| 郭博远,吴丹,王畅,高畅,王璐怡.功能性电刺激联合体感模拟训练对脑卒中后偏瘫患者上肢功能的影响.[J].中南医学科学杂志.,2023,(6):876-878. |
| 功能性电刺激联合体感模拟训练对脑卒中后偏瘫患者上肢功能的影响 |
| Effect of functional electrical stimulation combined with somatosensory simulation training on upper limb function of hemiplegic patients after stroke |
| 投稿时间：2023-03-09 修订日期：2023-09-25 |
| DOI：10.15972/j.cnki.43-1509/r.2023.06.017 |
| 中文关键词: 功能性电刺激 体感模拟训练 脑卒中 偏瘫 上肢功能 [ |
| 英文关键词:FES physical simulation training stroke hemiplegia upper limb function |
| 基金项目:北京市科技发展专项(2021-082) |
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| 中文摘要: |
| 目的探讨功能性电刺激(FES)联合体感模拟训练(SST)对脑卒中后偏瘫患者上肢功能的影响。 方法选取120例脑卒中后偏瘫患者,随机均分为观察组(常规治疗+FES联合SST)和对照组(常规治疗)。分别于治疗前、训练8周后评估两组患者上肢功能、偏瘫肢体恢复情况、日常生活能力、神经认知功能及神经功能,并比较两组表面肌电图检测结果。 结果训练8周后,两组Fugl-Meyer上肢运动功能评定量表评分、偏瘫Brunnstrom评分、改良Barthel指数评分、简易精神状态检查评分高于治疗前,美国国立卫生研究院卒中量表评分低于治疗前,且观察组较对照组变化更明显(P＜0.05)。训练8周后,两组肱二头肌RMS值、肱三头肌RMS值较治疗前降低,且观察组低于对照组(P＜0.05)。 结论FES联合SST在提升脑卒中上肢运动功能及神经认知功能方面具有积极影响,值得临床推广。 |
| 英文摘要: |
| AimTo explore the effect of functional electrical stimulation (FES) combined with somatosensory simulation training (SST) on upper limb function in hemiplegic patients after stroke. Methods120 patients with hemiplegia after stroke were selected and randomly divided into an observation group (conventional treatment+FES combined with SST) and a control group (conventional treatment). The upper limb function, hemiplegic limb recovery, daily living ability, neurocognitive function, and neurological function of two groups of patients before and after 8 weeks of training were evaluated, and the results of surface electromyography detection between the two groups were compared. ResultsAfter 8 weeks of training, the fugl-meyer assessment upper extremity scale (FMA), Brunnstrom, modified Barthel index (MBI), and mini-mental state examination (MMSE) scores of the two groups were higher than those before training, while the national institutes of health stroke scale (NIHSS) score was lower than that before training.The observation group showed more significant changes compared to the control group (P＜0.05). After 8 weeks of training, the RMS values of biceps brachii and triceps brachii in both groups decreased compared with those before training, and the observation group was lower than the control group (P＜0.05). ConclusionFES combined with SST has a positive impact on improving upper limb motor function and neurocognitive function in stroke patients, which is worthy of clinical promotion. |
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