脑机接口联合正念疗法对脑卒中偏瘫患者康复的影响：一项随机对照试验

Effects of brain-Computer interface combined with mindfulness therapy on rehabilitation of hemiplegic patients with stroke: a randomized controlled trial.

作者信息

Wang Pei, Liu Jinyu, Wang Lili, Ma Huifang, Mei Xingyan, Zhang Aihua

机构信息

Shandong Provincial Hospital Affiliated to Shandong First Medical University, Ji'nan, Shandong, China.

School of Nursing, Shandong First Medical University and Shandong Academy of Medical Sciences, Taian, Shandong, China.

出版信息

Front Psychol. 2023 Oct 9;14:1241081. doi: 10.3389/fpsyg.2023.1241081. eCollection 2023.

DOI:10.3389/fpsyg.2023.1241081

PMID:37876845

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10590922/

Abstract

AIM

To explore the effects of brain-computer interface training combined with mindfulness therapy on Hemiplegic Patients with Stroke.

BACKGROUND

The prevention and treatment of stroke still faces great challenges. Maximizing the improvement of patients' ability to perform activities of daily living, limb motor function, and reducing anxiety, depression, and other social and psychological problems to improve patients' overall quality of life is the focus and difficulty of clinical rehabilitation work.

METHODS

Patients were recruited from December 2021 to November 2022, and assigned to either the intervention or control group following a simple randomization procedure (computer-generated random numbers). Both groups received conventional rehabilitation treatment, while patients in the intervention group additionally received brain-computer interface training and mindfulness therapy. The continuous treatment duration was 5 days per week for 8 weeks. Limb motor function, activities of daily living, mindfulness attention awareness level, sleep quality, and quality of life of the patients were measured (in T0, T1, and T2). Generalized estimated equation (GEE) were used to evaluate the effects. The trial was registered with the Chinese Clinical Trial Registry (ChiCTR2300070382).

RESULTS

A total of 128 participants were randomized and 64 each were assigned to the intervention and control groups (of these, eight patients were lost to follow-up). At 6 months, compared with the control group, intervention group showed statistically significant improvements in limb motor function, mindful attention awareness, activities of daily living, sleep quality, and quality of life.

CONCLUSION

Brain-computer interface combined with mindfulness therapy training can improve limb motor function, activities of daily living, mindful attention awareness, sleep quality, and quality of life in hemiplegic patients with stroke.

IMPACT

This study provides valuable insights into post-stroke care. It may help improve the effect of rehabilitation nursing to improve the comprehensive ability and quality of life of patients after stroke.

CLINICAL REVIEW REGISTRATION

https://www.chictr.org.cn/, identifier ChiCTR2300070382.

摘要

目的

探讨脑机接口训练联合正念疗法对脑卒中偏瘫患者的影响。

背景

脑卒中的防治仍面临巨大挑战。最大限度地提高患者的日常生活活动能力、肢体运动功能，减少焦虑、抑郁等社会心理问题，以提高患者的整体生活质量，是临床康复工作的重点和难点。

方法

选取2021年12月至2022年11月的患者，采用简单随机化程序（计算机生成随机数）分为干预组和对照组。两组均接受常规康复治疗，干预组患者额外接受脑机接口训练和正念疗法。持续治疗时间为每周5天，共8周。测量患者的肢体运动功能、日常生活活动能力、正念注意力觉知水平、睡眠质量和生活质量（在T0、T1和T2时间点）。采用广义估计方程（GEE）评估效果。该试验已在中国临床试验注册中心注册（ChiCTR2300070382）。