首页|以镜像神经元理论为基础的步行稳定性训练配合神经肌肉电刺激治疗脑卒中偏瘫的效果

以镜像神经元理论为基础的步行稳定性训练配合神经肌肉电刺激治疗脑卒中偏瘫的效果

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目的 观察以镜像神经元理论为基础的步行稳定性训练配合神经肌肉电刺激治疗脑卒中偏瘫的效果.方法 选择沭阳仁慈医院康复科 2021 年9 月—2023 年 6 月收治的 64例脑卒中偏瘫患者为研究对象,按随机数字表法将其分为对照组及观察组,每组 32 例.对照组进行以镜像神经元理论为基础的步行稳定性训练,观察组在对照组基础上采用神经肌肉电刺激,均持续干预 8 周.对比两组患者的Fugl-Meyer运动功能评定量表-下肢(FMA-LE)评分、Berg平衡量表(BBS)评分、Tinetti 步态评估量表(TGA)评分、功能性步行量表(FAC)评分、脑卒中专用生活质量量表(SS-QOL)评分.结果 干预前,两组的FMA-LE、BBS、TGA、FAC、SS-QOL评分比较,组间差异无统计学意义(P>0.05);干预 8 周后,观察组的FMA-LE、BBS、TGA、FAC、SS-QOL评分分别为(26.07±3.24)分、(45.65±4.28)分、(21.76±2.10)分、(4.05±0.40)分、(161.33±16.74)分,均高于对照组的(23.65±4.27)分、(23.65±4.27)分、(18.16±3.35)分、(3.63±0.62)分、(150.09±17.25),组间差异有统计学意义(P<0.05).结论 以镜像神经元理论为基础的步行稳定性训练配合神经肌肉电刺激,能有效改善脑卒中偏瘫患者的肢体运动功能、步行和平衡能力,提高其生活质量.
Effect of Walking Stability Training Based on Mirror Neuron Theory Combined with Neuromuscular Electrical Stimulation in the Treatment of Stroke Hemiplegia
Objective To observe the effect of walking stability training based on mirror neuron theory combined with neuromuscular electrical stimulation in the treatment of stroke hemiplegia.Methods 64 patients with stroke hemiplegia admitted to Shuyang Mercy Hospital Rehabilitation Department from September 2021 to June 2023 were selected as the study objects and were divided into a control group and an observation group according to random number table method,with 32 cases in each group.The control group received the walking stability training based on the mirror neuron theory,and the observation group received the neuromuscular electrical stimulation on the basis of the control group.Both groups continued the intervention for 8 weeks.The Fugl-Meyer assessment lower extremity scale(FMA-LE)score,Berg balance scale(BBS)score and Tinetti gait assessment scale(TGA)score,functional ambulation category scale(FAC)scores and stroke specific quality of life scale(SS-QOL)score of the two groups were compared.Results Before intervention,there were no significant differences in the FMA-LE,BBS,TGA,FAC and SS-QOL scores between the two groups(P>0.05);after 8 weeks of intervention,the scores of FMA-LE,BBS,TGA,FAC and SS-QOL in the observation group were(26.07±3.24)points,(45.65±4.28)points,(21.76±2.10)points,(4.05±0.40)points and(161.33±16.74)points,respectively,which were higher than(23.65±4.27)points,(23.65±4.27)points,(18.16±3.35)points,(3.63±0.62)points and(150.09±17.25)points in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion The walking stability training based on mirror neuron theory combined with neuromuscular electrical stimulation can effectively improve the limb motor function,walking and balance ability of stroke patients with hemiplegia,and improve their quality of life.

StrokeHemiplegiaLimb motor functionWalking abilityBalance abilityQuality of life

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沭阳仁慈医院康复科,江苏沭阳 223600

脑卒中 偏瘫 肢体运动功能 步行能力 平衡能力 生活质量

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(4)
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