文章摘要
代永利,王利凯,王亚娟,王战,王立童.前庭电刺激联合闭链功能训练对脑卒中患者下肢运动和平衡功能的影响[J].中国康复,2024,39(5):259-263
前庭电刺激联合闭链功能训练对脑卒中患者下肢运动和平衡功能的影响
Effects of galvanic vestibular stimulation combined with closed-chain functional training on lower limb movement and balance functions in stroke patients
  
DOI:
中文关键词: 前庭电刺激  闭链功能训练  脑卒中  平衡功能  步行能力
英文关键词: galvanic vestibular stimulation  closed-chain functional training  stroke  balance function  walking ability
基金项目:辽宁省教育厅基本科研项目(LJKMZ20221292)
作者单位
代永利 大连医科大学附属第二医院康复医学科辽宁 大连 116027 
王利凯 大连医科大学附属第二医院康复医学科辽宁 大连 116027 
王亚娟 空军军医大学第二附属医院唐都医院康复医学科西安710038 
王战 大连医科大学附属第二医院康复医学科辽宁 大连 116027 
王立童 大连医科大学附属第二医院康复医学科辽宁 大连 116027 
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中文摘要:
  目的:观察前庭电刺激联合闭链功能训练对脑卒中患者下肢运动和平衡功能的疗效。方法:选取50例脑卒中恢复期偏瘫患者,按照随机对照表法分为对照组和观察组各25例。对照组患者进行下肢功能训练,以闭链康复训练为主,观察组在闭链功能训练过程中同步进行前庭电刺激。治疗前及治疗2周后,利用步态分析系统对患者的步态周期、支撑相、摆动相和步速进行测量,分别采用下肢Fugl-Meyer运动功能量表(FMA-LE)、Berg平衡量表(BBS)及改良Barthel指数(MBI)分别评估患者的下肢运动能力、平衡功能及日常生活能力。结果:治疗2周后,对照组患者步态周期、支撑相时间均较治疗前显著降低(P<0.05),观察组步态周期、支撑相较治疗前显著降低(P<0.05),步速较治疗前显著提高(P<0.05),观察组步态周期、支撑相时间、步速变化优于对照组(P<0.05)。治疗后2组患者FMA-LE、MBI和BBS评分均较治疗前显著提高(P<0.05),观察组FMA-LE、BBS、MBI评分均高于对照组(P<0.05)。结论:前庭功能训练联合下肢闭链训练可改善脑卒中患者的平衡功能和步行能力,值得临床推广。
英文摘要:
  Objective: To observe the effect of vestibular electrical stimulation combined with closed-chain functional training on lower limb movement and balance functions in stroke patients. Methods: A total of 50 patients with hemiplegia in the recovery stage of stroke were selected and divided into a control group (n=25) and an observation group (n=25) according to the random comparison table method. Patients in the control group underwent lower limb functional training, mainly closed-chain rehabilitation training, while the observation group received vestibular electrical stimulation simultaneously during closed-chain functional training. Before treatment and after 2 weeks of treatment, the Fugl-Meyer Motor Function Scale of the Lower Limbs (FMA-LE), Berg Balance Scale (BBS) and Modified Barthel Index (MBI) were used to evaluate the patient’s lower limb motor ability, balance function and daily life ability. The gait analysis system was used to measure the patient’s gait cycle, support phase, swing phase, support phase ratio and walking speed. Results: After 2 weeks of treatment, the scale scores in the two groups were significantly improved as compared with those before treatment (P<0.05). After treatment, the gait cycle and support phase in the control group were significantly improved as compared with those before treatment (P<0.05). The changes in gait cycle, support phase and walking speed in the observation group were statistically significant as compared with those before treatment (P<0.05). The FMA-LE, BBS, and MBI scores in the observation group were better than those in the control group (P<0.05). The observation group was better than the con-trol group in gait cycle, stance phase time and pace change (P<0.05), among which the intra-group and inter-group comparisons of swing phase time changes had no statistical significance. Conclusion: Vestibular function training combined with lower limb closed-chain training improves the balance function and walking ability of stroke patients and is worthy of clinical promo-tion.
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