CAJ | 학술논문

目的：探讨重复经颅磁刺激（rTMS）联合康复治疗对脑梗死偏瘫的疗效与安全性。方法：脑梗死偏瘫患者40例随机分为观察组和对照组各20例，2组均给予常规康复治疗，观察组加用 rTMS治疗。治疗前后采用 Fugl‐Meyer量表（FMA）评定偏瘫侧的肢体功能，采用Berg平衡量表（BBS）评定平衡功能，采用改良Barthel指数（MBI）评定日常生活活动能力。结果：治疗8周后，2组FM A、M BI和BBS评分与治疗前比较明显提高（ P＜0．01），且观察组更高于对照组（P＜0．05）。结论：rTMS结合康复治疗可有效地改善脑梗死偏瘫患者的运动功能和ADL能力。
목적：탐토중복경로자자격（rTMS）연합강복치료대뇌경사편탄적료효여안전성。방법：뇌경사편탄환자40례수궤분위관찰조화대조조각20례，2조균급여상규강복치료，관찰조가용 rTMS치료。치료전후채용 Fugl‐Meyer량표（FMA）평정편탄측적지체공능，채용Berg평형량표（BBS）평정평형공능，채용개량Barthel지수（MBI）평정일상생활활동능력。결과：치료8주후，2조FM A、M BI화BBS평분여치료전비교명현제고（ P＜0．01），차관찰조경고우대조조（P＜0．05）。결론：rTMS결합강복치료가유효지개선뇌경사편탄환자적운동공능화ADL능력。
Objective:To investigate the efficacy and safety of repetitive transcranial magnetic stimulation (rTMS) combined with rehabilitation treatment for hemiplegia after cerebral infarction .Methods:Forty cases of hemiplegia following cerebral infarction were selected and divided into 2 groups:the treatment group (rehabilitation treatment+rTMS treatment ,n=20) ,and the control group (rehabilitation treatment alone ,n=20) .Both two groups were estimated on the first day and 8 weeks after treatment ,using the Fugl‐Meyer scale (FMA) assessment of hemiplegic limb function ,the Berg balance scale (BBS) assessment of balance function ,and the ADL modified Barthel index (MBI) assessment of activities of daily living .Results:After treatment for 8 weeks ,scores in two groups showed statistically significant difference from those before treatment (P<0 .01) .The scores showed statistically significant difference between the treatment group and the control group after treatment (P<0 .05) .Conclusion:rTMS com‐bined with rehabilitation therapy can effectively improve the motor function and ADL of patients with hemiplegia fol‐lowing cerebral infarction .