设为首页收藏本站
CopyRight 2012-2014 DS文库版权所有
外2018(IF 1.351 Journal of International Medical Research ) rTMS联合神经肌肉电刺激治疗脑卒中后吞咽困难Xianju Zhou1
(0 次评价)117 人阅读1 次下载
Clinical Research Report Repetitive transcranial magnetic stimulation in combination with neuromuscular electrical stimulation for treatment of post-stroke dysphagia Chengliang Zhang1,*, Xiuqin Zheng2,*, Rulan Lu1, Wenwei Yun1, Huifang Yun3 and Xianju Zhou1 Abstract Objective: This study was performed to determine whether repetitive transcranial magnetic stimulation (rTMS) combined with neuromuscular electrical stimulation (NMES) effectively amel- iorates dysphagia and how rTMS protocols (bilateral vs. unilateral) combined with NMES can be optimized. Methods: Sixty-four patients were randomly divided into four groups using a random distribu- tion table: the sham rTMS plus NMES (Sham-rTMS/NMES), ipsilesional 10-Hz rTMS plus NMES (Ipsi-rTMS/NMES), contralesional 1-Hz rTMS plus NMES (Contra-rTMS/NMES), and bilateral rTMS plus NMES (Bi-rTMS/NMES) groups. Cortical excitability as measured by the amplitude of the motor evoked potential at the mylohyoid muscle cortical representative area, swallowing function as measured by the Standardized Swallowing Assessment, and the degree of dysphagia were evaluated at baseline, after the stimulation course, and at the 1-month follow-up. Results: Bi-rTMS/NMES produced higher cortical excitability and better swallowing function recovery. Compared with NMES alone, unilateral rTMS plus NMES had additional effects on 1Laboratory of Neurological Diseases, Department of Neurology, The Affiliated Changzhou No. 2 People’s Hospital of Nanjing Medical University, Changzhou, Jiangsu, China 2Department of Neurology, Changzhou Peace Hospital, 102nd Hospital of PLA, Changzhou, Jiangsu, China 3Department of Anesthesiology, The Affiliated Changzhou No. 2 People’s Hospital of Nanjing Medical University, Changzhou, Jiangsu, China *These authors contributed equally to this work. Corresponding author: Xianju Zhou, Laboratory of Neurological Diseases, Department of Neurology, The Affiliated Changzhou No. 2 People’s Hospital of Nanjing Medical University, 29 Xinglong Alley, Changzhou, Jiangsu 213003, China. Email: xianju_zhou@yahoo.com Journal of International Medical Research 0(0) 1–11 ! The Author(s) 2018 Article reuse guidelines: sagepub.com/journals-permissions DOI: 10.1177/0300060518807340 journals.sagepub.com/home/imr Creative Commons Non Commercial CC BY -NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).

打分:

0 星

用户评论:

zj242970502
于 2020-04-04 上传
分享的是美德,收获的是知识! 加入分享吧 立即注册

  鄂ICP备18026110  鄂公网安备 42018502002448号脑文库

1513904263 400-800-8888

Powered by Discuz! X3.2 © 2001-2013 Comsenz Inc.

返回顶部