Efficacy of Hand Function Assessment and Training System Combined with Transcranial Direct Current Stimulation on Upper Limb and Hand Dysfunction in Stroke Patients

Abstract

Abstract: Objective To observe the efficacy of hand function assessment and training system combined with transcranial direct current stimulation (tDCS) on upper limb and hand dysfunction in stroke patients. Methods A total of 110 elderly stroke patients with upper limb and hand dysfunction in China Rehabilitation Research Center were included from October 2021 to October 2023. According to the random number table method, they were divided into control group (tDCS treatment) and observation group (hand function assessment and training system combined with tDCS treatment), with 55 cases in each group. Both groups underwent routine stroke rehabilitation training. The recovery status of upper limb and hand function [hand Brunnstrom grading, Action Research Arm Test (ARAT)], upper limb motor ability [Fugl-Meyer Assessment of Upper Extremity (FMA-UE), Wolf Motor Function Test (WMFT)], surface electromyography signal and quality of life [Activity of Daily Living Scale (ADL), National Institutes of Health Stroke Scale (NIHSS)] were compared before and after treatment. Results After treatment, the Brunnstrom and ARAT were significantly increased in both groups (P<0.05), and the two indicators in observation group were significantly higher than those in control group (P<0.05). The FMA-UE score and WMFT score in both groups were significantly enhanced after treatment (P<0.05), and the observation group had significantly higher scores (P<0.05). After treatment, the RMS values of Flexor carpi radialis flexor wrist and Extensor carpi radialis extensor wrist in the two groups were significantly improved (P<0.05), and the RMS values were significantly higher in observation group than those in control group (P<0.05). After treatment, the ADL score in the two groups was significantly risen (P<0.05) while the NIHSS score was significantly reduced (P<0.05). The ADL score in observation group was significantly higher (P<0.05) while the NIHSS score was significantly lower compared to control group (P<0.05). Conclusion Hand function assessment and training system combined with tDCS can effectively improve the upper limb and hand function of stroke patients, strengthen the electromyography signal and enhance the quality of life.

Key words: hand function assessment and training system, transcranial direct current stimulation, stroke

CLC Number:

R493

SHI Fang, HUANG Fu-biao. Efficacy of Hand Function Assessment and Training System Combined with Transcranial Direct Current Stimulation on Upper Limb and Hand Dysfunction in Stroke Patients[J]. ZHONGHUA YANGSHENG BAOJIAN, 2024, 42(15): 8-12.

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