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机械性手指感觉刺激对恢复期偏瘫脑卒中患者上肢运动功能恢复的影响

The effect of mechanical digit sensory stimulation on upper limb motor function recovery in convalescent stroke patients with hemiplegia.

作者信息

Yao Kexin, Li Qiqi, Ma Yuqin, Tian Yaxing, Zhang Shuting, Hong Yongfeng

机构信息

The Department of Rehabilitation Medicine, The Second Affiliated Hospital of Anhui Medical University, Hefei, China.

The Department of Rehabilitation Medicine, Affiliated Hospital of West Anhui Health Vocational College, Lu 'an City, China.

出版信息

Clin Neurol Neurosurg. 2025 Oct;257:109027. doi: 10.1016/j.clineuro.2025.109027. Epub 2025 Jul 15.

Abstract

OBJECTIVE

Mechanical digit sensory stimulation (MDSS), applied once solely to paralyzed fingers in stroke patients, has been clinically shown to immediately and significantly reduce muscle spasticity in the affected hand, enabling active finger extension. This study investigated the effects of one course of MDSS on upper limb motor function in stroke patients with hemiplegia.

METHODS

Forty patients were randomly assigned to either a Control group, receiving only conventional rehabilitation, or an MDSS group, receiving both conventional rehabilitation and MDSS for 2-4 weeks. Before and after the intervention, measurements were taken, including muscle tone, surface electromyographic signals (sEMG), motor function, and activities of daily living.

RESULTS

The results revealed that while both groups showed improvements, the MDSS group exhibited significantly lower muscle tone scores, larger sEMG for specific muscle groups, and higher motor function scores compared to the Control group. Although the MDSS group demonstrated greater improvements in activities of daily living, these differences were not statistically significant.

CONCLUSION

In conclusion, MDSS effectively alleviates muscle spasticity and aids in enhancing muscle strength and motor function in stroke patients with hemiplegia.

摘要

目的

机械性手指感觉刺激(MDSS),仅对中风患者瘫痪手指进行一次应用,临床研究表明其可立即且显著降低患手的肌肉痉挛,使手指能够主动伸展。本研究调查了一个疗程的MDSS对偏瘫中风患者上肢运动功能的影响。

方法

40名患者被随机分为两组,一组为对照组,仅接受传统康复治疗;另一组为MDSS组,接受2至4周的传统康复治疗及MDSS治疗。在干预前后,对肌张力、表面肌电信号(sEMG)、运动功能和日常生活活动能力进行测量。

结果

结果显示,虽然两组均有改善,但与对照组相比,MDSS组的肌张力评分显著更低,特定肌肉群的sEMG更大,运动功能评分更高。尽管MDSS组在日常生活活动能力方面有更大改善,但这些差异无统计学意义。

结论

总之,MDSS可有效缓解偏瘫中风患者的肌肉痉挛,并有助于增强肌肉力量和运动功能。

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