功能性电刺激恢复性治疗踏车对脑卒中早期患者下肢主动运动的影响

发布时间：2018-03-25 23:38

本文选题：功能性电刺激恢复性治疗踏车　切入点：脑卒中　出处：《中国康复医学杂志》2017年06期

【摘要】：目的:探讨功能性电刺激恢复性治疗踏车对脑卒中早期患者下肢主动运动功能的影响。方法:将52例脑卒中偏瘫患者随机分为3组。所有患者均给予常规康复治疗,A组(18例)加用功能性电刺激恢复性治疗踏车治疗;B组(17例)加用智能循环运动治疗;C组(17例)常规康复治疗。共8周。在治疗前、治疗8周后对所有患者进行肌张力、下肢运动、平衡功能及步行功能的评定,分别采用综合痉挛量表(CSS)、下肢Fugl-Meyer量表(FMA)、Berg平衡量表(BBS)、10m最大步行速度测试(10m MWS)对所有患者进行评定。结果:治疗前3组CSS、FMA、BBS和10m MWS各项评定结果均无显著性差异(P0.05)。治疗8周后,3组患者痉挛、下肢主动运动功能、平衡功能及步行速度均有明显改善(P0.05),A组改善情况优于B组和C组(P0.05)。结论:功能性电刺激恢复性治疗踏车可显著改善下肢痉挛状态,提高脑卒中早期下肢主动运动功能、平衡功能及步行速度,可成为脑卒中早期患者康复治疗的新方法。
[Abstract]:Objective: to investigate the effect of functional electrical stimulation on motor function of lower extremity in patients with early stroke. Methods: 52 patients with hemiplegia of stroke were randomly divided into 3 groups. All patients were treated with routine rehabilitation. Group A (n = 18) were treated with functional electrical stimulation (group A, n = 18), group B (n = 17), group B (n = 17), and group C (n = 17) treated with intelligent circulatory exercise). After 8 weeks of treatment, all patients were evaluated for muscle tension, lower extremity movement, balance function and walking function. All the patients were assessed with CSS scale, Fugl-Meyer scale of lower extremity and the maximum walking speed of 10 m MWS. Results: there was no significant difference between the three groups before treatment (P0.05. the results of each evaluation were not significant (P0.05. the results of the three groups were not significantly different before the treatment), and there was no significant difference between the three groups in the evaluation of CSS- FMA-BBS and 10m MWS before the treatment of CSS- FMA-BBS and 10m MWS (P < 0.05). After 8 weeks, spasm was found in the 3 groups. The active motor function, balance function and walking speed of lower limbs were significantly improved in group A than in group B and group C. conclusion: functional electrical stimulation can significantly improve the spasticity of lower extremity. The improvement of lower limb active motor function, balance function and walking speed in early stage of stroke may be a new method for rehabilitation treatment of early stroke patients.
【作者单位】：郑州大学第五附属医院康复医学科;
【分类号】：R493;R743.3

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