多通道功能性电刺激对脑性瘫痪青少年下肢运动和平衡功能的影响①.PDFVIP

中国康复理论与实践2016年9月第22卷第9期 ChinJRehabilTheoryPract,Sep.,2016,Vol.22,No.9 - 1056 - DOI: 10.3969/j.issn. 1006-9771.2016.09.016 ·临床研究 · 多通道功能性电刺激对脑性瘫痪青少年下肢运动和平衡功能的影响① 姜艳，刘月芬，王艳波，曹宝成 [摘要] 目的 探讨多通道功能性电刺激(FES)对脑瘫青少年下肢运动功能及平衡功能的影响。方法 2014 年1月~2015 年6 月，本院脑瘫青少年患者20 例随机分为对照组(n=10)和FES 组(n=10) 。两组均采用常规治疗，FES 组加用基于人体正常行走模式设 计的FES 主被动康复踏车治疗。治疗前、治疗后10 d 和30 d 采用Fugl-Meyer 评定量表(FMA) 中下肢部分评定下肢运动功能，采用 Berg 平衡量表(BBS)评定平衡功能，采用粗大运动功能测试(GMFM)评价粗大运动功能。结果 治疗30 d 后，两组FMA 及BBS 、 GMFM 评分均较治疗前显著提高(F 时间223.749, P0.001) ，FES 组高于对照组(t2.706, P0.05) 。结论 FES 治疗能提高脑瘫青少年 患者下肢运动功能，改善平衡功能。 [关键词] 脑性瘫痪；青少年；功能性电刺激；下肢 Effect of Multichannel Functional Electrical Stimulation on Motor and Balance Function of Lower Extremity in Adolescents with Cerebral Palsy JIANG Yan, LIU Yue-fen, WANG Yan-bo, CAO Bao-cheng Department of Rehabilitation Medicine, the Third Peoples Hospital in Gansu Province, Lanzhou, Gansu 730030, China Correspondence to JIANG Yan . E-mail: lzkf-good@163.com Abstract: Objective To evaluate multichannel functional electrical stimulation (FES) on motor and balance function of lower limbs in adolescent with cerebral palsy. Methods From January, 2014 to June, 2015, 20 adolescents with cerebral palsy were randomly divided into FES group (n= 10) and control group (n= 10). Both groups received routine exercise therapy. FES group received active and passive FES treadmill based on normal walking pattern. The Fugl-Meyer Assessment (FMA) was used to evaluate the motor function of lower limbs; the Berg Balance Scale (BBS) was used to assess the balance function, and the Gross Motor Function Measure (GMFM) was used to test the gross motor function. Results The scores of FMA, BBS and GMFM significantly improved 30 days after treatment (F223.749, P0.001), and the scores were higher in the FES group than in t