功能性电刺激联合新Bobath技术在脑卒中后肩痛患者康复中的应用效果  

Effect of Functional Electrical Stimulation Combined with New Bobath Technique on Rehabilitation of Shoulder Pain in Stroke Patients with Shoulder Pain

作　　者：王雪静 罗妍 李康莉 WANG Xuejing;LUO Yan;LI Kangli(Department of Rehabilitation Medicine,Zhengzhou Ninth People's Hospital,Zhengzhou Henan 450000)

机构地区：[1]郑州市第九人民医院康复医学科,河南郑州450000

出　　处：《医学临床研究》2025年第3期409-411,415,共4页Journal of Clinical Research

摘　　要：【目的】探讨功能性电刺激(FES)联合新Bobath技术在脑卒中后肩痛患者康复中的应用效果。【方法】90例脑卒中后肩痛患者,随机分为对照组(采用新Bobath技术治疗)和观察组(FES联合新Bobath技术治疗),每组45例。比较两组患者的临床疗效。【结果】观察组治疗后总有效率高于对照组(P<0.05);治疗后,两组患者视觉模拟评分法(VAS)评分均低于治疗前(P<0.05),且观察组低于对照组(P<0.05);两组运动功能(Fugl-Meyer)评分高于治疗前(P<0.05),且观察组高于对照组(P<0.05);两组患者肩关节屈曲、外展、外旋活动度评分均高于治疗前(P<0.05),且观察组高于对照组(P<0.05);两组患者生活质量评分均高于治疗前(P<0.05),且观察组高于对照组(P<0.05)。【结论】FES联合新Bobath技术在脑卒中后肩痛患者康复中的应用效果较好,值得临床推广使用。【Objective】To investigate the effect of functional electrical stimulation(FES)combined with new Bobath technique on the rehabilitation of stroke patients with shoulder pain.【Methods】A total of 90 stroke patients with shoulder pain were randomly divided into a control group(treated with new Bobath technique)and an observation group(treated with FES combined with new Bobath technique),with 45 patients in each group.The clinical efficacy of the two groups was compared.【Results】The total effective rate in the observation group was higher than that in the control group(P<0.05).After treatment,the visual analog scale(VAS)scores in both groups were lower than before treatment(P<0.05),with the observation group showing lower scores than the control group(P<0.05).The Fugl-Meyer motor function scores in both groups were higher than before treatment(P<0.05),with the observation group scoring higher than the control group(P<0.05).The range of motion scores for shoulder flexion,abduction,and external rotation in both groups improved compared to before treatment(P<0.05),with the observation group showing greater improvements than the control group(P<0.05).Quality of life scores in both groups were higher than before treatment(P<0.05),with the observation group showing higher scores than the control group(P<0.05).【Conclusion】FES combined with new Bobath technique is more effective in the rehabilitation of stroke patients with shoulder pain and is worthy of clinical promotion.

关 键 词：卒中 肩痛 电刺激疗法 治疗结果 

分 类 号：R743.3[医药卫生—神经病学与精神病学]