《中国康复理论与实践》

《中国康复理论与实践》 ›› 2015, Vol. 21 ›› Issue (02): 212-215.

• 临床研究 • 上一篇    下一篇

功能性电刺激对早期脑卒中偏瘫患者步行功能的影响

陈迎春，李岩，李辉，顾旭东，姚云海，傅建明
  

  1. 嘉兴市第二医院康复中心，浙江嘉兴市314000。
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-02-25 发布日期:2015-02-25

Effect of Functional Electrical Stimulation on Hemiplegic Gait of Acute Stroke Patients

CHEN Ying- chun, LI Yan, LI Hui, GU Xu-dong, YAO Yun-hai, FU Jian-ming   

  1. Rehabilitation Medicine Center, the Second Hospital of Jiaxing, Jiaxing, Zhejiang 314000, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-02-25 Online:2015-02-25

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摘要： 目的研究功能性电刺激(FES)对早期脑卒中偏瘫患者步行功能的影响。方法采用随机数字表法将41 例脑卒中偏瘫患者随机分成治疗组(n=21)和对照组(n=20)。两组采用常规康复训练方法及减重平板训练，治疗组在此基础上给予FES。共8 周。治疗前后采用综合痉挛量表(CSS)、功能性步行分级(FAC)、Berg 平衡量表(BBS)对两组患者进行评定。结果治疗前两组CSS 评分、FAC分级及BBS评分组间差异均无显著性差异(P>0.05)。治疗后，两组上述指标均较治疗前显著改善(P<0.001)，治疗组改善优于对照组(P<0.05)。结论FES能促进早期脑卒中偏瘫患者步行功能的恢复。

关键词: 脑卒中, 减重平板训练, 功能性电刺激, 步行, 痉挛, 平衡

Abstract: Objective To explore the effect of functional electrical stimulation (FES) on hemiplegic gait of acute stroke patients. Methods 41 stroke patients were randomly divided into treatment group (n=21) and control group (n=20). All the patients received conventional rehabilitation and body weight supported treadmill training, and the treatment group received FES in addition. The patients were evaluated with the Composite Spasticity Scale (CSS), the Berg Balance Scale (BBS) and the Functional Ambulation Category (FAC) before and 8 weeks after intervention. Results There was no significant difference in all the assessment between two groups before intervention (P>0.05). The scores of CSS, FAC and BBS improved in both groups 8 weeks after intervention (P<0.001), and improved more in the treatment group than in the control group (P<0.05). Conclusion FES could further improve ambulation of stroke patients.

Key words: stroke, body weight supported treadmill training, functional electrical stimulation, ambulation, spasticity, balance