Cerebral apoplexy
Conditions
Interventions
Synchronous treatment group:Simultaneous treatment of functional electrical stimulation and transcranial magnetic stimulation
Transcranial magnetic stimulation followed by functional electrical stimulation group:First transcranial magnetic stimulation, then functional electrical stimulation
Functional electrical stimulation followed by transcranial magnetic stimulation group:Functional electrical stimulation followed by transcranial magnetic stimulation
Usual care group:Basic rehabilitation
Sponsors
Huai 'an Second People's Hospital
Eligibility
Sex/Gender
All
Age
18 Years to 70 Years
Inclusion criteria
Inclusion criteria: Inclusion criteria for stroke patients: (1) The selected stroke patients were all in line with the "Diagnostic Points of Various Cerebrovascular Diseases" revised by the Fourth National Conference on Cerebrovascular Diseases of the Chinese Medical Association, and were diagnosed with cerebral ischemia or cerebral infarction by brain CT or MRI examination; (2) Age 18-70 years old; (3) First onset, no progressive disease, motor dysfunction of one hand, affected hand ?<=Brunnstrom <=? stage; (4) Conscious and without serious cognitive impairment, the Minimental State Examination (MMSE) score was more than 17 points, which could cooperate with rehabilitation training; (5) subacute patients with stable disease within 6 months; (6) have not participated in similar studies before; (7) Agree to participate in this experiment, sign informed consent and have complete data;
Exclusion criteria
Exclusion criteria: (1) Patients who refused to be randomized; (2) Patients with severe hand dysfunction and unable to cooperate with training; (3) Patients with other serious physical diseases who cannot tolerate training; (4) Patients who could not induce MEP in the motor area of the affected side; (5) Patients with cardiac pacemakers, metal implants in the brain, cochlear implants, ventriculoperitoneal shunt, etc., who cannot be treated with transcranial magnetic stimulation; (6) Patients with local skin damage or inflammation, hyperalgesia in the stimulation area, etc., who cannot be treated with functional electrical stimulation; (7) Patients who cannot complete magnetic resonance examination; (8) Patients with sensory disorders, cognitive abnormalities, and inability to understand and cooperate with treatment and evaluation;
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Regional homogeneity;Low-frequency amplitude;Ratio low-frequency amplitude;Upper limb movements;Hand movements; | — |
Countries
China
Contacts
Public ContactLi Xuejing
Huai 'an Second People's Hospital
Outcome results
None listed