助力肌电反馈电刺激治疗脑梗死后患者下肢运动功能障碍疗效观察.docVIP

助力肌电反馈电刺激治疗脑梗死后患者下肢运动功能障碍疗效观察 鲍勇 谢青 王国宝 杨帅 高怡 上海交通大学医学院附属瑞金医院卢湾分院康复医学科 上海交通大学医学院附属瑞金医院康复医学科 X 关注成功！ 加关注后您将方便地在 我的关注中得到本文献的被引频次变化的通知！ 新浪微博 腾讯微博 人人网 开心网 豆瓣网 网易微博 摘????要： 目的 观察新型智能助力肌电反馈电刺激 (power-assisted EMG feedback electrical stimulation, PEFES) 治疗脑梗死后患者踝关节背屈功能障碍的疗效。方法 选取2012年8月至2014年8月上海交通大学医学院附属瑞金医院卢湾分院收治的脑梗死伴下肢功能障碍患者30例, 将其随机分为观察组和对照组, 每组各15例, 两组患者均接受神经促通技术等常规康复治疗, 观察组患者在此基础上使用新型PEFES治疗仪, 对照组患者使用常规低频电刺激疗法, 两组患者的治疗时间均为每天20分钟, 每周5次, 共治疗10次。分别于治疗前和治疗10次后测量两组患者踝关节背屈活动度;采用FuglMeyer量表 (Fugl-Meyer assessment, FMA) 评估患者下肢运动功能。结果 治疗前, 两组患者的踝关节背屈活动度和下肢FMA评分均无显著差异 (P0.05) 。治疗后, 两组患者的踝关节背屈活动度和下肢FMA评分均显著增加 (P0.05) , 且观察组患者的踝关节背屈活动度和下肢FMA评分均显著高于对照组 (P0.05) 。结论 PEFES能明显提高脑梗死患者的踝关节背屈功能, 改善其下肢运动功能。 关键词： 助力肌电反馈; 电刺激; 脑梗死; 踝关节背屈; 作者简介：谢青 E-mail:ruijin_xq@163.com 收稿日期：2017-04-25 The effect of power-assisted EMG feedback electrical stimulation therapy on lower extremity motor function in patients with cerebral infarction BAO Yong XIE Qing WANG Guo-bao YANG Shuai GAO Yi Department of Rehabilitation, Ruijin Hospital Lu Wan Branch, Shanghai Jiao Tong University school of Medicine; Department of Rehabilitation, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine; Abstract： Objective To investigate the effect of power-assisted EMG feedback electrical stimulation (PEFES) therapy on ankle dorsiflexion dysfunction in patients with cerebral infarction. Method 30 cerebral infarction patients with lower limb disorder admitted in Ruijin Hospital Lu Wan Branch from August 2012 to August 2014 were selected as research objects. All patients were randomly divided into observation group and control group, 15 cases in each group. The two groups received conventional rehabilitation nerve facilitation technique treatment. Besides, observation group received a new type of PEFES treatment, and control group received conventional low frequency electric stimulation therapy. The treatment time was 20 minutes per day, 5 times perweek and 10 times in total. Before and 10 times af