首页|深层肌肉电刺激联合本体感觉训练对脑卒中偏瘫患者运动功能、平衡功能及生活质量的影响

深层肌肉电刺激联合本体感觉训练对脑卒中偏瘫患者运动功能、平衡功能及生活质量的影响

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目的:探讨脑卒中偏瘫患者采用本体感觉训练、深层肌肉电刺激联合干预后,患者运动功能、平衡功能及生活质量的变化情况。方法:按照随机数字表法将93例脑卒中偏瘫患者分为对照A组(接受本体感觉训练干预)、对照B组(接受深层肌肉电刺激干预)和联合组(接受本体感觉训练联合深层肌肉电刺激干预),各31例。对比三组干预前后的运动平衡功能[简化Fugl-Meyer运动功能评定量表(FMA)评分、6 min步行距离(6MWD)、Berg平衡量表(BBS)]及生活质量[改良Barthel指数(MBI)、简明健康状况调查量表(SF-36)]。结果:干预后,联合组FMA评分、6MWD、BBS评分、MBI、SF-36评分高于对照A组、对照B组(P<0。05)。结论:脑卒中偏瘫患者采用本体感觉训练、深层肌肉电刺激联合干预后,运动功能、平衡功能及生活质量可得到显著改善。
Effects of Deep Muscle Electrical Stimulation Combined with Proprioception Training on Motor Function,Balance Function and Quality of Life in Stroke Hemiplegia Patients
Objective:To explore the changes in motor function,balance function and quality of life of stroke hemiplegia patients after combined intervention of proprioceptive training and deep muscle electrical stimulation.Methods:93 stroke hemiplegia patients were divided into control group A(received proprioceptive training intervention),control group B(received deep muscle electrical stimulation intervention)and combined group(received proprioceptive training combined with deep muscle electrical stimulation intervention)according to the random number table method,31 cases in each group.The motor function[simplified Fugl-Meyer motor function rating scale(FMA)score,6-minute walking distance(6MWD)],balance function[Berg balance scale(BBS)]and quality of life[modified Barthel index(MBI),concise health status survey scale(SF-36)]in three groups were compared before and after intervention.Results:After intervention,the FMA score,6MWD,BBS score,MBI and SF-36 scores in combined group were higher than those in control group A and control group B(P<0.05).Conclusion:After combined intervention with proprioceptive training and deep muscle electrical stimulation,the motor function,balance function and quality of life in stroke hemiplegia patients can be significantly improved.

Stroke hemiplegiaDeep muscle electrical stimulationBalance functionMotor functionProprioceptive trainingQuality of life

王君菊、马月珍、赵桂华、曹芳真、孙桂君

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山东省立第三医院康复科 山东济南 250031

脑卒中偏瘫 深层肌肉电刺激 平衡功能 运动功能 本体感觉训练 生活质量

2024

现代生物医学进展
黑龙江省森工总医院 哈尔滨医科大学附属第四医院

现代生物医学进展

CSTPCD
影响因子:0.755
ISSN:1673-6273
年,卷(期):2024.24(21)