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  

The effect of power-assisted EMG feedback electrical stimulation therapy on lower extremity motor function in patients with cerebral infarction

作　　者：鲍勇[1] 谢青[2] 王国宝[2] 杨帅[2] 高怡[1] 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, Shanghai 200020, Chian;Department of Rehabilitation, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China)

机构地区：[1]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200020 [2]上海交通大学医学院附属瑞金医院康复医学科,上海200025

出　　处：《中国医学前沿杂志（电子版）》2017年第8期118-121,共4页Chinese Journal of the Frontiers of Medical Science(Electronic Version)

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(P>0.05)。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(P<0.05),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(P<0.05)。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。Objective To investigate the effect of power-assisted EMG feedback electrical stimulation(PEFES)therapy on ankle dorsiflexion dysfunction in patients with cerebral infarction.Method30cerebral infarction patients with lower limb disorder admitted in Ruijin Hospital Lu Wan Branch from August2012to August2014were selected as research objects.All patients were randomly divided into observation group and control group,15cases 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 was20minutes per day,5times perweek and10times in total.Before and10times after treatment,the range of ankle dorsiflexion were measured,and the lower limb motor function was evaluated by Fugl-Meyer assessment(FMA).Result Before treatment,there was no significant difference between the two groups in the range of ankle dorsiflexion and FMA scores(P>0.05).10times after treatment,the range of ankle dorsiflexion and FMA scores of the two groups significantly increased(P<0.05),and the range of ankle dorsiflexion and FMA scores of observe group were significantly higher than those of control group(P<0.05).Conclusion PEFES can improve the dorsiflexion function of ankle joint and the motor function of lower limb in patients with cerebral infarction.

关 键 词：助力肌电反馈 电刺激 脑梗死 踝关节背屈 

分 类 号：R743.33[医药卫生—神经病学与精神病学]