[1]侯 蕾.中频电刺激联合康复训练对偏瘫患者步态参数、功能的影响[J].医学信息,2024,37(08):133-136.[doi:10.3969/j.issn.1006-1959.2024.08.027]
　HOU Lei.Effect of Medium-frequency Electrotherapy Combined with Rehabilitation Training on Gait Parameters and Function of Hemiplegic Patients[J].Journal of Medical Information,2024,37(08):133-136.[doi:10.3969/j.issn.1006-1959.2024.08.027]
点击复制

中频电刺激联合康复训练对偏瘫患者步态参数、功能的影响()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年08期
页码:
133-136
栏目:
论著
出版日期:
2024-04-15

文章信息/Info

Title:
Effect of Medium-frequency Electrotherapy Combined with Rehabilitation Training on Gait Parameters and Function of Hemiplegic Patients
文章编号:
1006-1959（2024）08-0133-04
作者:
侯 蕾
（天津市北辰区中医医院康复科，天津 300400）
Author(s):
HOU Lei
(Department of Rehabilitation,Tianjin Beichen District Hospital of Traditional Chinese Medicine,Tianjin 300400,China)
关键词:
偏瘫; 康复训练; 中频电刺激; 步态参数; 肌力; 运动功能
Keywords:
Hemiplegia; Rehabilitation training; Medium-frequency electrotherapy; Gait parameters; Muscle strength; Motor function
分类号:
R743.3
DOI:
10.3969/j.issn.1006-1959.2024.08.027
文献标志码:
A
摘要:
目的 探究中频电刺激联合康复训练对偏瘫患者步态参数及功能的影响。方法 选取2022年3月-2023年3月天津市北辰区中医医院收治的30例偏瘫患者，经随机数字表法分为对照组与观察组，各15例。对照组采用康复训练，观察组则采用中频电刺激联合康复训练，比较两组步态参数（步速、步频、患肢跨步长）、患侧肌力（Lovett肌力评分）、运动功能[Fugl-Meyer运动功能评分（FMA）]、平衡能力[Berg平衡量表（BBS）]、日常生活能力[Barthel指数（BI）]。结果 两组康复治疗后步速、步频、患肢跨步长均大于康复治疗前，且观察组步速、步频、患肢跨步长大于对照组（P＜0.05）；两组康复治疗后患侧Lovett肌力评分（上肢、下肢）均高于康复治疗前，且观察组患侧Lovett肌力评分（上肢、下肢）高于对照组（P＜0.05）；两组康复治疗后FMA评分（上肢、下肢）均高于康复治疗前，且观察组FMA评分（上肢、下肢）高于对照组（P＜0.05）；两组康复治疗后BBS、BI评分高于康复治疗前，且观察组BBS、BI评分高于对照组（P＜0.05）。结论 中频电刺激联合康复训练可改善偏瘫患者的步态参数，有利于患侧肌力与运动功能的强化，对其平衡能力及生活能力均具有良好改善作用。
Abstract:
Objective To explore the effect of medium-frequency electrotherapy combined with rehabilitation training on gait parameters and function of hemiplegic patients.Methods Thirty patients with hemiplegia admitted to Tianjin Beichen District Hospital of Traditional Chinese Medicine from March 2022 to March 2023 were selected and divided into control group and observation group by random number table method, with 15 patients in each group. The control group was treated with rehabilitation training, while the observation group was treated with medium-frequency electrotherapy combined with rehabilitation training. The gait parameters (step speed, step frequency, stride length of the affected limb), muscle strength of the affected side (Lovett muscle strength score), motor function [Fugl-Meyer motor function score (FMA)], balance ability [Berg Balance Scale (BBS)], and daily living ability [Barthel index (BI)] were compared between the two groups.Results The step speed, step frequency and stride length of the affected limbs in the two groups after rehabilitation treatment were higher than those before rehabilitation treatment, and the step speed, step frequency and stride length of the affected limbs in the observation group were longer than those in the control group (P<0.05). After rehabilitation treatment, the Lovett muscle strength score (upper limb, lower limb) of the affected side in the two groups was higher than that before rehabilitation treatment, and the Lovett muscle strength score (upper limb, lower limb) of the affected side in the observation group was higher than that in the control group (P<0.05). The FMA scores (upper limbs, lower limbs) of the two groups after rehabilitation treatment were higher than those before rehabilitation treatment, and the FMA scores (upper limbs, lower limbs) of the observation group were higher than those of the control group (P<0.05). The BBS and BI scores of the two groups after rehabilitation treatment were higher than those before rehabilitation treatment, and the BBS and BI scores of the observation group were higher than those of the control group (P<0.05).Conclusion Medium-frequency electrotherapy combined with rehabilitation training can improve the gait parameters of hemiplegic patients, which is conducive to the enhancement of muscle strength and motor function on the affected side, and has a good improvement effect on their balance ability and living ability.

