| 章晓峰,张大威,郑雅思,俞李雯,杨凌佳.两种对侧控制型功能性电刺激方案对脑卒中患者上肢功能影响的研究[J].中国康复医学杂志,2023,(2):207~211 |
| 两种对侧控制型功能性电刺激方案对脑卒中患者上肢功能影响的研究 点此下载全文 |
| 章晓峰 张大威 郑雅思 俞李雯 杨凌佳 |
| 浙江省人民医院康复医学中心，浙江省杭州市，310014 |
| 基金项目：浙江省基础公益研究计划项目（LGF21H170005） |
| DOI：10.3969/j.issn.1001-1242.2023.02.011 |
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| 摘要： |
| 摘要
目的：探讨两种对侧控制型功能性电刺激（CCFES）方案对脑卒中患者的患侧上肢整体运动功能、抓握能力、肱三头肌和伸腕肌群表面肌电信号的影响。
方法：选取2021年1月至2021年11月期间在浙江省人民医院康复医学科住院治疗的脑卒中患者60例，随机分为观察组（n=30）和对照组（n=30），两组患者均给予常规康复治疗，对照组给予伸腕肌群CCFES，而观察组在对照组的基础上增加肱三头肌CCFES，每日1次，每次20min，连续治疗3个月。分别在治疗前后用上肢Fugl-Meyer评分法（FMA-UE）和盒子积木测试（BBT）评定上肢的整体运动功能和抓握能力，并获取上肢肱三头肌和伸腕肌群的RMS比值。
结果：治疗前两组患者各评定指标均无显著性差异（P>0.05），具有可比性。治疗3个月后，两组患者的FMA-UE评分、BBT评分、肱三头肌RMS比值和伸腕肌群RMS比值均较治疗前有所提高（P<0.05）；观察组的FMA-UE评分、肱三头肌的RMS比值和伸腕肌群的RMS比值优于对照组（P<0.05），两组患者间的BBT评分没有显著性差异（P>0.05）。
结论：在伸腕肌群CCFES的基础上增加肱三头肌CCFES可显著改善脑卒中患者的上肢粗大运动功能。 |
| 关键词：对侧控制型功能性电刺激 脑卒中 上肢 表面肌电图 |
| Effects of two kinds of contralaterally controlled functional electrical stimulation on upper extremity motor function in patients with stroke Download Fulltext |
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| Rehabilitation Medicine Center of Zhejiang Provincial People’s Hospital， Hangzhou， 310014 |
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| Abstract: |
| Abstract
Objective： To investigate the effect of two kinds of contralaterally controlled functional electrical stimulation （CCFES） on the upper limbs motor function of hemiplegic stroke patients.
Method： From January， 2021 to November， 2021， 60 stroke patients were randomly divided into Observation group（n=30） and control group（n=30）. Both groups received routine exercise therapy. The control group was given wrist extensor muscles CCFES， while the observation group was given additional triceps CCFES on the basis of the control group. The Fugl-Meyer Assessment-upper Extremity（FMA-UE） and box and block test （BBT）were used to evaluate the upper limb gross and fine motor function； the root mean square （RMS） ratio was used to assess the recruitment of motor units and synchronization of excitement rhythm of triceps brachii and wrist extensor muscles.
Result： Before treatment， there was no statistical difference in the evaluation indexes between the two groups（P>0.05）. After 3 months of treatment， the FMA-UE score， BBT score， RMS ratio of triceps brachii muscle and RMS ratio of wrist extensor muscles of the two groups increased compared with before treatment （P<0.05）， and the FMA-UE score and the RMS ratio of triceps brachii and wrist extensors in the observation group were better than those in the control group （P<0.05）， but there was no significant difference in BBT scores between the two groups （P>0.05）.
Conclusion： On the basis of wrist extensor muscles CCFES，additional triceps brachii CCFES can significantly improve the upper limb gross motor function of stroke patients. |
| Keywords:contralaterally controlled functional electrical stimulation stroke upper limb surface electromyography |
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