早期床旁踏车运动联合神经肌肉电刺激对神经重症获得性衰弱患者的康复效果  

Rehabilitation effect of early bedside treadmill exercise combined with NMES in patients with severe acquired neurasthenia

作　　者：苏国栋[1] 王剑桥 樊祥德 樊华[1] 翟蕾[1] SU Guodong;WANG Jianqiao;FAN Xiangde;FAN Hua;ZHAI Lei(China Rehabilitation Research Center,Beijing 100068,China)

机构地区：[1]中国康复研究中心,北京100068

出　　处：《中国实用神经疾病杂志》2025年第4期472-476,共5页Chinese Journal of Practical Nervous Diseases

摘　　要：目的探讨早期床旁踏车运动联合神经肌肉电刺激(NMES)在神经重症获得性衰弱患者中的康复效果。方法选取2022-07—2023-07中国康复研究中心的神经重症获得性衰弱患者82例,随机分为2组各41例,联合组接受早期床旁踏车运动训练联合NMES治疗,NMES组仅接受NMES治疗,比较2组治疗前后衰弱程度与肌力状况、运动功能、步行能力、平衡能力、跌倒风险、日常活动能力与生活质量。结果干预后联合组Fugl-Meyer运动功能量表评分[(77.63±12.47)分]、Holden步行能力分级[(3.64±0.72)分]均高于NMES组[分别为(70.74±13.82)分、(3.26±0.54)分](P<0.05)。干预后联合组Berg平衡量表评分[(52.83±8.90)分]高于NMES组[(46.28±6.92)分],Morse跌倒风险评估量表评分[(43.58±6.82)分]低于NMES组[(48.93±8.24)分](P<0.05)。干预后联合组MRC肌力评分[(51.71±9.73)分]、Barthel指数[(58.29±5.28)分]、脑卒中专用生活质量量表评分[(164.92±28.82)分]均高于NMES组[分别为(42.32±10.38)分、(58.29±5.28)分、(145.53±24.39)分](P<0.05)。结论早期床旁踏车运动联合NMES用于神经重症获得性衰弱患者,可有效改善衰弱症状,提高运动、步行能力与平衡能力,防止跌倒,提高生活质量。Objective To investigate the rehabilitation effect of early bedside treadmill exercise combined with neuromuscular electrical stimulation(NMES)in patients with severe acquired neurasthenia.Methods Totally 82 patients with severe acquired neuronal asthenia admitted to China Rehabilitation Research Center from July 2022 to July 2023 were randomly divided into two groups with 41 cases in each group.The combined group received early bedside treadmill exercise combined with NMES treatment,while the NMES group only received NMES treatment.Frailty and muscle strength,motor function,walking ability,balance ability,fall risk,daily activity ability and quality of life were compared between the two groups before and after treatment.Results After intervention,the Fugl-Meyer assessment scale score((77.63±12.47)points)and Holden walking capacity score((3.64±0.72)points)in the combined group were higher than those in the NMES group((70.74±13.82)points)and((3.26±0.54)points,respectively,P<0.05).After intervention,the Berg balance scale score((52.83±8.90)points)in the combined group was higher than that in the NMES group((46.28±6.92)points),and the Morse fall risk assessment scale score((43.58±6.82)points)was lower than that in the NMES group((48.93±8.24)points,P<0.05).After intervention,the MRC muscle strength score((51.71±9.73)points),Barthel index((58.29±5.28)points)and stroke specific quality of life scale score((164.92±28.82)points)in the combined group were higher than those in the NMES group((42.32±10.38)points,(58.29±5.28)points,(145.53±24.39)points,respectively,P<0.05).Conclusion Early bedside treadmill exercise combined NMES is applied to the patients with severe neurological acquired asthenia,which can effectively improve the symptoms of asthenia,improve the ability of movement,walking and balance,prevent falls and improve the quality of life.

关 键 词：神经重症 神经康复 获得性衰弱 神经肌肉电刺激 床旁踏车运动 

分 类 号：R749.71[医药卫生—神经病学与精神病学]