首页|神经肌肉电刺激配合任务导向性训练治疗对脑卒中后偏瘫患者下肢运动功能的影响

神经肌肉电刺激配合任务导向性训练治疗对脑卒中后偏瘫患者下肢运动功能的影响

扫码查看
目的 探讨神经肌肉电刺激配合任务导向性训练治疗对脑卒中后偏瘫患者下肢运动功能的影响.方法 选取南通市第六人民医院 2021 年 8 月—2023 年 8月收治的 98 例脑卒中后偏瘫患者为研究对象,以随机数字表法将其分为对照组和观察组,每组 49 例.对照组采用任务导向性训练,观察组在对照组基础上采用神经肌肉电刺激,两组均持续干预3 个月.对比两组患者的神经功能、踝背屈角及内翻角、下肢运动功能、平衡功能.结果 干预后,观察组的美国国立卫生研究院卒中量表评分为(9.31±1.06)分,低于对照组的(13.16±1.52)分,差异有统计学意义(P<0.05).干预后,观察组的踝背屈角大于对照组,内翻角小于对照组,组间差异有统计学意义(P<0.05).干预后,观察组的Fugl-Meyer运动功能评定量表、Berg平衡量表评分均高于对照组,组间差异有统计学意义(P<0.05).结论 神经肌肉电刺激配合任务导向性训练治疗能改善脑卒中后偏瘫患者的神经功能,调节其踝背屈角及内翻角,促进其下肢运动功能及平衡功能恢复,值得临床推广使用.
Effect of Neuromuscular Electrical Stimulation Combined with Task-Oriented Training on Lower Limb Motor Function in Patients with Hemiplegia after Stroke
Objective To investigate the effect of neuromuscular electrical stimulation combined with task-oriented training on lower limb motor function in patients with hemiplegia after stroke.Methods A total of 98 patients with hemiplegia after stroke admitted to Nantong Sixth People's Hospital from August 2021 to August 2023 were selected as the research objects and were divided into a control group and an observation group by random number table method,with 49 cases in each group.The control group received task-oriented training,while the observation group received neuromuscular electrical stimulation on the basis of the control group,both groups continued the intervention for 3 months.The nerve function,ankle dorsiflexion angle and varus angle,lower limb motor function and balance function were compared between the two groups.Results After intervention,the National Institute of Health Stroke Scale score of the observation group was(9.31±1.06)points,which was lower than(13.16±1.52)points of the control group,and the difference was statistically significant(P<0.05).After intervention,the ankle dorsiflexion angle in the observation group was greater than that in the control group,and the varus angle was smaller than that in the control group,and the differences between the groups were statistically significant(P<0.05).After intervention,the scores of Fugl-Meyer Assessment and Berg Balance Scale in the observation group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Neuromuscular electrical stimulation combined with task-oriented training can improve the nerve function of patients with hemiplegia after stroke,adjust the ankle dorsiflexion angle and varus angle,and promote the recovery of lower limb motor function and balance function,which is worthy of clinical application.

StrokeHemiplegiaNeuromuscular electrical stimulationTask-Oriented trainingLower limb motor function

孙佳

展开 >

南通市第六人民医院康复医学科,江苏南通 226011

脑卒中 偏瘫 神经肌肉电刺激 任务导向性训练 下肢运动功能

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(9)