减重结合功能性电刺激对脑卒中患者下肢运动功能的疗效

doi:10.3969/j.issn.1006-9771.2024.05.008

Abstract

Abstract:

Objective To observe the effect of combination of partial body weight support and functional electrical stimulation on lower limb motor function for stroke patients.

Methods From January, 2023 to February, 2024, 60 stroke patients from Rehabilitation Hospital of Chancheng District People's Hospital in Foshan City were randomly divided into control group (n = 30) and observation group (n = 30). The control group received routine rehabilitation, while the observation group received a combination of celestial orbit system and functional electrical stimulation in addition, for three weeks. They were assessed with Balance assessment and training system, Berg Balance Scale (BBS), Fugl-Meyer Assessment-Lower Extremities (FMA-LE) and Holden Functional Ambulation Category (FAC) before and after treatment.

Results X-axis trajectory length, average speed of swaying, total wobble trajectory, Y-axis trajectory length, trajectory length per unit area, BBS score, FMA-LE score and FAC score improved in both groups after treatment (|t| > 4.809, P < 0.001); and all the indexes improved more in the observation group than in the control group (|t| > 2.268, P < 0.05), except X-axis trajectory length and average speed of swaying.

Conclusion Supplement of the combination of partial body weight support and functional electrical stimulation is more effective on lower limb motor function, balance and walking for stroke patients.

Key words: stroke, partial body weight support, functional electrical stimulation, lower limb, motor function, balance, walking

CLC Number:

R743.3

XIONG Xingxiu, ZHANG Zhenghui, DENG Chunyan, LI Yunbo, CHEN Zhenpeng, LI Yuanjie, SONG Jing. Effect of combination of partial body weight support and functional electrical stimulation on lower limb motor function after stroke[J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(5): 554-559.

Figures/Tables 5

Table 1

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Table 5

References 33

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组别	n	性别(男/女)/n	年龄/岁	病程/月	卒中类型 (出血/梗死)/n	偏瘫部位 (左/右)/n
对照组	30	22/8	59.43±11.37	2.00(1.20,3.00)	7/23	13/17
观察组	30	19/11	60.27±12.92	1.25(1.00,3.20)	8/22	16/14

变量	组别	n	测试	$\bar{x} \pm s$	t值	P值
X轴轨迹长/cm	对照组	30	前测	33.57±15.07	4.809	< 0.001
	对照组	30	后测	22.91±11.95	4.809	< 0.001
	观察组	30	前测	32.53±16.11	8.226	< 0.001
	观察组	30	后测	19.18±10.04	8.226	< 0.001
	治疗前均值差			-1.04±4.027	-0.258	0.797
	治疗后均值差			-3.73±2.85	-1.308	0.196
动摇平均速度/(cm·s^-1)	对照组	30	前测	2.47±0.79	5.387	< 0.001
	对照组	30	后测	1.74±0.71	5.387	< 0.001
	观察组	30	前测	2.28±1.01	7.956	< 0.001
	观察组	30	后测	1.41±0.71	7.956	< 0.001
	治疗前均值差			-0.19±0.23	-0.823	0.414
	治疗后均值差			-0.32±0.18	-1.759	0.084
动摇总轨迹长/cm	对照组	30	前测	62.23±18.51	6.767	< 0.001
	对照组	30	后测	45.76±18.74	6.767	< 0.001
	观察组	30	前测	56.89±21.64	11.131	< 0.001
	观察组	30	后测	35.50±16.18	11.131	< 0.001
	治疗前均值差			-5.34±5.20	-1.026	0.309
	治疗后均值差			-10.25±4.52	-2.268	0.027
Y轴轨迹长/cm	对照组	30	前测	45.44±16.16	5.493	< 0.001
			后测	34.23±15.68
	观察组	30	前测	42.22±17.54	8.964	< 0.001
			后测	25.12±11.40
	治疗前均值差			-3.22±4.35	-0.740	0.462
	治疗后均值差			-9.11±3.94	-2.574	0.013
单位面积轨迹长/(cm·cm^-2)	对照组	30	前测	11.65±3.88	10.251	< 0.001
			后测	5.38±3.12
	观察组	30	前测	12.37±7.72	5.927	< 0.001
			后测	8.49±6.49
	治疗前均值差			0.72±1.58	0.455	0.651
	治疗后均值差			3.11±1.31	2.364	0.021

组别	n	测试	$\bar{x} \pm s$	t值	P值
对照组	30	前测	15.87±1.76	-15.619	< 0.001
对照组	30	后测	25.50±3.62	-15.619	< 0.001
观察组	30	前测	15.23±1.83	-35.554	< 0.001
观察组	30	后测	28.60±2.03	-35.554	< 0.001
治疗前均值差			-0.63±0.46	-1.367	0.177
治疗后均值差			3.10±0.76	4.095	< 0.001

组别	n	测试	$\bar{x} \pm s$	t值	P值
对照组	30	前测	15.17±1.95	-14.087	< 0.001
对照组	30	后测	30.47±6.27	-14.087	< 0.001
观察组	30	前测	15.40±1.91	-36.894	< 0.001
观察组	30	后测	41.33±4.33	-36.894	< 0.001
治疗前均值差			0.23±0.50	0.469	0.641
治疗后均值差			10.87±1.39	7.815	< 0.001

组别	治疗前						治疗后						Z值	P值
组别	0级	1级	2级	3级	4级	5级	0级	1级	2级	3级	4级	5级	Z值	P值
对照组	0	30	0	0	0	0	0	0	11	12	5	2	-4.850	< 0.001
观察组	0	30	0	0	0	0	0	0	1	13	14	2	-4.889	< 0.001
Z值	< 0.001						-3.005
P值	> 0.990						0.003

Effect of combination of partial body weight support and functional electrical stimulation on lower limb motor function after stroke

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