功能性电刺激下踏车训练对亚急性期脑卒中患者运动功能和心肺适能的效果  

Effects of Functional Electrical Stimulation-assisted Cycling on Motor Function and Cardiopulmonary Fitness in Subacute Stroke Patients

作　　者：徐泉[1,2] 马迪[1] 潘钰[1] 李颜杝 杨绯[1] 杨晓辉[1] 季林红[2] XU Quan;MA Di;PAN Yu;LI Yan-yi;YANG Fei;YANG Xiao-hui;JI Lin-hong(Department of Rehabilitation Medicine,Beijing Tsinghua Changgung Hospital,School of Clinical Medicine,Tsinghua University,Beijing 102218,China;Division of Intelligent and Biomimetic Machinery,State Key Laboratory of Tribology,Department of Mechanical Engineering,Tsinghua University,Beijing 100084,China)

机构地区：[1]清华大学附属北京清华长庚医院康复医学科,清华大学临床医学院,北京市102218 [2]清华大学机械工程系,摩擦学国家重点实验室智能生物机械分室,北京市100084

出　　处：《中国康复理论与实践》2020年第9期1005-1009,共5页Chinese Journal of Rehabilitation Theory and Practice

基　　金：北京市医院管理中心青年人才培养"青苗"计划项目(No.QML20190902);北京中医药科技发展资金项目(No.QN2018-06)。

摘　　要：目的探讨功能性电刺激下踏车训练对脑卒中亚急性期患者运动功能、心肺适能和日常生活活动能力的影响。方法2016年1月至2019年4月,初发脑卒中亚急性期患者60例分为对照组(n=30)和实验组(n=30),在常规治疗基础上,对照组予四肢联动康复踏车训练,实验组予功能性电刺激康复踏车训练,共4周。治疗前后采用Fugl-Meyer评定量表(FMA)、改良Barthel指数(MBI)进行评定,测量峰值摄氧量(VO2peak)。结果治疗后,两组FMA评分、MBI评分和VO2peak均显著升高(|t|>7.889,P<0.001),实验组FMA评分和VO2peak明显高于对照组(|t|>3.332,P<0.01)。结论功能性电刺激下踏车训练更有利于脑卒中亚急性期患者运动功能、心肺适能和日常生活活动能力恢复。Objective To explore the effects of functional electrical stimulation(FES)-assisted rehabilitation cycling on motor function,cardiopulmonary fitness and activities of daily living in patients with subacute stroke.Methods From January,2016 to April,2019,60 patients with first-onset stroke at subacute stage were divided into control group(n=30)and experimental group(n=30).The experimental group and the control group received cycling training with or without FES based on the routine treatment for four weeks.They were assessed with Fugl-Meyer Assessment(FMA)and modified Barthel Index(MBI),and measured peak oxygen uptake(VO2peak)before and after treatment.Results The scores of FMA and MBI,and VO2peak increased in both groups after treatment(|t|>7.889,P<0.001),and the scores of FMA and VO2peak increased more in the experimental group than in the control group(|t|>3.332,P<0.01).Conclusion FES-assisted rehabilitation cycling could promote the recovery of motor function,cardiopulmonary fitness and activities of daily living in subacute stroke patients.

关 键 词：脑卒中 功能性电刺激 康复踏车 心肺适能 运动功能 

分 类 号：R743.3[医药卫生—神经病学与精神病学]