首页|低频脉冲电刺激联合改良站立位重心转移能力训练在脑卒中后偏瘫康复治疗中的应用效果及对周围神经电生理学的影响

低频脉冲电刺激联合改良站立位重心转移能力训练在脑卒中后偏瘫康复治疗中的应用效果及对周围神经电生理学的影响

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目的 探讨低频脉冲电刺激联合改良站立位重心转移能力训练在脑卒中后偏瘫康复治疗中的应用效果及对周围神经电生理学的影响。方法 选择2021年 2 月至2022 年3 月收治的60 例脑卒中后偏瘫患者为研究对象,按照随机数字表法将其分为对照组与观察组,各 30 例。对照组采取常规康复治疗,观察组在对照组基础上施加低频脉冲电刺激联合改良站立位重心转移能力训练。比较两组的患肢肢体运动功能、步频、步速及周围神经电生理学指标。结果 干预后,观察组的上肢与下肢运动功能评分均高于对照组(P<0。05)。干预后,观察组的步频、步速均高于对照组(P<0。05)。干预后,观察组的胫神经与腓总神经运动神经传导速度(MCV)与感觉传导速度(SCV)均高于对照组(P<0。05)。结论 低频脉冲电刺激联合改良站立位重心转移能力训练在脑卒中后偏瘫康复治疗中的应用效果满意,可改善上肢与下肢运动功能,促进步态恢复,也能调节周围神经电生理学指标,值得推广。
Application effect of low-frequency pulse electrical stimulation combined with modified standing position center of gravity transfer ability training in rehabilitation treatment of hemiplegia after stroke and its influence on peripheral nerve electrophysio
Objective To explore the application effect of low-frequency pulse electrical stimulation combined with modified standing position center of gravity transfer ability training in the rehabilitation treatment of hemiplegia after stroke and its influence on peripheral nerve electrophysiology.Methods A total of 60 patients with hemiplegia after stroke admitted from February 2021 to March 2022 were selected as the research objects and divided into control group and observation group according to the random number table method,with 30 cases in each group.The control group was treated with routine rehabilitation,and the observation group was treated with low-frequency pulse electrical stimulation combined with modified standing position center of gravity transfer ability training on the basis of the control group.The limb motor function,step frequency,step speed and peripheral nerve electrophysiological indexes of the two groups were compared.Results After intervention,the scores of upper limb and lower limb motor function in the observation group were higher than those in the control group(P<0.05).After intervention,the step frequency and step speed of the observation group were higher than those of the control group(P<0.05).After intervention,the motor nerve conduction velocity(MCV)and sensory nerve conduction velocity(SCV)of tibial nerve and common peroneal nerve in the observation group were higher than those in the control group(P<0.05).Conclusion The low-frequency pulse electrical stimulation combined with modified standing position center of gravity transfer ability training in the rehabilitation treatment of hemiplegia after stroke has satisfactory application effect,it can improve the motor function of upper and lower limbs,promote gait recovery,and regulate the electrophysiological indexes of peripheral nerves,which is worth promoting.

low-frequency pulse electrical stimulationmodified standing position center of gravity transfer ability trainingstrokehemiplegiaperipheral nerve electrophysiology

刘艳、张彩艳

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榆林市第一医院,陕西 榆林,719000

低频脉冲电刺激 改良站立位重心转移能力训练 脑卒中 偏瘫 周围神经电生理学

榆林市科技计划项目

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(21)