多通道功能性电刺激对脑卒中患者下肢运动功能的影响

陈丹凤; 燕铁斌; 黎冠东; 李方明; 梁启堂

文章摘要

陈丹凤,燕铁斌,黎冠东,李方明,梁启堂.多通道功能性电刺激对脑卒中患者下肢运动功能的影响[J].中国康复,2013,28(4):289-291

多通道功能性电刺激对脑卒中患者下肢运动功能的影响

Effect of multi-channel functional electrical stimulation on motor and functional recovery of the lower extremity in early stroke patients

DOI：

中文关键词: 功能性电刺激脑卒中下肢弥散张力成像

英文关键词: functional electrical stimulation stroke lower extremity diffuse tensor image

基金项目:“十二五”国家科技支撑计划（2011BAI08B11）；广东省科技计划项目（2011B031800298）

作者	单位
陈丹凤	1.中山大学孙逸仙纪念医院康复医学科，广州 510000；2.广东省江门市中心医院神经内科,广东江门 529000
燕铁斌	中山大学孙逸仙纪念医院康复医学科，广州 510000
黎冠东	广东省江门市中心医院神经内科,广东江门 529000
李方明	广东省江门市中心医院神经内科,广东江门 529000
梁启堂	广东省江门市中心医院放射科,广东江门 529000

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中文摘要:

目的：探讨多通道功能性电刺激（FES）对脑卒中偏瘫患者早期下肢运动及平衡功能的影响及其脑可塑性机制。方法:将早期脑卒中患者18例随机分为FES组10例和对照组8例。2组均采用常规治疗，FES组加用基于人体正常行走模式设计的FES治疗仪治疗，对照组给予无电流输出的安慰电刺激。治疗前后采用Fugl-Meyer运动评定量表（FMA）中下肢部分评定下肢运动功能和 Berg平衡量表（BBS）评定平衡功能，并给予核磁共振弥散张力成像（DTI）检查。结果:治疗3周后，2组FMA及BBS评分均较治疗前明显提高（P<0.05），且FES组更高于对照组（均P<0.05）；DTI检查结果显示：治疗后，FES组病灶局部水肿较治疗前明显减少，双侧纤维束较治疗前明显增多增粗；对照组病灶局部水肿较治疗前减少，患侧纤维束较治疗前增加不明显。结论:FES治疗能提高脑卒中早期患者下肢运动功能，改善平衡功能，同时促进脑功能重组。

英文摘要:

Objective:To explore the effects of multi channel functional electrical stimulation (FES) on limb movement and balance function of early stroke patients and its mechanisms of brain plasticity.Methods:Eighteen cases of early stroke were randomly divided into FES group (n=10) and control group (n=8).Both groups received the same conventional therapy,FES group was given FES treatment based on a normal walking pattern design,and control group was given no electrical stimulation current output.Before and after treatment,Fugl-Meyer motor assessment (FMA) for the lower extremity and Berg Balance Scale (BBS) were assessed,and both groups of patients were given nuclear magnetic resonance diffuse tensor image (DTI) examination.Result:After treatment for three weeks,FMA and BBS assessment scores in both groups were significantly increased,more significantly in FES group than in control (P<0.05 for all).The DTI in FES group was improved significantly after treatment,and there was no obvious improvement of DTI in control group.Conclusion:FES can improve motor function and balance function of the patients with early stroke,and also can promote the reorganization of brain function.

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