摘要
目的探究神经肌肉电刺激疗法联合核心稳定性训练对老年脑卒中患者康复运动功能、神经功能的影响.方法选择2019年7月—2023年2月徐州矿务集团总医院及苏州一〇〇医院收治的100例脑卒中患者为研究对象,按随机数字表法将其分为对照组(n=50)和观察组(n=50).对照组采用常规方法干预,观察组在对照组干预方法基础上采用神经肌肉电刺激疗法联合核心稳定性训练干预.两组均持续干预4周.对比两组运动功能、神经功能、平衡功能及生活质量.结果干预后,观察组Fugly-Meyer运动功能评分量表中上肢评分(61.33±1.72)分、下肢评分(29.34±3.26)分及总分(75.86±4.31)分,均高于对照组,组间差异有统计学意义(P<0.05).干预后,观察组美国国立卫生研究院卒中量表评分(5.11±1.16)分低于对照组,Berg平衡量表评分(47.73±1.72)分高于对照组,组间差异有统计学意义(P<0.05).干预后,观察组心理功能评分(80.09±6.17)分、躯体功能评分(82.13±6.09)分、社会功能评分(81.82±5.96)分、物质生活评分(85.31±6.24)分均高于对照组,组间差异有统计学意义(P<0.05).结论神经肌肉电刺激疗法与核心稳定性训练二者联合干预,可有效修复脑卒中患者神经功能,促进平衡功能、运动功能提高,从而改善患者生活质量.
Objective To explore the effect of neuromuscular electrical stimulation therapy combined with core stability training on rehabilitation motor function and neurological function in elderly stroke patients.Methods 100 stroke patients admitted to Xuzhou Mining Group General Hospital and Suzhou 1000 Hospital from July 2019 to February 2023 were randomly divided into a control group(n=50)and an observation group(n=50)using a random number table method.The control group received routine intervention,while the observation group received neuromuscular electrical stimulation therapy combined with core stability training intervention on the basis of the control group's intervention methods.The two groups received continuous intervention for 4 weeks.Compare motor function,neurological function,balance function,and quality of life between the two groups.Results After the intervention,the upper limb score(61.33±1.72)points,lower limb score(29.34±3.26)points,and total score(75.86±4.31)points of the Fugly Meyer Motor Function Assessment scale of the observation group were higher than those in the control group,with statistical differences between the groups(P<0.05).After intervention,the National Institutes of Health Stroke Scale score in the observation group was(5.11±1.16)points,lower than the control group,and the Berg Balance Scale score was(47.73±1.72)points,higher than the control group,with statistical differences between the groups(P<0.05).After intervention,the psychological function score(80.09±6.17)points,physical function score(82.13±6.09)points,social function score(81.82±5.96)points,and material life score(85.31±6.24)points of the observation group were higher than those of the control group,with statistically significant differences between the groups(P<0.05).Conclusion The combined intervention of neuromuscular electrical stimulation therapy and core stability training can effectively repair the neurological function of stroke patients,promote the improvement of balance function and motor function,and thus improve their quality of life.
作者
倪文静
曹洵
陈成瑞
孙娇娇
丁丹丽
郭茂楠
NI Wenjing;CAO Xun;CHEN Chengrui;SUN Jiaojiao;DING Danli;GUO Maonan(Department of Rehabilitation Medicine,Suzhou 100 Hospital,Suzhou Jiangsu,215000,China;Department of Rehabilitation Medicine,Xuzhou Mining Group General Hospital,Xuzhou Jiangsu,221006,China;Neurology of Geriatrics,Suzhou 100 Hospital,Suzhou Jiangsu,215000,China)
出处
《反射疗法与康复医学》
2023年第13期76-78,86,共4页
Reflexology And Rehabilitation Medicine
关键词
老年脑卒中
平衡功能
运动功能
核心稳定性训练
神经功能
Elderly stroke
Balance function
Motor function
Core stability training
Neurological function
作者简介
倪文静(1984-),女,江苏徐州人,硕士研究生,主治医师,研究方向:神经系统康复。
