TENS对脑卒中患者踝跖屈内翻的影响  

The effects of TENS on metatarsus plantarflexion and inversion in stroke patients

作　　者：王永慧[1] 岳寿伟[1] 郭丽华[2] 陈先花[1] 张金刚[1] 王九江[1] 

机构地区：[1]山东大学齐鲁医院康复科,济南250012 [2]山东大学齐鲁医院肌电图室,济南250012

出　　处：《中华物理医学与康复杂志》2006年第12期811-813,共3页Chinese Journal of Physical Medicine and Rehabilitation

摘　　要：目的评价经皮神经电刺激(TENS)治疗脑卒中患者踝跖屈内翻的临床疗效,并探讨其作用机制。方法32例恢复期脑卒中患者,存在不同程度的踝跖屈内翻,随机分为TENS组和对照组各16例,在神经发育疗法、手法治疗以及配戴足托治疗的基础上,TENS组加用患侧胫前肌和腓骨长短肌的TENS治疗。于治疗前后用综合痉挛量表(CSS)、肌电图H反射评定腓肠肌的痉挛程度。结果治疗后,TENS组和对照组CSS评分都有明显降低,和治疗前相比均有统计学意义,TENS组CSS降低较对照组明显,但两组间差异无统计学意义；TENS组H反射波潜伏期延长、H/M降低,和治疗前相比差异有统计学意义,对照组无明显变化；目测TENS组患者的痉挛偏瘫步态得到明显改善。结论TENS能减轻脑卒中患者腓肠肌痉挛,有助于踝跖屈内翻和痉挛偏瘫步态的改善。Objective To evaluate the effects of TENS on metatarsus plantar flexion and inversion in stroke patients, and to explore its mechanism. Methods Thirty-two stroke patients with gastrocnemius spasticity were randomly divided into a control group （n = 16） and a TENS group （n = 16）. All patients were treated with foot supports, neurodevelopmental and manipulation therapies. In addition, the TENS group received TENS on the anterior tibialis, peroneus longus and brevis muscles. All patients were assessed in terms of their Chinese stroke scale（CSS） and H reflex scores before and after therapy. Results Compared with those in the control group, the H reflex scores in the TENS group were obviously decreased, while H reflex latency was prolonged and H/M was reduced. Gait in the TENS group was evidently improved. Conclusion TENS is an effective therapy to decrease gastrocnemius spasticity and to improve the gait of stroke patients.

关 键 词：TENS 脑卒中 踝跖屈内翻 痉挛 CSS 

分 类 号：R743[医药卫生—神经病学与精神病学]