首页|基于双侧训练理论的对侧控制功能性电刺激对脑卒中上肢偏瘫患者运动功能的影响

基于双侧训练理论的对侧控制功能性电刺激对脑卒中上肢偏瘫患者运动功能的影响

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目的:分析脑卒中上肢偏瘫患者应用基于双侧训练理论的对侧控制功能性电刺激对上肢运动功能、腕关节活动度及表面肌电的影响.方法:择取鹤壁市人民医院于 2020年 8 月至 2022 年 8 月期间收治的 114 例脑卒中上肢偏瘫患者作为研究对象,随机分组,各 57 例,对照组给予常规康复训练,实验组增加基于双侧训练理论的对侧控制功能性电刺激.4 w后,对比两组患者上肢运动功能、腕关节活动度、表面肌电图.结果:训练后,实验组患者上肢、腕部、手部分值均高于对照组(P<0.05);训练后,实验组患者腕关节桡偏、尺偏、背伸、掌屈活动度均高于对照组(P<0.05);训练后,实验组患者三角肌前束平均肌电值(Averaged electromyography,AEMG)、冈上肌AEMG、斜方肌上部AEMG均高于对照组(P<0.05).结论:基于双侧训练理论的对侧控制功能性电刺激能够有效提高脑卒中上肢偏瘫患者上肢运动功能,改善腕关节活动度及上肢神经传导速度.
Effect of contralateral control functional electrical stimulation on upper limb motor function,wrist range of motion and surface electromyography in stroke patients with upper hemiplegia based on bilateral training theory
Objective:To analyze the effects of contralateral control functional electrical stimulation based on bilateral training theory on upper limb motor function,wrist range of motion and surface electromyography in stroke patients with upper limb hemiplegia.Methods:A total of 114 patients with upper limb hemiplegia after stroke treated in Hebi People's Hospital from August 2020 to August 2022 were selected as the study objects and randomly divided into 57 patients each.The control group was given routine rehabilitation training,while the experimental group was given contralateral control functional electrical stimulation based on bilateral training theory.After 4 weeks,the upper limb motor function,wrist range of motion and surface EMG were compared between the two groups.Results:After training,the scores of upper limbs,wrists and hands in experimental group were higher than those in control group(P<0.05);After training,the radial deviation,ulnar deviation,dorsalis extension and palm flexion of the wrist in the experimental group were higher than those in the control group(P<0.05);After training,Averaged electromyography(AEMG),averaged AEMG of supraspinatus muscle and AVERAGED AEMG of trapezius muscle in experimental group were higher than that of control group(P<0.05).Conclusion:Contralateral controlled functional electrical stimulation based on bilateral training theory can effectively improve the upper limb motor function,wrist range of motion and upper limb nerve conduction velocity in stroke patients with upper limb hemiplegia.

Bilateral training theoryContralateral control functional electrical stimulationCerebral apoplexyUpper limb hemiplegiaUpper limb motor function

郭宇斌、张振华、张宇飞、顾冉

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鹤壁市人民医院康复医学科,河南 鹤壁 458030

河南中医药大学康复医学科, 河南 郑州 450000

双侧训练理论 对侧控制功能性电刺激 脑卒中 上肢偏瘫 上肢运动功能

2024

四川生理科学杂志
四川省生理科学会

四川生理科学杂志

影响因子:0.575
ISSN:1671-3885
年,卷(期):2024.46(4)
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