体重大脑重复经颅磁刺激联合减重跑台训练对慢性不完全性脊髓损伤患者独立行走能力的影响:一项随机临床试验研究

Repetitive Transcranial Magnetic Stimulation with Body Weight-supported Treadmill Training Enhances Independent Walking of Individuals with Chronic Incomplete Spinal Cord Injury: A Pilot Randomized Clinical Trial.

机构信息

Applied Neuroscience Laboratory, Department of Physical Therapy, Universidade Federal de Pernambuco, Av. Jornalista Aníbal Fernandes, 173-, Recife, CEP 50670-901, Pernambuco, Brazil.

Department of Fisioterapia, Universidade do Estado de Santa Catarina, Rua Pascoal Simone, 358, Florianópolis, CEP 88080-350, SC, Brazil.

出版信息

Brain Topogr. 2024 Nov;37(6):1232-1241. doi: 10.1007/s10548-024-01072-0. Epub 2024 Aug 20.

Abstract

The purpose of this study is to evaluate the efficacy of repetitive transcranial magnetic stimulation (rTMS) combined with body weight-support treadmill training (BWSTT) for improving walking function of individuals with chronic incomplete spinal cord injury (iSCI). A 4-week, double-blinded, randomized, sham-controlled pilot study involved 12 sessions of real (10 Hz, 1800 pulses) or sham rTMS combined with BWSTT (15-20 min, moderate intensity). Walking independence was assessed using the Walking Index for Spinal Cord Injury II (WISCI-II). Lower extremity motor function (lower extremity motor score [LEMS]) and spasticity, sensory function, functional independence (Spinal Cord Injury Measure III [SCIM-III]), and quality of life were also assessed. Walking independence (WISCI-II) after the 6th session was higher in the BWSTT/rTMS real (n = 7) (median change (IQR): 3 (1.5 to 3.5)) than in the sham group (n = 8) (median change (IQR): 0 (0 to 0.25), but there was no difference between groups after 12th session (BWSTT/rTMS real median change (IQR): 4 (2 to 5); BWSSTT/rTMS sham median change (IQR): 0 (0 to 3.25). Compared to baseline, LEMS and SCIM-III mobility scores were increased after 12 sessions in the BWSTT/rTMS real but not in the sham group. Within- and between-group sensory function, functional independence, and quality of life remained similar. This preliminary result suggests that combining BWSTT with rTMS could lead to earlier gait improvement in patients with chronic iSCI.

摘要

本研究旨在评估重复经颅磁刺激(rTMS)联合减重跑台训练(BWSTT)对改善慢性不完全性脊髓损伤(iSCI)患者步行功能的疗效。一项为期 4 周的、双盲、随机、假对照的初步研究共纳入 12 次真刺激(10Hz,1800 脉冲)或假刺激 rTMS 联合 BWSTT(15-20 分钟,中等强度)。采用脊髓损伤步行指数 II(WISCI-II)评估步行独立性。还评估了下肢运动功能(下肢运动评分[LEMS])和痉挛、感觉功能、功能独立性(脊髓损伤量表 III [SCIM-III])和生活质量。第 6 次治疗后,BWSTT/rTMS 真刺激组(n=7)的步行独立性(WISCI-II)更高(中位数变化(IQR):3(1.5 至 3.5)),而假刺激组(n=8)(中位数变化(IQR):0(0 至 0.25),但在第 12 次治疗后两组之间无差异(BWSTT/rTMS 真刺激组中位数变化(IQR):4(2 至 5);BWSSTT/rTMS 假刺激组中位数变化(IQR):0(0 至 3.25)。与基线相比,12 次治疗后 BWSTT/rTMS 真刺激组的 LEMS 和 SCIM-III 移动评分增加,但假刺激组没有增加。BWSTT/rTMS 真刺激组和假刺激组的感觉功能、功能独立性和生活质量均无明显变化。初步结果表明,BWSTT 联合 rTMS 可能会导致慢性 iSCI 患者更早出现步态改善。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索