首页|NMES对脑卒中后上肢失用性肌萎缩的应用效果

NMES对脑卒中后上肢失用性肌萎缩的应用效果

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目的:观察神经肌肉电刺激对脑卒中后患者上肢失用性肌萎缩的应用效果.方法:采用文献资料法、实验法、数理统计法,选取贵阳市白云区人民医院2023 年1 月—2024 年1 月脑卒中后上肢失用性肌萎缩患者20 例,依据随机数表法将其分为对照组和实验组,每组10 例.对照组给予常规康复治疗,实验组在常规康复治疗的基础上增加神经肌肉电刺激治疗,通过测量肌肉围度,以及采用MMT量表和简化版Fugl-Meyer运动功能能力量表来评估治疗疗效,并对实验数据进行统计分析.结果:治疗中期,实验组和对照组上肢肌肉围度、MMT比较,差异不具有统计学意义(P>0.05);Fugl-Meyer量表比较,差异具有统计学意义(P<0.01).治疗末期,实验组和对照组上肢肌肉围度、MMT和Fugl-Meyer比较,差异具有统计学意义(P<0.05).结论:神经肌肉电刺激能改善肌肉功能和有效治疗脑卒中后上肢失用性肌萎缩症状.
The Application Effect of NMES on Upper Limb Disuse Muscular Atrophy after Stroke
OBJECTIVE:This study aimed to observe the impact of neuromuscular electrical stimulation(NMES)on upper limb disuse muscular atrophy in post-stroke patients.METHODS:Using literature research method,experimentation,and mathematical statistics,20 post-stroke patients with upper limb disuse muscular atrophy were selected from Baiyun District People's Hospital in Guiyang between January 2023 and January 2024.They were randomly divided into a control group and an experimental group,each comprising 10 patients.The control group received conventional rehabilitation treatment,while the experimental group received additional NMES treatment alongside conventional rehabilitation.Treatment efficacy was evaluated by measuring muscle circumference,utilizing the MMT scale,and the simplified Fugl-Meyer motor function assessment scale.Statistical analysis was performed on the experimental data.RESULTS:At the mid-term of treatment,there were no statistically significant differences in muscle circumference and MMT between the experimental and control groups(P>0.05);however,there was a statistically significant difference in the Fugl-Meyer scale comparison(P<0.01).At the end of the treatment,statistically significant differences in muscle circumference,MMT,and Fugl-Meyer scale comparison were observed between the experimental and control groups(P<0.05).CONCLUSION:NMES can improve muscle function and effectively treat symptoms of upper limb disuse muscular atrophy after stroke.

neuromuscular electrical stimulationdisuse muscular atrophyNMESphysical agent modalities therapy

王永杰、马志君、孙凯雯、曹博宇

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牡丹江师范学院,黑龙江 牡丹江 157011

神经肌肉电刺激 失用性肌萎缩 NMES 物理因子治疗

2024

体育科技文献通报
国家体育总局体育信息中心

体育科技文献通报

影响因子:0.329
ISSN:1005-0256
年,卷(期):2024.32(8)