减重结合功能性电刺激对脑卒中患者下肢运动功能的疗效  

Effect of combination of partial body weight support and functional electrical stimulation on lower limb motor function after stroke

作　　者：熊杏秀 张正辉 邓春燕 李云波 陈镇鹏 李元杰 宋景 XIONG Xingxiu;ZHANG Zhenghui;DENG Chunyan;LI Yunbo;CHEN Zhenpeng;LI Yuanjie;SONG Jing(Rehabilitation Treatment Center,Rehabilitation Hospital of Chancheng District People's Hospital in Foshan City,Foshan,Guangdong 528000,China;Annual Rehabilitation Department,Rehabilitation Hospital of Chancheng District People's Hospital in Foshan City,Foshan,Guangdong 528000,China;Quality Control Department,Rehabilitation Hospital of Chancheng District People's Hospital in Foshan City,Foshan,Guangdong 528000,China)

机构地区：[1]佛山市禅城区人民医院康复医院康复治疗中心,广东佛山市528000 [2]佛山市禅城区人民医院康复医院老年康复科,广东佛山市528000 [3]佛山市禅城区人民医院康复医院质控科,广东佛山市528000

出　　处：《中国康复理论与实践》2024年第5期554-559,共6页Chinese Journal of Rehabilitation Theory and Practice

基　　金：佛山市自筹经费类科技计划项目(医学类科技攻关)(No.2220001004359)。

摘　　要：目的观察减重结合功能性电刺激对脑卒中患者下肢运动功能的疗效。方法2023年1月至2024年2月,选择佛山市禅城区人民医院康复医院住院脑卒中患者60例,随机分为对照组(n=30)和观察组(n=30)。对照组接受常规康复,观察组增加天轨系统减重结合功能性电刺激,共3周。治疗前后采用平衡评定与训练仪、Berg平衡量表(BBS)、FMA评定量表下肢部分(FMA-LE)、Holden步行功能分级(FAC)进行评定。结果治疗后,两组X轴轨迹长、动摇平均速度、动摇总轨迹长、Y轴轨迹长、单位面积轨迹长、BBS评分、FMA-LE评分、FAC评分均较治疗前显著改善(|t|>4.809,P<0.001)。除X轴轨迹长和动摇平均速度外,其他指标观察组均优于对照组(|t|>2.268,P<0.05)。结论增加减重结合功能性电刺激能更有效改善脑卒中患者的下肢运动功能、平衡功能和步行功能。Objective To observe the effect of combination of partial body weight support and functional electrical stimulation on lower limb motor function for stroke patients.Methods From January,2023 to February,2024,60 stroke patients from Rehabilitation Hospital of Chancheng District People's Hospital in Foshan City were randomly divided into control group(n=30)and observation group(n=30).The control group received routine rehabilitation,while the observation group received a combination of celestial orbit system and functional electrical stimulation in addition,for three weeks.They were assessed with Balance assessment and training system,Berg Balance Scale(BBS),Fugl-Meyer Assessment-Lower Extremities(FMA-LE)and Holden Functional Ambulation Category(FAC)before and after treatment.Results X-axis trajectory length,average speed of swaying,total wobble trajectory,Y-axis trajectory length,trajectory length per unit area,BBS score,FMA-LE score and FAC score improved in both groups after treatment(|t|>4.809,P<0.001);and all the indexes improved more in the observation group than in the control group(|t|>2.268,P<0.05),except X-axis trajectory length and average speed of swaying.Conclusion Supplement of the combination of partial body weight support and functional electrical stimulation is more effective on lower limb motor function,balance and walking for stroke patients.

关 键 词：脑卒中 减重训练 功能性电刺激 下肢 运动 平衡 步行 

分 类 号：R743.3[医药卫生—神经病学与精神病学]