| 宋达,陈兰,陈煜,赵薇薇,王彤.多通道FES踏车训练对脑卒中患者下肢感觉-运动能力的临床影响[J].中国康复,2021,36(10):589-593 |
| 多通道FES踏车训练对脑卒中患者下肢感觉-运动能力的临床影响 |
| Clinical offect of multi-channel functional electrical stimulation cycling training on lower limb sensory motor function of stroke patients |
| |
| DOI： |
| 中文关键词: 脑卒中 功能性电刺激踏车 本体感觉 平衡 |
| 英文关键词: stroke functional electric stimulation cycling proprioception balance |
| 基金项目:国家重点研发计划（2018YFC2001600，2018YFC2001603） |
|
| 摘要点击次数: 3567 |
| 全文下载次数: 3632 |
| 中文摘要: |
| 目的：观察多通道功能性电刺激踏车训练对脑卒中患者下肢本体感觉、平衡及步态的影响。方法：选取44例脑卒中患者随机分为对照组和观察组，每组22例。对照组给予常规康复训练和普通主被动踏车训练，观察组进行常规康复训练和多通道功能性电刺激踏车训练。治疗前、治疗8周后采用平衡仪评估患者的本体感觉；采用Berg平衡量表(BBS)评估患者的平衡功能；采用三维步态评估患者的步行功能。结果：治疗8周后，2组患者ATE、Time以及步宽的数值均较治疗前降低（P<0.05），且观察组的数值更低于对照组（P<0.05)；2组患者BBS评分、步长、步速、健侧时间摆动占比以及下肢各关节最大活动角度的数值均较治疗前提高（P<0.05），且观察组的数值更高于对照组（P<0.05)；患者患侧下肢ATE差值与步宽差值呈正相关（P＜0.05），与步长差值、步速差值、健侧摆动时间占比差值、患侧髋关节/膝关节/踝关节屈伸角度差值均呈负相关（P＜0.05）；患者Time差值与步宽差值呈正相关（P＜0.05），与步长差值、步速差值、健侧摆动时间占比差值、患侧髋关节/踝关节屈伸角度差值均呈低度负相关（P＜0.05）。结论：在常规康复治疗基础上联合使用多通道功能性电刺激踏车训练可以有效提高脑卒中患者的本体感觉，进一步改善平衡功能以及步态。 |
| 英文摘要: |
| Objective: To observe the effects of multichannel functional electrical stimulation cycling training on lower limb proprioception, balance and gait in stroke patients. Methods: Totally, 44 cases of stroke were randomly divided into control group and observation group, 22 cases in each group. The control group was given routine rehabilitation training and ordinary active and passive bicycle training, and the observation group was given routine rehabilitation training and multi-channel functional electric stimulation bicycle training. Before and after 8 weeks of treatment, the proprioception of the patients was evaluated by balance instrument; Berg Balance Scale (BBS) was used to evaluate the balance function; Three dimensional gait was used to evaluate the walking function of patients. Results: After 8 weeks of treatment, the ATE and Time and step width of the two groups were lower than those before treatment (P<0.05), and those in the observation group were lower than those in the control group (P<0.05); The BBS score, step length, walking speed, the proportion of time swing on the contralateral side and the maximum movement angle of lower limb joints in the two groups were improved as compared with those before treatment (P<0.05); The ATE difference of the lower extremity on the affected side was positively correlated with the difference in step width (P<0.05), and negatively correlated with the difference in step length, the difference in step speed, the difference in the proportion of swinging time on the healthy side, and the difference in the flexion and extension angle of the hip/knee/ankle joint on the affected side (P<0.05); The time difference of patients was positively correlated with the difference in step width (P<0.05), and negatively correlated with the difference in step length, the difference in step speed, the difference in the proportion of swinging time of the healthy side, and the difference in the flexion and extension angle of the hip/ankle joint on the affected side (P<0.05). Conclusion: The use of multi-channel functional electrical stimulation bicycle training in combination with conventional rehabilitation therapy is effective in improving proprioception and further improving balance and gait in stroke patients. |
|
查看全文
下载PDF阅读器 HTML全文 |
| 关闭 |
|
|
|