参考文献/References:

[1]许丹丹,闫振壮,朱永刚,等.NMES联合早期康复训练对偏瘫患者恢复期格拉斯哥昏迷评分的影响[J].实用心脑肺血管病杂志,2020,28(1):203-205.[2]Mitsutake T,Nakazono H,Yoshizuka H,et al.Increased Trailing Limb Angle is Associated with Regular and Stable Trunk Movements in Patients with Hemiplegia[J].Journal of Stroke and Cerebrovascular Diseases,2022,31(2):106242.[3]金丽华.早期康复训练对缺血性脑卒中患者上肢运动功能及日常生活活动能力的影响[J].山西医药杂志,2022,51(8):942-944.[4]毛媛,朱芸,张天照.早期康复训练对缺血性脑卒中偏瘫患者运动功能和日常生活活动能力的影响[J].解放军预防医学杂志,2018,36(5):624-626.[5]郜娟,梁俊豪,黄英,等.中频电刺激联合康复训练对胸腰段不完全性脊髓损伤患者下肢肌力尿潴留及步态参数的影响[J].河北医学,2022,28(8):1370-1375.[6]陈汉波,郑修元,吕晓,等.经颅直流电刺激同步多通道功能性电刺激对脑卒中偏瘫患者下肢运动功能影响的对照研究[J].中国康复医学杂志,2021,36(10):1227-1232.[7]刘晓庆,王超.椭圆机联合功能性电刺激康复训练对脑卒中偏瘫患者步态的影响[J].心血管康复医学杂志,2022,31(1):55-60.[8]马强,陈颖,惠鹏生,等.水疗联合电刺激对脑卒中偏瘫患者步态重建及认知功能的影响[J].卒中与神经疾病,2022,29(01):67-70.[9]李辉,李岩,傅建明,等.减重平板训练联合功能性电刺激对早期脑卒中偏瘫患者平衡及步行能力的影响[J].浙江医学,2022,44(13):1430-1433.[10]李小丽.镜像神经元运动模仿训练联合经颅直流电刺激对脑卒中后偏瘫患者上肢功能及日常生活能力的影响[J].新疆医科大学学报,2021,44(6):713-717.[11]Dean SG,Poltawski L,Forster A,et al.Community-based rehabilitation training after stroke: results of a pilot randomised controlled trial (ReTrain) investigating acceptability and feasibility[J].BMJ Open,2018,8(2):e018409.[12]东妍,韩亚杰.低频脉冲电刺激联合肢体康复锻炼对脑卒中后偏瘫患者的治疗效果[J].检验医学与临床,2022,19(19):2707-2710.[13]冯晴,余晓峰,王大鹏,等.超声电刺激结合目标设置理念下康复训练治疗对脑卒中偏瘫患者周围神经电生理学和形态学的影响[J].实用医院临床杂志,2020,17(6):57-61.[14]徐梅,汪敏,王娟.基于行走模式的功能性电刺激对脑卒中偏瘫患者步态的即刻影响[J].中国康复,2019,34(11):590-592.[15]赵彬,唐强,王艳,等.悬吊运动疗法结合功能性电刺激对脑卒中偏瘫患者下肢功能的影响[J].中国康复,2019,34(10):529-531.[16]张韶辉,吴朝阳,曹韡悦,等.经颅直流电刺激联合上肢智能等速训练器治疗对脑卒中偏瘫患者上肢运动功能的影响[J].山西医药杂志,2019,48(15):1823-1826.[17]丁彬鸿,冒文静,吴素青,等.功能性电刺激联合Bobath疗法对脑卒中偏瘫患者的影响研究[J].实用心脑肺血管病杂志,2022,30(6):105-109.[18]马贤聪,鲍晓,杨泉,等.抗阻运动联合经颅直流电刺激对脑卒中偏瘫患者肢体运动功能的影响[J].临床与病理杂志,2018,38(4):805-811.[19]杨婷,李雪萍,林强,等.步态诱发功能性电刺激对偏瘫足下垂患者步行能力的影响[J].中国康复医学杂志,2018,33(2):170-174.[20]高政,杨婷,王晓菊,等.运动想象训练联合经颅直流电刺激对脑卒中偏瘫患者上肢功能的影响[J].中华物理医学与康复杂志,2021,43(7):611-614.[21]金景,蒋苏,潘晓励,等.经颅直流电刺激联合康复训练对脑卒中偏瘫患者认知功能及肢体运动功能的影响[J].中华物理医学与康复杂志,2019,41(6):415-417.[22]胡军,林源绍,徐超群,等.镜像疗法联合神经肌肉电刺激对脑卒中偏瘫患者下肢功能恢复的影响[J].中华全科医学,2022,20(7):1131-1134.[23]莫林宏,刘爱贤.经颅磁刺激联合康复功能训练对脑卒中后偏瘫病人步态、平衡能力及FMA评分的影响[J].中西医结合心脑血管病杂志,2020,18(23):4065-4068.

