首页|神经肌肉电刺激联合康复训练对脑梗死偏瘫患者下肢功能的影响

神经肌肉电刺激联合康复训练对脑梗死偏瘫患者下肢功能的影响

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目的:探讨神经肌肉电刺激联合康复训练对脑梗死偏瘫患者下肢功能的影响.方法:选取 2019 年 1 月至 2023 年 11 月该院收治的 122 例脑梗死偏瘫患者进行前瞻性研究,按照随机数字表法将其分为观察组与对照组各 61 例.对照组接受常规康复训练,观察组在对照组的基础上采用神经肌肉电刺激治疗.比较两组干预前后下肢运动功能[Fugl-Meyer运动功能评定量表(FMA)]评分、平衡能力[Berg平衡量表(BBS)]评分、步态参数(步长、步幅、步速)水平及生命质量[生活质量综合评定问卷(GQOLI-74)]评分.结果:干预后,观察组FMA、BBS评分及躯体功能、心理功能、社会功能、物质生活状态等维度的GQOLI-74评分均高于对照组,步长、步幅、步速均大于对照组,差异有统计学意义(P<0.05).结论:神经肌肉电刺激联合康复训练用于脑梗死偏瘫患者可有效提高患者平衡能力与下肢运动功能,改善步态,并提高其生命质量,效果优于单纯应用常规康复训练.
Effects of neuromuscular electrical stimulation combined with rehabilitation training on lower limb function in patients with hemiplegia after cerebral infarction
Objective:To investigate effects of neuromuscular electrical stimulation combined with rehabilitation training on lower limb function in patients with hemiplegia after cerebral infarction.Methods:A prospective study was conducted on 122 patients with hemiplegia after cerebral infarction admitted to the hospital from January 2019 to November 2023.According to the random number table method,they were divided into observation group and control group,61 cases in each group.The control group received routine rehabilitation training,while the observation group was treated with the neuromuscular electrical stimulation on the basis of that of the control group.The lower limb motor function[Fugl-Meyer motor assessment(FMA)]score,the balance ability[Berg balance scale(BBS)]score,the gait parameters(step length,stride length,pace),and the quality of life[general quality of life inventory(GQOLI-74)]score were compared between the two groups before and after the intervention.Results:After the intervention,the FMA,BBS scores and GQOLI-74 scores of physical function,psychological function,social function,material life status and other dimensions in the observation group were higher than those in the control group,the step length,stride length and stride speed were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:Neuromuscular electrical stimulation combined with rehabilitation training can effectively improve the balance ability and the lower limb motor function of the patients with hemiplegia after cerebral infarction,improve the gait,and improve their quality of life.Moreover,it is superior to single routine rehabilitation training.

Cerebral infarctionHemiplegiaNeuromuscular electrical stimulationLower limb functionRehabilitation trainingQuality of life

刘斯炎、卢琦、毛会娇

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安义县人民医院内二科,江西 南昌 330000

脑梗死 偏瘫 神经肌肉电刺激 下肢功能 康复训练 生命质量

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(11)
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