低频电刺激结合运动想象疗法对提高中风后腕背伸功能的临床观察

发布时间：2018-05-02 15:43

本文选题：中风 + 低频电刺激　；参考：《黑龙江中医药大学》2017年硕士论文

【摘要】：目的:观察低频电刺激结合运动想象疗法对提高中风后腕背伸功能的临床疗效,为临床治疗中风后上肢功能障碍寻求一种更为有效的治疗措施。方法:将60例符合纳入标准的中风患者,随机分为治疗组与对照组,每组各30例,两组患者在临床常规康复治疗基础上,对照组给予低频电刺激刺激手三里、外关、内关、郄门,20min/次,1次/日,治疗6日/周,休息1日/周,疗程共4周。治疗组在每日给予低频电刺激治疗后再行1次运动想象疗法,每次24分钟,次数及治疗周期同对照组。两组患者在治疗前及治疗后采用腕背伸活动度ROM、简化Fugl-Meyer评分量表(上肢)、Barthel指数量表、神经功能缺损评分标准(CSS)评价临床疗效,利用统计学软件SPSS22.0对数据进行处理与分析。结果:1.两组患者治疗后腕背伸活动度均较治疗前提高,差异具有统计学意义(P0.01),说明两种治疗方法均可以改善腕背伸活动度,两组患者组间比较,差异具有统计学意义(P0.01),治疗组疗效优于对照组。2.两组患者治疗后Fugl-Meyer评分量表均较治疗前提高,差异具有统计学意义(P0.01),说明两种治疗方法均可以改善上肢运动功能,两组患者组间比较,差异具有统计学意义(P0.01),治疗组疗效优于对照组。3.两组患者治疗后Barthel指数量表评分均较治疗前提高,差异具有统计学意义(P0.01),说明两种治疗方法均可以改善患者日常生活能力,两组患者组间比较,差异具有统计学意义(P0.01),治疗组疗效优于对照组。4.根据两组患者治疗后神经功能缺损(CSS)评分,以神经功能缺损评分所减少的百分比的程度来计算总有效率,治疗组总有效率为83.33%,对照组为66.67%,差异具有统计学意义(P0.01),治疗组疗效优于对照组。结论:1.低频电刺激结合运动想象疗法可以有效改善患侧腕关节活动度及上肢运动功能,提高日常生活能力,对中风后腕背伸功能的恢复疗效肯定。2.低频电刺激结合运动想象疗法可以调动患者主动参与性,增强其主观能动性,对改善腕背伸效果优于低频电刺激疗法。
[Abstract]:Objective: to observe the clinical effect of low frequency electrical stimulation combined with exercise imagination therapy on the improvement of wrist dorsal extension function after stroke, and to seek a more effective treatment for upper limb dysfunction after stroke. Methods: 60 stroke patients were randomly divided into treatment group and control group with 30 cases in each group. On the basis of routine rehabilitation treatment, the control group was given low frequency electrical stimulation on the basis of three li, outside pass, and inner pass. Ximen was treated for 6 days, rest for 1 week, and the course of treatment was 4 weeks. The patients in the treatment group were treated with low frequency electrical stimulation once more, 24 minutes each time, the times and the treatment cycle were the same as those in the control group. Before and after treatment, the patients in both groups were evaluated with the wrist extension activity scale (rom), simplified Fugl-Meyer scale (upper limb Barthel index scale, nerve function impairment scale), and the statistical software SPSS22.0 was used to process and analyze the data. The result is 1: 1. After treatment, the activity of carpal dorsal extension in the two groups was higher than that before treatment, and the difference was statistically significant (P 0.01), which indicated that the two treatment methods could improve the activity of carpal dorsal extension, and the difference between the two groups was significant. The difference was statistically significant (P 0.01). The curative effect of the treatment group was better than that of the control group. The Fugl-Meyer scores of the two groups after treatment were higher than those before treatment, and the difference was statistically significant (P 0.01), which indicated that the two treatment methods could improve the motor function of upper limbs, and the two groups were compared with each other. The difference was statistically significant (P 0.01). The curative effect of the treatment group was better than that of the control group. The scores of Barthel index scale after treatment in two groups were higher than those before treatment, and the difference was statistically significant (P 0.01), which indicated that the two treatment methods could improve the ability of daily living of patients, and the difference between the two groups was significant. The difference was statistically significant (P 0.01). The curative effect of the treatment group was better than that of the control group. The total effective rate was calculated by the percentage reduction in the neurological deficit score according to the CSS score of the two groups after treatment. The total effective rate of the treatment group was 83.33 and that of the control group was 66.67. The difference was statistically significant (P 0.01). The curative effect of the treatment group was better than that of the control group. Conclusion 1. Low frequency electrical stimulation combined with exercise imagination therapy can effectively improve the wrist motion and upper limb motor function, improve the ability of daily life, and confirm the recovery of wrist dorsal extension function after apoplexy. 2. Low frequency electrical stimulation combined with exercise imagination therapy can mobilize patients' active participation and enhance their subjective initiative, which is better than low frequency electrical stimulation therapy in improving wrist dorsal extension.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R743.3

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