减重平板训练联合功能性电刺激对脑卒中后偏瘫患者下肢运动功能和步行能力的影响  

Combining treadmill training with functional electrical stimulation can improve the lower limb motor functioning and walking ability of hemiplegic stroke survivors

作　　者：李辉 李岩 顾旭东 傅建明 劳方金 何雯雯 林在龙 Li Hui;Li Yan;Gu Xudong;Fu Jianming;Lao Fangjin;He Wenwen;Lin Zailong(Rehabilitation Medical Center of The Second Hospital of Jiaxing,Jiaxing 314000,China)

机构地区：[1]浙江省嘉兴市第二医院康复医学中心,嘉兴314000

出　　处：《中华物理医学与康复杂志》2022年第3期214-217,共4页Chinese Journal of Physical Medicine and Rehabilitation

摘　　要：目的观察减重平板训练(BWSTT)联合功能性电刺激(FES)对脑卒中后偏瘫患者下肢运动功能和步行能力的影响。方法采用随机数字表法将脑卒中后偏瘫患者58例分为FES组19例、BWST组19例和联合组20例。3组患者均接受早期常规康复治疗,FES组在早期常规康复治疗的基础上增加FES治疗,BWSTT组则增加BWSTT治疗,联合组在早期常规康复治疗的基础上增加BWSTT联合FES治疗。3组患者均每日治疗1次,每次均为30 min,每周治疗5 d,连续治疗8周。于治疗前和治疗8周后(治疗后)采用Berg平衡量表(BBS)、简化Fugl-Meyer下肢运动功能量表(FMA-LE)、10 m步行时间测试(10MWT)和功能性步行能力分级(FAC)分别评估3组患者的平衡功能、下肢运动能力、步行速度和步行功能。结果治疗后,3组患者BBS和FMA-LE评分、10MWT和FAC评级均较组内治疗前显著改善(P<0.05),且联合组的BBS和FMA-LE评分分别为(36.8±4.2)分和(28.6±3.5)分,10MWT为(8.3±3.6)s,FAC评级为(3.4±0.7)级,均显著优于FES组和BWSTT组治疗后,差异均有统计学意义(P<0.05)。结论减重平板训练结合功能性电刺激可进一步改善脑卒中偏瘫患者的平衡功能、下肢运动功能和步行功能。Objective To observe any effect of body-weight-supported treadmill training(BWSTT)combined with functional electrical stimulation(FES)on lower limb motor function and the walking ability of hemiplegic stroke survivors.Methods Fifty-eight stroke survivors with hemiplegia were randomly divided into an FES group of 19,a BWSTT group of 19 and a combination group of 20.In addition to their early routine rehabilitation therapy,the FES and BWSTT groups were provided with the respective therapies,while the combination group received both.The three groups received 30 minutes of treatment a day,5 days a week for 8 weeks.The Berg Balance Scale(BBS),the simplified version of the Fugl-Meyer assessment scale for the lower extremities(FMA-LE),the 10-metre walk test(10MWT)and functional ambulation classification(FAC)were used to evaluate the subjects′balance,lower-limb motor function,walking speed and walking function before and after the 8 weeks of treatment.Results After the treatment,the average BBS,FMA-LE,10MWT and FAC scores of all three groups had improved significantly,but the combination group′s averages were then significantly better than those of the other two groups.Conclusions BWSTT combined with FES can best improve the balance,lower-limb motor functioning and walking of hemiplegic stroke survivors.

关 键 词：脑卒中 功能性电刺激 减重平板 运动功能 步行能力 

分 类 号：R743.3[医药卫生—神经病学与精神病学]