Chinese Journal of Stroke ›› 2017, Vol. 12 ›› Issue (09): 812-816.DOI: 10.3969/j.issn.1673-5765.2017.09.010

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Effects of Functional Electrical Stimulation Combined with Rehabilitation of Treadmill Training on Lower Limbs Function of Stroke Patients at Acute Phase

  

  • Received:2017-03-17 Online:2017-09-20 Published:2017-09-20

功能性电刺激结合康复踏车训练对卒中急性期患者下肢功能的影响

张小华,任力杰,曾静,王尧   

  1. 1515063 汕头汕头大学
    2深圳市大鹏新区南澳人民医院
    3深圳市第二人民医院
    4深圳市石岩人民医院
  • 通讯作者: 任力杰 13631605966@126.com
  • 基金资助:

    深圳市大鹏新区产业发展专项资金(YL20160306)

Abstract:

Objective To observe and discuss the impact of the functional electrical stimulation (FES) combined with rehabilitation of treadmill training on lower limb function in patients with stroke at acute phase. Methods A total of 120 cases of patients with acute cerebral apoplexy hemiplegia were divided into control group and observation group by random number table method. All patients received conventional drug treatment. The control group were treated by Bobath technology routine rehabilitation training mainly including the bridge type training, sit stand an ankle dorsiflexion, regular training, etc. Daily training 1 times, each time 45 min, a week 5 d, 2 weeks training. In observation group, patients were treated based on the therapy of the control group and were further given FES system combined with rehabilitation treadmill training, every 20 minutes, 5 days a week, 2 weeks training. The Functional walking scale (Functional ambulation category, FAC), Fugl-meyer lower limb function rating scale, the Barthel index score rating scale were used before and after treatment, respectively. Results (1) Before the treatment, differences of the above-mentioned indicators in patients between two groups had no statistical significance; (2) after treatment, the control group and the observation

group patients FAC scores, lower limb FMA score, the Barthel index score had significant differences with that of before treatment. After treatment, the above indexes in the observation group were significantly better than that in the control group (all P <0.001). Conclusion Functional electrical stimulation combined with rehabilitation treadmill training can significantly improve the lower limb function in patients with stroke at acute phase, and improve the ability of daily life activities.

Key words: Functional electrical stimulation; Rehabilitation treadmill; Stroke; Hemiplegia

摘要:

目的 观察和探讨功能性电刺激(functional electrical stimulation,FES)结合康复踏车训练对卒中急性 期患者下肢功能的影响。 方法 将120例卒中急性期偏瘫患者采用随机数字表法分为对照组和观察组。两组均接受常规药物 治疗。对照组患者采用Bobath技术为主的常规康复训练,主要包括桥式训练、坐站训练、常规踝背屈 训练等,每日训练1次,每次45 min,每周训练5 d,训练2周。观察组患者在对照组康复治疗基础上给予 FES结合康复踏车系统训练,每次20 min,每周训练5 d,训练2周。分别于治疗前和治疗后采用功能性 步行量表(functional ambulation category,FAC)、Fugl-meyer下肢功能评定量表(Fugl-Meyer assessment, FMA)、Barthel指数评定量表进行评分并比较。 结果 ①治疗前,2组患者各项指标组间比较差异均无统计学意义;②治疗后,对照组和治疗组患者 的FAC评分、下肢FMA评分、Barthel指数评分均较本组治疗前有显著改善;治疗后,观察组上述指标显 著优于对照组(均P<0.001)。 结论 功能性电刺激结合康复踏车训练能显著地提高卒中急性期患者下肢功能,从而提高患者日 常生活活动能力。

关键词: 功能性电刺激; 康复踏车; 卒中; 偏瘫