相似文献/References:

[1]陆 鹏,杨小立,尚翠侠,等.康复训练联合物理因子治疗肩袖损伤的临床疗效观察[J].医学信息,2018,31(04):184.[doi:10.3969/j.issn.1006-1959.2018.04.070]
　LU Peng,YANG Xiao-li,SHANG Cui-xia,et al.Therapeutic Effect of Rehabilitation Training Combined with Physical Factors on Rotator Cuff Injury[J].Journal of Medical Information,2018,31(08):184.[doi:10.3969/j.issn.1006-1959.2018.04.070]
[2]郭亚维,张 维,亢 佩,等.头穴丛刺结合康复训练治疗脑梗死患者 运动功能障碍的临床观察[J].医学信息,2018,31(05):140.[doi:10.3969/j.issn.1006-1959.2018.05.050]
　GUO Ya-wei,ZHANG Wei,KANG Pei,et al.Clinical Observation on the Treatment of Motor Dysfunction in Patients with Cerebral Infarction by Scalp Acupuncture Combined with Rehabilitation Training[J].Journal of Medical Information,2018,31(08):140.[doi:10.3969/j.issn.1006-1959.2018.05.050]
[3]杨立丹,吴 敬,王学军.调神益髓针刺法结合康复训练治疗脑卒中后 平衡功能障碍的临床分析[J].医学信息,2018,31(07):143.[doi:10.3969/j.issn.1006-1959.2018.07.049]
　YANG Li-dan,WU Jing,WANG Xue-jun.Clinical Analysis of Treatment of Balance Dysfunction after Stroke by Acupuncture of Regulating Spirit and Supplementing Pulp Combined with Rehabilitation Training[J].Journal of Medical Information,2018,31(08):143.[doi:10.3969/j.issn.1006-1959.2018.07.049]
[4]李伟平.早期康复护理干预改善首发脑卒中偏瘫患者肢体功能的效果分析[J].医学信息,2018,31(19):168.[doi:10.3969/j.issn.1006-1959.2018.19.053]
　LI Wei-ping.Effect of Early Rehabilitation Nursing Intervention on Improving Limb Function of Hemiplegic Patients with First Stroke[J].Journal of Medical Information,2018,31(08):168.[doi:10.3969/j.issn.1006-1959.2018.19.053]
[5]郭 玥,卢玉为,陈 燕.品管圈在脑卒中偏瘫患者良肢位摆放的效果研究[J].医学信息,2018,31(24):148.[doi:10.3969/j.issn.1006-1959.2018.24.044]
　GUO YUE,LU Yu-wei,CHEN Yan.Effect of Quality Control Circle on Normal Limb Position in Stroke Patients with Hemiplegia[J].Journal of Medical Information,2018,31(08):148.[doi:10.3969/j.issn.1006-1959.2018.24.044]
[6]郑 璇,孙熙罡.“调神益咽”针刺法配合康复训练治疗缺血性中风后吞咽障碍的疗效观察[J].医学信息,2019,32(10):156.[doi:10.3969/j.issn.1006-1959.2019.10.052]
