首页|低频脉冲电刺激联合任务导向康复训练在脑卒中后偏瘫康复治疗中的应用效果及对肢体肌力的影响

低频脉冲电刺激联合任务导向康复训练在脑卒中后偏瘫康复治疗中的应用效果及对肢体肌力的影响

Application effect of low-frequency pulse electrical stimulation combined with task-oriented rehabilitation training in rehabilitation treatment of hemiplegia after stroke and its influence on limb muscle strength

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目的 探讨低频脉冲电刺激联合任务导向康复训练在脑卒中后偏瘫康复治疗中的应用效果及对肢体肌力的影响.方法 选取 2020 年 3月至 2022 年 2 月于我院就诊的 60 例脑卒中后偏瘫患者为研究对象,随机将其分为对照组和观察组,各 30例.两组患者入院后均给予基础治疗及对症治疗,对照组采用常规康复训练,观察组在对照组基础上加用低频脉冲电刺激联合任务导向康复训练.比较两组的干预效果.结果 观察组的肢体肌力恢复总有效率高于对照组(P<0.05).干预后,观察组的髋关节与膝关节前屈、后伸肌力高于对照组,髋关节与膝关节前屈、后伸肌张力低于对照组(P<0.05).干预后,观察组的Fugl-Meyer下肢运动功能评分量表(FMA-LE)、Holden步行功能分级量表(FAC)评分及髋关节与膝关节活动度高于对照组(P<0.05).结论 低频脉冲电刺激联合任务导向康复训练用于脑卒中后偏瘫康复治疗中的效果显著,可增强肌力,促进肢体功能及关节活动度恢复,值得推广.
Objective To explore the application effect of low-frequency pulse electrical stimulation combined with task-oriented rehabilitation training in the rehabilitation treatment of hemiplegia after stroke and its influence on limb muscle strength.Methods A total of 60 patients with hemiplegia after stroke who were treated in our hospital from March 2020 to February 2022 were selected as the research objects,and the patients were randomly divided into control group and observation group,with 30 cases in each group.Both groups were given basic treatment and symptomatic treatment after admission,the control group was given routine rehabilitation training,and the observation group was given low-frequency pulse electrical stimulation combined with task-oriented rehabilitation training on the basis of the control group.The intervention effects of the two groups were compared.Results The total effective rate of limb muscle strength recovery in the observation group was higher than that in the control group(P<0.05).After intervention,the muscle strength of hip joint and knee joint flexion and extension in the observation group were higher than that in the control group,and the muscle tension of hip joint and knee joint flexion and extension were lower than those in the control group(P<0.05).After intervention,the Fugl-Meyer Assessment of Lower Extremity(FMA-LE),Functional Ambulation Category(FAC)scores and hip and knee joint mobility in the observation group were higher than those in the control group(P<0.05).Conclusion Low-frequency pulse electrical stimulation combined with task-oriented rehabilitation training is effective in the rehabilitation of hemiplegia after stroke,which can enhance muscle strength and promote the recovery of limb function and joint mobility,it is worth promoting.

low-frequency pulse electrical stimulationtask-oriented rehabilitation traininghemiplegia after strokelimb muscle strength

张彩艳、杨翠花、刘艳

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榆林市第一医院,陕西 榆林,719000

低频脉冲电刺激 任务导向康复训练 脑卒中后偏瘫 肢体肌力

榆林市科技计划

YF-2022-34

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(18)