[1]李秋兰,张翼,苏碧英,等.间歇性Theta脉冲刺激联合膝关节控制训练治疗脑卒中后平衡功能障碍[J].中国医学物理学杂志,2026,43(3):350-354.[doi:DOI:10.3969/j.issn.1005-202X.2026.03.011]
　LI Qiulan,ZHANG Yi,SU Biying,et al.Intermittent Theta pulse stimulation combined with knee joint control training for treating balance dysfunction in post-stroke patients[J].Chinese Journal of Medical Physics,2026,43(3):350-354.[doi:DOI:10.3969/j.issn.1005-202X.2026.03.011]
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间歇性Theta脉冲刺激联合膝关节控制训练治疗脑卒中后平衡功能障碍()

《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]

卷:
43卷
期数:
2026年第3期
页码:
350-354
栏目:
医学生物物理
出版日期:
2026-03-27

文章信息/Info

Title:
Intermittent Theta pulse stimulation combined with knee joint control training for treating balance dysfunction in post-stroke patients
文章编号:
1005-202X（2026）03-0350-05
作者:
李秋兰1; 张翼2; 苏碧英3; 阙清华2
1.福建医科大学附属泉州第一医院门诊部， 福建 泉州 362000； 2.福建医科大学附属泉州第一医院康复医学科， 福建 泉州 362000； 3.福建医科大学附属泉州第一医院神经内科， 福建 泉州 362000
Author(s):
LI Qiulan1;  ZHANG Yi2;  SU Biying3;  QUE Qinghua2
1. Outpatient Department, Quanzhou First Hospital Affiliated to Fujian Medical University, Quanzhou 362000, China 2. Department of Rehabilitation Medicine, Quanzhou First Hospital Affiliated to Fujian Medical University, Quanzhou 362000, China 3. Department of Neurology, Quanzhou First Hospital Affiliated to Fujian Medical University, Quanzhou 362000, China
关键词:
脑卒中; 间歇性Theta脉冲刺激; 膝关节控制训练; 平衡功能
Keywords:
Keywords: stroke intermittent Theta pulse stimulation knee joint control training balance function
分类号:
R318.6；R496
DOI:
DOI:10.3969/j.issn.1005-202X.2026.03.011
文献标志码:
A
摘要:
目的：探讨间歇性Theta脉冲刺激联合膝关节控制训练治疗脑卒中后平衡功能障碍的效果。方法：回顾性分析100例脑卒中后平衡功能障碍患者的临床资料，根据治疗方法不同分为对照组和观察组，各50例。对照组给予膝关节控制训练治疗，观察组在此基础上联合间歇性Theta脉冲刺激治疗。治疗2个月后，比较两组疗效、症状评分［Fugl-Meyer运动功能量表（FMA-LE）、Berg平衡量表（BBS）、Holden步行功能分级量表（FAC）］及脑血流动力学（外周阻力、血流速度、血流量）变化。结果：观察组总有效率高于对照组（94.00% vs 80.00%, P<0.05）；与治疗前比较，两组患者的FMA-LE、BBS、FAC等评分均升高，且观察组高于对照组（P<0.05）；治疗后，两组外周阻力均降低，观察组低于对照组（P<0.05），而血流速度、血流量均升高，且观察组高于对照组（P<0.05）。结论：间歇性Theta脉冲刺激联合膝关节控制训练可有效改善患者的平衡功能障碍及脑血流动力情况，提升患者的运动及步行能力。
Abstract:
Abstract: Objective To investigate the therapeutic effect of intermittent Theta pulse stimulation combined with knee joint control training on balance dysfunction in post-stroke patients. Methods A retrospective analysis was performed on 100 post-stroke patients with balance dysfunction. According to different treatment modalities, the patients were divided into a control group and an observation group, with 50 patients in each group. The control group received knee joint control training alone, whereas the observation group was additionally treated with intermittent Theta pulse stimulation on this basis. After 2 months of treatment, the two groups were compared regarding therapeutic efficacy, functional scores ［Fugl Meyer Assessment of Lower Extremity (FMA-LE), Berg Balance Scale (BBS), and Holden Functional Ambulation Classification (FAC)］, as well as hemodynamic parameters including peripheral resistance, blood flow velocity, and cerebral blood flow. Results The total effective rate was significantly higher in the observation group than the control group (94.00% vs 80.00%, P<0.05). The post-treatment FMA-LE, BBS, FAC scores were increased in both groups as compared with pre-treatment levels, with greater improvements in the observation group than in the control group (P<0.05). After treatment, peripheral resistance was reduced in both groups, with the observation group exhibiting significantly lower values than the control group (P<0.05). Post-treatment blood flow velocity and blood volume were increased, and the observation group had significantly greater increases than the control group (P<0.05). Conclusion Intermittent Theta pulse stimulation combined with knee joint control training can effectively improve balance dysfunction and cerebral hemodynamics, and enhance motor function and walking abilities in post-stroke patients.

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备注/Memo

备注/Memo:
【收稿日期】2025-11-26 【基金项目】福建省自然科学基金（2022J011466） 【作者简介】李秋兰，副主任护师，研究方向：老年慢性病、康复护理，E-mail: lkjbh2016@126.com 【通信作者】张翼，硕士，副主任医师，研究方向：中医骨伤、骨科康复，E-mail: liyunfeng8181@163.com
更新日期/Last Update: 2026-03-30