　ZHENG Xuan,SUN Xi-gang.Therapeutic Effect of"Tiaoshen Yiyan"Acupuncture Combined with Rehabilitation Training on Dysphagia after Ischemic Stroke[J].Journal of Medical Information,2019,32(08):156.[doi:10.3969/j.issn.1006-1959.2019.10.052]
[7]吕 静.体罚对特殊儿童影响的调查[J].医学信息,2019,32(15):126.[doi:10.3969/j.issn.1006-1959.2019.15.041]
　LYU Jing.Investigation on the Impact of Corporal Punishment on Special Children[J].Journal of Medical Information,2019,32(08):126.[doi:10.3969/j.issn.1006-1959.2019.15.041]
[8]朱 丹.小儿智力糖浆联合综合康复训练对孤独症儿童 语言障碍的临床疗效[J].医学信息,2019,32(14):149.[doi:10.3969/j.issn.1006-1959.2019.14.049]
　ZHU Dan.Clinical Effect of Children's Intellectual Syrup Combined withComprehensive Rehabilitation Training on Language Impairment in Children with Autism[J].Journal of Medical Information,2019,32(08):149.[doi:10.3969/j.issn.1006-1959.2019.14.049]
[9]袁 建,刘 华.强化坐站训练对脑卒中偏瘫患者平衡能力及生活质量的影响[J].医学信息,2019,32(22):98.[doi:10.3969/j.issn.1006-1959.2019.22.030]
　YUAN Jian,LIU Hua.Effect of Intensive Sitting Training on Balance Ability and Quality of Life in Stroke Patients with Hemiplegia[J].Journal of Medical Information,2019,32(08):98.[doi:10.3969/j.issn.1006-1959.2019.22.030]
[10]姚 昭,解光尧.产后压力性尿失禁非手术治疗的研究[J].医学信息,2020,33(02):53.[doi:10.3969/j.issn.1006-1959.2020.02.015]
　YAO Zhao,XIE Guang-yao.Study on Non-surgical Treatment of Postpartum Stress Urinary Incontinence[J].Journal of Medical Information,2020,33(08):53.[doi:10.3969/j.issn.1006-1959.2020.02.015]
[11]沈 灏.时效性激励结合康复训练对脑出血偏瘫患者运功功能评分的影响[J].医学信息,2020,33(15):182.[doi:10.3969/j.issn.1006-1959.2020.15.059]
　SHEN Hao.The Effect of Time-effective Stimulation Combined with Rehabilitation Training on Motor Function Score of Patients with Cerebral Hemorrhage and Hemiplegia[J].Journal of Medical Information,2020,33(08):182.[doi:10.3969/j.issn.1006-1959.2020.15.059]

更新日期/Last Update: 1900-01-01