Short-term effect of neck muscle vibration on the unilateral spatial neglect after stroke
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摘要: 目的 探讨颈部肌肉振动对脑卒中后偏侧忽略症状的作用,评估其短期疗效。 方法 选择2016年12月—2018年10月在南京市栖霞区医院康复医学科住院的脑卒中伴偏侧忽略患者共40例,其中脑梗死23例,脑出血17例。随机抽样分为对照组20例和振动组20例,2组均接受针对偏侧忽略的常规康复,振动组在此基础上增加振动治疗,频率108 Hz,振幅1.0 mm,部位为左侧斜方肌,每日一次,每次15 min。治疗前和治疗3周后采用中国行为性忽略测试-香港版量表(CBIT-HK)评估,分别比较常规评分、行为评分及总评分。 结果 3周后2组治疗前后组内比较的常规评分、行为评分、总评分均有提高,差异具有统计学意义(均P<0.05);组间效果比较,振动组常规分差值(19.80±18.51)分,行为分差值(15.40±14.82)分,总评分差值(35.10±29.62)分,对照组常规分差值(10.70±12.10)分,行为分差值(3.76±7.28)分,总评分差值(14.45±14.89)分,t检验结果示:2组组间比较的行为分差值t=3.155,P<0.05,总评分差值t=2.786,P<0.05,振动组明显优于对照组;而常规分差值t=1.841,P=0.074,2组常规测试比较差异无统计学意义。 结论 振动治疗对脑卒中后偏侧忽略症状具有短期疗效,常规康复训练基础上增加颈部肌肉振动可以改善脑卒中后偏侧忽略症状。Abstract: Objective To investigate the effect of neck muscle vibration on the unilateral spatial neglect after stroke, and to evaluate its short-term effect. Methods Fourty patients of stroke with unilateral spatial neglect, including 23 cerebral infarction and 17 cerebral hemorrhage, in Rehabilitation Department of Qixia District Hospital from December 2016 to October 2018 were randomly divided into control group (n=20) and vibration group (n=20). Both groups accepted general rehabilitation for unilateral spatial neglect, while vibration group accepted neck muscle vibration treatment in addition. The vibrator was set at frequency 108 Hz, amplitude 1.0 mm, and the vibration point was located in left trapezius for once a day, 15 minutes at a time. Before and 3 weeks after training, the patients in both groups were assessed by the Chinese behavioral inattention test-Hong Kong version (CBIT-HK) scale, after which we respectively compared routine test score, behavioral test score and total score. Results After 3 weeks, the routine score, behavior score and total score of the two groups were all improved, and the difference before and after treatment was statistically significant (all P<0.05). In the vibration group, the value of routine score difference, behavior score difference, and total score difference were 19.80±18.51, 15.40±14.82, and 35.10±29.62, respectively. Meanwhile, the corresponding scores of the control group were 10.70±12.10, 3.76±7.28 and 14.45±14.89, respectively. The t-test of inter-group comparison shown that the behavioral score difference was t=3.155, P<0.05 and the total score difference was t=2.786, P<0.05. The behavioral and total scores in vibration group were significantly increased. There was no statistically significant difference between the routine test score of the two groups (t=1.841, P=0.074). Conclusion The neck muscle vibration treatment combined with general rehabilitation treatments can improve short-term symptoms of unilateral spatial neglect after stroke.
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Key words:
- Neck muscle vibration /
- Stroke /
- Unilateral spatial neglect
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