深层肌肉刺激联合调神舒筋针法治疗卒中后踝关节背屈功能障碍患者的效果  

Effects of deep muscle stimulation combined with Tiaoshen Shujin acupuncture on patients with ankle dorsiflexion dysfunction after stroke

作　　者：张磊 梁志敏 潘翠萍 ZHANG Lei;LIANG Zhimin;PAN Cuiping(Department of Rehabilitation of Xinyang Hospital of Traditional Chinese Medicine,Xinyang 464000 Henan,China)

机构地区：[1]信阳市中医院康复科,河南信阳464000

出　　处：《中国民康医学》2025年第9期86-88,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察深层肌肉刺激(DMS)联合调神舒筋针法治疗卒中后踝关节背屈功能障碍患者的效果。方法:选取2021年9月至2024年2月该院收治的88例卒中后踝关节背屈功能障碍患者进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各44例。两组均予以基础治疗,在此基础上,对照组采用调神舒筋针法治疗,观察组在对照组基础上联合DMS治疗,两组均治疗4周。比较两组治疗前后踝关节最大主动背屈度、临床痉挛指数(CSI)评分、肌电指标[积分肌电值(iEMG)、协同收缩率(CR)]水平、步态参数(步长、步频、步速)水平。结果:治疗后,两组踝关节最大主动背屈度均大于治疗前,且观察组大于对照组,差异有统计学意义(P<0.05);治疗后,两组CSI评分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);治疗后,两组iEMG水平均高于治疗前,且观察组高于对照组,两组CR水平均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);治疗后,两组步长、步频、步速水平均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:DMS联合调神舒筋针法治疗卒中后踝关节背屈功能障碍患者可改善踝关节最大主动背屈度和肌电指标水平,降低CSI评分,提高步态参数水平,效果优于单纯调神舒筋针法治疗。Objective:To observe effects of deep muscle stimulation(DMS)combined with Tiaoshen Shujin acupuncture on patients with ankle dorsiflexion dysfunction after stroke.Methods:A prospective study was conducted on 88 patients with ankle dorsiflexion dysfunction after stroke admitted to the hospital from September 2021 to February 2024.According to the random number table method,they were divided into control group and observation group,44 cases in each group.Both groups were given basic treatment.On this basis,the control group was treated with Tiaoshen Shujin acupuncture,while the observation group was treated with DMS on the basis of that of the control group.Both groups were treated for 4 weeks.The maximum active dorsiflexion of ankle joint,the clinical spasticity index(CSI)scores,the electromyography index[integral electromyography(iEMG),co-contraction rate(CR)]levels,and the gait parameters(step length,step frequency,pace)levels were compared between the two groups before and after the treatment.Results:After the treatment,the maximum active ankle dorsiflexion levels of the two groups were greater than those before the treatment,that in the observation group was greater than that in the control group,and the differences were statistically significant(P<0.05).After the treatment,the CSI scores of the two groups were lower than those before the treatment,that in the observation group was lower than that in the control group,and the differences were statistically significant(P<0.05).After the treatment,the levels of iEMG in the two groups were higher than those before the treatment,and that in the observation group was higher than that in the control group;the CR levels of the two groups were lower than those before the treatment,and that in the observation group was lower than that in the control group;and the differences were statistically significant(P<0.05).Further,after the treatment,the levels of step length,step frequency and pace in the two groups were higher than those before the treatment,those in the obser

关 键 词：深层肌肉刺激 调神舒筋针法 卒中 踝关节 背屈功能障碍 步态参数 肌电指标 

分 类 号：R743.3[医药卫生—神经病学与精神病学]