文章摘要
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
Effects of Deep Muscle Electrical Stimulation Combined With Proprioception Training on Motor Function, Balance Function and Quality of Life in Stroke Hemiplegia Patients
投稿时间:2024-06-05  修订日期:2024-06-05
DOI:
中文关键词: 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
英文关键词: Stroke hemiplegia  Deep muscle electrical stimulation  Balance function  Motor function  Proprioceptive training  Quality of life
基金项目:山东省基层卫生协会2022年基层卫生科技创新计划项目(JCK22014)
作者单位邮编
王君菊* 山东省立第三医院 250031
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中文摘要:
      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,将我院于2021年4月~2023年3月期间收治的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。同时所有患者均接受常规康复治疗。对比三组干预前后的运动功能[简化Fugl-Meyer运动功能评定量表(FMA)上肢评分、FMA下肢评分、FMA总分、6min步行距离(6MWD)]、平衡功能[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,三组FMA上肢评分、FMA下肢评分、FMA总分、6MWD升高(P<0.05),且联合组FMA上肢评分、FMA下肢评分、FMA总分、6MWD高于对照A组、对照B组(P<0.05);干预后,三组BBS评分升高(P<0.05),且联合组BBS评分高于对照A组、对照B组(P<0.05);干预后,三组MBI、SF-36评分升高(P<0.05),且联合组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。
英文摘要:
      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:According to the random number table method, 93 stroke hemiplegia patients admitted to our hospital from April 2021 to March 2023 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), 31 cases in each group. Concurrently, all patients underwent routine rehabilitation treatment. The motor function [simplified Fugl-Meyer assessment scale (FMA) upper limb?score, FMA lower limb score, FMA total score, six-minute walk distance (6MWD)], balance function [Berg balance scale (BBS)] and quality of life [modified Barthel index (MBI), 36-item short form health survey (SF-36)] in three groups before and after intervention were compared. Results:After the intervention, the FMA upper limb score, FMA lower limb score, FMA total score and 6MWD in three groups increased (P<0.05), and the FMA upper limb score, FMA lower limb score, FMA total score and 6MWD in combined group were higher than those in control group A and control group B (P<0.05). After the intervention, the BBS scores in three groups increased (P<0.05), and the BBS score in combined group was higher than that in control group A and control group B (P<0.05). After the intervention, the MBI and SF-36 scores in three groups increased (P<0.05), and the 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.
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