肌肉电刺激联合运动表象训练治疗对脑卒中患者神经功能及步行能力的影响  

Effect of Muscle Electrical Stimulation Combined with Motor Imagery Training on Neurological Function and Walking Ability of Stroke Patients

作　　者：田忠琳 TIAN Zhonglin(Comprehensive Rehabilitation Ward,the Fourth Affiliated Hospital of China Medical University,Shenyang 110005,China)

机构地区：[1]中国医科大学附属第四医院综合康复病房,辽宁沈阳110005

出　　处：《反射疗法与康复医学》2024年第19期49-52,共4页Reflexology And Rehabilitation Medicine

摘　　要：目的 探讨肌肉电刺激联合运动表象训练治疗对脑卒中患者神经功能、步行能力的影响。方法 选取2023年1月—9月中国医科大学附属第四医院收治的70例脑卒中患者为研究对象,按随机数字表法将其分为对照组和观察组,各35例。对照组采用常规治疗,观察组在对照组基础上采用肌肉电刺激联合运动表象训练治疗,两组均持续治疗2个月。对比两组的神经功能、运动功能、步行能力、生活质量。结果 治疗后,观察组美国国立卫生研究卒中量表评分低于对照组,Fugl-Meyer运动功能评定量表中上肢、下肢评分均高于对照组,组间差异有统计学意义(P<0.05);观察组Tinetti步态评估量表、功能性步行量表评分分别为(21.84±2.26)分、(4.09±0.42)分,均高于对照组的(18.21±3.05)分、(3.58±0.61)分,组间差异有统计学意义(P<0.05);观察组生活质量综合评定问卷各个维度评分均高于对照组,组间差异有统计学意义(P<0.05)。结论 肌肉电刺激联合运动表象训练治疗脑卒中患者,能够改善其神经及运动功能,提升其步行能力,提高生活质量。Objective To explore the effect of muscle electrical stimulation combined with motor imagery training on their neurological function and walking ability of stroke patients.Methods Seventy stroke patients admitted to the Fourth Affiliated Hospital of China Medical University from January to September 2023 were selected as the research objects,and were divided into a control group and an observation group according to random number table method,with 35 cases in each group.The control group received conventional treatment,and the observation group received muscle electrical stimulation combined with motor imagery training therapy on the basis of the control group,both groups were treated for 2 months.The neurological function,motor function,walking ability and quality of life of the two groups were compared.Results After treatment,the scores of the National Institutes of Health Stroke Scale in the observation group were lower than those in the control group,and the scores of the upper and lower limbs in the Fugl-Meyer Motor Function Rating scale were higher than those in the control group,and the differences between the groups were statistical significance(P<0.05);the scores of Tinetti Gait Assessment scale and Functional Walking scale in the observation group were(21.84 ±2.26) points and(4.09 ±0.42)points,respectively,which were higher than(18.21 ±3.05) points and(3.58 ±0.61) points in the control group,and the differences between the groups were statistically significant(P<0.05);the scores of all dimensions of Generic Quality of Life Inventory-74 in the observation group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion In the treatment of stroke patients,the combination of muscle electrical stimulation and motor imagery training can improve their neurological and motor functions,enhance their walking ability and improve their quality of life.

关 键 词：脑卒中 肌肉电刺激 运动表象训练 神经功能 步行能力 

分 类 号：R743.3[医药卫生—神经病学与精神病学]