摘要
目的分析采用基于双侧训练理论的对侧控制功能性电刺激(CCFES)治疗偏瘫的效果。方法选择2021年4月—2022年5月于我院行康复治疗的74例脑卒中偏瘫患者为研究对象,按随机数字表法分为对照组(n=37)和观察组(n=37)。两组患者均接受脑卒中常规康复治疗,在此基础上,对照组采用神经肌肉电刺激治疗,观察组采用基于双侧训练理论的CCFES治疗,均持续4周。对比两组患者的肩功能、肩关节活动度、运动功能、疼痛程度及生活质量。结果治疗4周后,观察组的斜方肌上束、冈上肌、三角肌前束平均肌电值分别为(73.58±22.95)μV、(58.18±18.62)μV、(75.65±20.47)μV,均高于对照组的(60.82±20.21)μV、(48.35±16.49)μV、(65.58±18.94)μV,组间差异有统计学意义(P<0.05)。治疗4周后,观察组的肩前屈、肩外展角度分别为(44.84±14.23)°、(36.47±10.27)°,均大于对照组的(31.57±12.51)°、(28.65±8.88)°,组间差异有统计学意义(P<0.05)。治疗4周后,观察组的Fugl-Meyer运动功能量表-上肢评分为(41.16±6.54)分,高于对照组的(37.42±5.18)分,疼痛视觉模拟评分为(3.02±0.57)分,低于对照组的(4.49±0.86)分,组间差异有统计学意义(P<0.05)。治疗4周后,观察组的生活质量综合评定量表中心理、躯体、社会功能、物质生活状态评分分别为(79.84±8.15)分、(80.25±6.94)分、(82.02±5.87)分、(82.35±6.18)分,均高于对照组的(72.42±7.23)分、(73.78±6.53)分、(76.14±6.03)分、(76.69±5.31)分,组间差异有统计学意义(P<0.05)。结论基于双侧训练理论的CCFES在脑卒中后偏瘫患者中的应用效果显著,能改善其肩关节功能,提高上肢运动功能,减轻疼痛,提升生活质量。
Objective To analyze the effect of contralateral controlled functional electrical stimulation(CCFES)based on bilateral training theory in the treatment of hemiplegic patients.Methods 74 patients with stroke hemiplegia who received rehabilitation treatment in the hospital from April 2021 to May 2022 were selected as the study objects,and were divided into a control group(n=37)and an observation group(n=37)according to random number table method.Both groups received conventional stroke rehabilitation treatment.On this basis,the control group was treated with neuromuscular electrical stimulation,and the observation group was treated with CCFES based on bilateral training theory.Both groups lasted for 4 weeks.The shoulder function,shoulder range of motion,motor function,pain degree and quality of life were compared between the two groups.Results After 4 weeks of treatment,the average EMG values of the superior trapezius,suprapinatus and deltoid anterior fasciculus in the observation group were(73.58±22.95)μV,(58.18±18.62)μV,(75.65±20.47)μV,respectively,which were higher than(60.82±20.21)μV,(48.35±16.49)μV,(65.58±18.94)μV in the control group,and the differences between the groups were statistically significant(P<0.05).After 4 weeks of treatment,the angles of shoulder flexion and shoulder abduction in the observation group were(44.84±14.23)°and(36.47±10.27)°,respectively,which were greater than(31.57±12.51)°and(28.65±8.88)°in the control group,the differences between the groups were statistically significant(P<0.05).After 4 weeks of treatment,the Fugl-Meyer assessment upper extremity scale score of the observation group was(41.16±6.54)points,higher than(37.42±5.18)points of the control group,while the pain visual analogue scale score was(3.02±0.57)points,lower than(4.49±0.86)points of the control group,the differences between the groups were statistically significant(P<0.05).After 4 weeks of treatment,the scores of psychological,physical,social function and state material life of the generic quality of life inventory-74 in the observation group were(79.84±8.15)points,(80.25±6.94)points,(82.02±5.87)points and(82.35±6.18)points,respectively,which were higher than(72.42±7.23)points,(73.78±6.53)points,(76.14±6.03)points,(76.69±5.31)points in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion The application of CCFES based on bilateral training theory is effective in patients with hemiplegia after stroke,which can improve the shoulder joint function and the upper limb motor function,reduce pain and improve the quality of life.
作者
尹韬宇
YIN Taoyu(Department of Rehabilitation Medicine,Feng County People's Hospital,Xuzhou Jiangsu,221700,China)
出处
《反射疗法与康复医学》
2023年第9期70-73,共4页
Reflexology And Rehabilitation Medicine
关键词
脑卒中
偏瘫
双侧训练
对侧控制功能性电刺激
肩关节活动度
运动功能
Stroke
Hemiplegia
Bilateral training
Contralateral control functional electrical stimulation
Shoulder joint mobility
Motor function
作者简介
尹韬宇(1985-),男,江苏徐州人,本科,主治医师,研究方向:神经康复。
