| 黄桂兰,许意,任彩丽,梁成盼,郑泽,房辉,邵一,苏彬.表面肌电结合等速测试仪评价功能性电刺激对脑卒中患者下肢痉挛及其功能影响的临床研究[J].中国康复,2022,37(1):17-20 |
| 表面肌电结合等速测试仪评价功能性电刺激对脑卒中患者下肢痉挛及其功能影响的临床研究 |
| Functional electrical stimulation on lower limb spasticity and its function in stroke patients evaluated by surface electromyography in combination with isokinetic tester |
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| DOI： |
| 中文关键词: 表面肌电 功能性电刺激 脑卒中 下肢 等速 |
| 英文关键词: surface electromyography functional electrical stimulation stroke lower limbs isokinetic muscle strength |
| 基金项目:无锡市卫生健康委科技成果与适宜技术推广项目（T202144）；无锡市科技局医疗卫生指导性项目（NZ2019021）；南京医科大学教育研究课题重点项目（2019ZC049） |
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| 中文摘要: |
| 目的：运用表面肌电结合等速测试仪探讨基于正常行走模式的功能性电刺激（FES)对脑卒中患者下肢痉挛及功能的影响。方法：54例脑卒中患者随机分为2组，FES组及安慰刺激组（对照组）。2组患者均接受常规的临床及康复治疗。FES组在此基础上接受基于正常行走模式的FES治疗，安慰刺激组给予无电流输出的电刺激。治疗前及治疗4周后，采用表面肌电图结合等速测试仪测试患者下肢股四头肌和小腿三头肌，计算各肌肉的均方根值（RMS）和积分肌电值（iEMG）；同时采用改良Ashworth痉挛量表（MAS）、Fugl-Meyer运动功能量表（FMA）的下肢部分及10m步行速度评估患者的下肢功能。结果：治疗4周后，2组患者股四头肌及小腿三头肌MAS评分、RMS值、iEMG值均较治疗前有所降低（P<0.05），下肢FMA评分及10m步行速度较治疗前增加（P<0.05）；治疗第4周组间比较，FES组各评分值改善程度优于安慰刺激组（P<0.05）。结论：基于正常行走模式的FES能有效降低脑卒中患者下肢股四头肌及小腿三头肌的肌张力，改善偏瘫患者的下肢伸肌痉挛模式，提高下肢运动功能及步行能力，值得临床推广应用。 |
| 英文摘要: |
| Objective: To evaluate the effect of functional electrical stimulation (FES) based on normal walking pattern on lower extremity spasm and function in stroke patients by surface electromyography. Methods: A total of 54 eligible stroke patients were randomly divided into FES group and consolation stimulus group (control group). Both groups were given routine clinical and rehabilitation treatment. FES group was intervened by FES, and the control group was given FES without current input treatment. Before and after 4 weeks of treatment, the quadriceps femoris and triceps femoris of lower limbs were tested by sEMG, RMS and iEMG of each muscle were collected, and the patients were evaluated by the MAS and FMA of lower limbs and 10-m walking speed. Results: Before treatment, there was no significant difference between the two groups (P>0.05). After 4 weeks of treatment, MAS, RMS and iEMG of quadriceps femoris and triceps crus in the two groups were lower than those before treatment (P<0.05), and FMA score of lower limbs and 10-m walking speed significantly increased as compared with those before treatment (P<0.05). The improvement of scores in FES group was more satisfactory than that in the consolation stimulus group (P<0.05). Conclusion: FES based on normal walking pattern can effectively reduce the muscle tension of quadriceps femoris and triceps femoris in stroke patients, improve the spasm mode of extensor femoris in hemiplegia patients, and improve the motor function and walking ability of lower limbs, which is worthy of clinical application. |
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