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  

Effect of Medium-frequency Electrotherapy Combined with Rehabilitation Training on Gait Parameters and Function of Hemiplegic Patients

作　　者：侯蕾 HOU Lei(Department of Rehabilitation,Tianjin Beichen District Hospital of Traditional Chinese Medicine,Tianjin 300400,China)

机构地区：[1]天津市北辰区中医医院康复科,天津300400

出　　处：《医学信息》2024年第8期133-136,共4页Journal of Medical Information

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。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 high

关 键 词：偏瘫 康复训练 中频电刺激 步态参数 肌力 运动功能 

分 类 号：R743.3[医药卫生—神经病学与精神病学]