文章摘要
陈创,李姗,唐朝正,陈昌成,张晓莉,吴毅,贾杰.经皮穴位电刺激对脑卒中患者下肢运动功能和ADL能力的影响[J].中国康复,2016,31(3):168-170
经皮穴位电刺激对脑卒中患者下肢运动功能和ADL能力的影响
Effects of transcutaneous electrical acupoint stimulation on lower limb motor function and activities of daily living in stroke patients
  
DOI:
中文关键词: 经皮穴位电刺激  脑卒中  下肢  运动功能
英文关键词: transcutaneous electrical acupoint stimulation  stroke  lower limb  movement function
基金项目:“十二五”国家科技支撑手功能项目(NO.2013BAI10B03);上海市科委课题(13441901402;3441902802;15441901600;15441901602);科技部“863计划”(SS2015AA020501)
作者单位
陈创 复旦大学附属华山医院康复科上海 200032 
李姗 福建中医药大学福州 350000 
唐朝正 复旦大学附属华山医院康复科上海 200032 
陈昌成 上海体育学院附属骨伤康复医院上海 200082 
张晓莉 复旦大学附属华山医院康复科上海 200032 
吴毅 复旦大学附属华山医院康复科上海 200032 
贾杰 复旦大学附属华山医院康复科上海 200032 
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中文摘要:
  目的:观察经皮穴位电刺激(TEAS)对脑卒中患者患侧下肢运动功能和日常生活能力的影响。方法:将33例脑卒中患者随机分为观察组(n=16)和对照组(n=17)。2组均给予常规康复治疗,观察组在此基础上增加下肢TEAS治疗。分别于治疗前后采用Fugl-Meyer量表下肢部分(FMA-LE)、Holden功能性步行分级(HFAC)、改良Barthel指数(MBI)进行评定。结果:治疗4周后,观察组FMA-LE、HFAC、MBI评分均较治疗前明显提高(P<0.05),对照组仅MBI评分较治疗前明显提高(P<0.05),治疗后观察组FMA-LE、MBI评分均优于对照组(P<0.05),HFAC评分差异无统计学意义。结论:TEAS能进一步促进脑卒中患者下肢运动功能恢复,提高患者日常生活活动能力。
英文摘要:
  Objective: To investigate the effects of transcutaneous electrical acupoint stimulation (TEAS) on lower limb motor function and activities of daily living in stroke patients. Method: Thirty-three patients with stroke were randomly divided into two groups: observation group (n=16) and control group (n=17). Both groups were treated by regular rehabilitation therapy. In addition, the observation group was given TEAS for 30 min per day, totally 4 weeks. Two groups were evaluated by Fugl-Meyer assessment of lower extremity (FMA-LE), Holden functional ambulation classification (HFAC) and modified Bathel index (MBI) before and after four-week intervention. Result: All the measurements were significantly improved after treatments in the observation group, only MBI scores improved significantly in the control group after treatment (P<0.05), and the observation group achieved more improvement than the control group (P<0.05) expect HAFC scores. Conclusions: TEAS can further improve lower limb motor function and activities of daily living of stroke patients.
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