文章摘要
宋达,施加加,裴海荣,王平.踏车训练中应用循环性功能性电刺激对脑卒中患者下肢运动功能恢复的影响[J].中国康复,2017,32(2):106-108
踏车训练中应用循环性功能性电刺激对脑卒中患者下肢运动功能恢复的影响
Effect of functional electrical stimulation cycling on rehabilitation of lower extremity motor function in stroke hemiplegia
  
DOI:
中文关键词: 脑卒中  踏车训练  功能性电刺激  运动功能
英文关键词: stroke  cycling training  functional electrical stimulation  motor function
基金项目:
作者单位
宋达 1.无锡市第二中医医院江苏 无锡 2140002.无锡同仁(国际)康复医院江苏 无锡 214000 
施加加 昆山市康复医院江苏 苏州 215300 
裴海荣 无锡同仁(国际)康复医院江苏 无锡 214000 
王平 无锡同仁(国际)康复医院江苏 无锡 214000 
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中文摘要:
  目的:观察踏车训练中联合应用循环性功能性电刺激对脑卒中患者下肢运动功能恢复的影响。方法:40例脑卒中患者随机数字表法分为观察组和对照组各20例。2组均采用常规康复训练,其中对照组增加下肢踏车训练(RT300踏车训练系统),观察组在踏车训练的基础上增加循环性功能性电刺激(FES)训练。治疗前后分别采用简式Fugl-Meyer评定法(FMA),Berg评定法(BBS),功能性步行分级量表(FAC)进行下肢运动功能评定。结果:治疗8周后,2组FMA、BBS评分及FAC分级均较治疗前明显提高(均P<0.05),且观察组高于对照组(P<0.05)。结论:在踏车训练中联合应用循环性功能性电刺激能够更好地改善脑卒中患者的下肢运动功能。
英文摘要:
  Objective: To observe the effect of functional electrical stimulation cycling on rehabilitation of lower extremity motor function in stroke hemiplegia. Methods: Forty stroke patients meeting the criteria were randomly divided into two groups: observation group and control group (n=20). Both groups received the same routine rehabilitation therapy. Patients in control group received normal cycling training, and those in observation group received functional electrical stimulation cycling (FES Cycling), 8 weeks in total. Walking function was assessed by Fugl-Meyer assessment scale (FMA), Berg balance scale (BBS) and functional ambulation category (FAC), which were carried out before and 8 weeks after treatment. Results: Before treatment, there was no significant difference between the two groups in the baseline of measurement (P>0.05). After 8 weeks of treatment, FMA, BBS, and FAC scores in the observation group were significantly increased (P<0.05). Conclusion: The FES Cycling can accelerate the recovery of walking function in hemiplegia patients more significantly.
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