Application analysis of task-oriented training combined with transcranial direct current stimulation in the recovery of hand and foot motor function of stroke patients
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    Abstract:

    Objective To explore the application of task-oriented training combined with transcranial direct current stimulation in the recovery of hand and foot motor function of stroke patients. Methods By convenience sampling, 100 patients with stroke in convalescent period admitted to the Department of Neurology of Hengshui People's Hospital from July 2016 to December 2018 were selected as the research objects. They were randomly divided into control group and combined group, with 50 patients in each group. Patients in the control group received transcranial direct current stimulation, while patients in the combined group were given task-oriented training combined with transcranial direct current stimulation. Brunnstrom hand grading and upper limb function evaluation and arm movement survey test form( ARAT) in Fugl-Meyer evaluation( FMA) were used to evaluate the recovery of hand motor function before and after treatment; Berg Balance Scale( BBS) was used to evaluate the balance function, and the pace and length of patients before and after treatment; Holden's Walking Function Classification( HWG) was used to evaluate the walking ability of patients before and after treatment; The Motor Function Evaluation Scale of Stroke Patients( MAS) was used to evaluate the functional activities of patients before and after treatment, and the modified Barthel index( MBI) was used to evaluate patients' daily life ability before and after treatment, and the adverse reactions were recorded. Results After treatment, the Brunnstrom hand grading of the combined group was better than that of the control group( Z=-0.312, P=0.016). FMA score[ (31.45±9.79) points], ARAT score[ (35.67±8.71) points], BBS score[ (42.57±9.47) points], walking speed[ (44.67±6.89) m/min], step length[ (57.35±13.31) cm], HWG grade( 4.73±0.91), MAS score[ (27.47±8.93) points], MBI( 65.37±19.82) in the control group were all better than those in the control group[ (23.83±7.23),( 20.46±4.67),( 33.42±7.78),( 32.21±6.47) m/min,( 46.65±13.34) cm, (3.75±0.88),( 20.52±8.94) points,( 54.35±20.51)], and the difference was statistically significant( P<0.01); There was no significant difference in the incidence of adverse reactions between the two groups( P > 0.05). Conclusions Task-oriented training combined with transcranial direct current stimulation can effectively improve the hand and foot function and the ability of daily life of patients with stroke in recovery period.

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Li Y,Sun ZX. Application analysis of task-oriented training combined with transcranial direct current stimulation in the recovery of hand and foot motor function of stroke patients[J].Journal of Neuroscience and Mental Health,2020,20(5):347-352.DOI:10.3969/j. issn.1009-6574.2020.05.009.

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  • Online: September 15,2020
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