\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>Rehabilitation of the unilateral neglect of acute stroke patients represents a major challenge.</p></div><div><h3>Objectives</h3><p>This study aimed to evaluate the effects of repetitive transcranial magnetic stimulation on the functional recovery of stroke patients with unilateral neglect.</p></div><div><h3>Methods</h3><p>Twenty patients with stroke were randomly assigned to two groups: a repetitive transcranial magnetic stimulation group (experimental) and a control group. The stroke patients in the experimental group underwent repetitive transcranial magnetic stimulation therapy and comprehensive rehabilitation therapy. The stroke patients in the control group underwent sham magnetic stimulation therapy and comprehensive rehabilitation therapy. The patients in both groups received therapy 5 days per week for 4 weeks. The Motor Free Visual Perception Test (MVPT), Line Bisection Test (LBT), Albert Test (AT), and Star Cancellation Test (SCT) were assessed before and after the 4-week therapy period.</p></div><div><h3>Results</h3><p>The experimental group showed a significant increase in the MVPT, LBT, AT, and SCT values compared with the preintervention values (<em>p</em> < 0.05). Furthermore, the control group showed a significant increase in the MVPT, LBT, and AT results compared with the preintervention results (<em>p</em> < 0.05). A significant difference in the post-training gains for the MVPT (8.9 ± 2.5 vs. 4.8 ± 3.0), LBT (−19.3 ± 7.5 vs. −6.5 ± 9.5), AT (13.1 ± 8.0 vs. 4.0 ± 1.9), and SCT (−13.6 ± 6.9 vs. −4.5 ± 6.9) were observed between the experimental group and the control group (<em>p</em> < 0.05). 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引用次数: 10
摘要
背景:急性脑卒中患者单侧忽视的康复是一项重大挑战。目的探讨反复经颅磁刺激对脑卒中单侧忽视患者功能恢复的影响。方法将20例脑卒中患者随机分为重复经颅磁刺激组(实验组)和对照组。实验组脑卒中患者接受反复经颅磁刺激治疗和综合康复治疗。对照组脑卒中患者接受假磁刺激治疗和综合康复治疗。两组患者均接受治疗，每周5天，连续4周。在4周治疗前后分别进行运动自由视觉知觉测验(MVPT)、线平分测验(LBT)、阿尔伯特测验(AT)和星形消去测验(SCT)。结果实验组患者MVPT、LBT、AT、SCT值较干预前显著升高(p <0.05)。此外，与干预前的结果相比，对照组的MVPT、LBT和AT结果显著增加(p <0.05)。在MVPT(8.9±2.5 vs. 4.8±3.0)、LBT(- 19.3±7.5 vs. - 6.5±9.5)、AT(13.1±8.0 vs. 4.0±1.9)和SCT(- 13.6±6.9 vs. - 4.5±6.9)的训练后增益方面，实验组和对照组之间存在显著差异(p <0.05)。此外，在MVPT和AT中，实验组和对照组的增益效应量非常大(效应量分别为3.25和2.90)，而在LBT和SCT中，实验组和对照组的增益效应量很小(效应量分别为0.22和0.23)。结论反复经颅磁刺激可有效减少脑卒中患者的单侧忽视。
The effects of repetitive transcranial magnetic stimulation on unilateral neglect of acute stroke patients: A randomised controlled trial
Background
Rehabilitation of the unilateral neglect of acute stroke patients represents a major challenge.
Objectives
This study aimed to evaluate the effects of repetitive transcranial magnetic stimulation on the functional recovery of stroke patients with unilateral neglect.
Methods
Twenty patients with stroke were randomly assigned to two groups: a repetitive transcranial magnetic stimulation group (experimental) and a control group. The stroke patients in the experimental group underwent repetitive transcranial magnetic stimulation therapy and comprehensive rehabilitation therapy. The stroke patients in the control group underwent sham magnetic stimulation therapy and comprehensive rehabilitation therapy. The patients in both groups received therapy 5 days per week for 4 weeks. The Motor Free Visual Perception Test (MVPT), Line Bisection Test (LBT), Albert Test (AT), and Star Cancellation Test (SCT) were assessed before and after the 4-week therapy period.
Results
The experimental group showed a significant increase in the MVPT, LBT, AT, and SCT values compared with the preintervention values (p < 0.05). Furthermore, the control group showed a significant increase in the MVPT, LBT, and AT results compared with the preintervention results (p < 0.05). A significant difference in the post-training gains for the MVPT (8.9 ± 2.5 vs. 4.8 ± 3.0), LBT (−19.3 ± 7.5 vs. −6.5 ± 9.5), AT (13.1 ± 8.0 vs. 4.0 ± 1.9), and SCT (−13.6 ± 6.9 vs. −4.5 ± 6.9) were observed between the experimental group and the control group (p < 0.05). In addition, the effect size for gains in the experimental and control groups was very large in MVPT and AT (effect size = 3.25 and 2.90), respectively, and the effect size for gains in the experimental and control groups was small in LBT and SCT (effect size = 0.22 and 0.23, respectively).
Conclusion
The current study findings indicated that repetitive transcranial magnetic stimulation may be beneficial in decreasing the unilateral neglect of stroke patients.
期刊介绍：
The Hong Kong Physiotherapy Journal is the official journal of the Hong Kong Physiotherapy Association Limited (HKPA Ltd). This peer-reviewed journal aims to contribute to and document the advancements in the principles and practice of physiotherapy in Hong Kong.The Hong Kong Physiotherapy Journal is published annually and papers are categorized into research reports, treatment reports, technical reports, literature reviews, and letters to the editor.
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