功能性电刺激对脑卒中足下垂患者步行能力的影响

Effects of Functional Electrical Stimulation on Walking Ability in Stroke Patients with Foot Drop

目的:探讨功能性电刺激对脑卒中足下垂患者下肢步行能力的影响。方法:脑卒中足下垂患者55例,随机分为观察组28例和对照组27例。2组均给予常规康复训练,观察组加用功能性电刺激进行训练。2组均治疗5周,治疗前后进行下肢运动功能评定量表(FMA)、功能性步行量表(FAC)评定及足印步态分析。结果:治疗5周后,2组FMA、FAC评分及步行参数均较治疗前明显提高(P<0.05),且观察组优于对照组(P<0.05)。结论:功能性电刺激结合常规康复治疗对脑卒中足下垂患者下肢步行能力的恢复较常规康复治疗效果更好。

ObjectiveTo investigate the effects of functional electrical stimulation on walking ability in stroke patients with foot drop. Methods： fifty-five stroke patients were randomly assigned into observation group （28 cases） and control group （27 cases）. The two groups had received normal rehabilitation therapy. The patients in the observation group had received functional electrical stimulation in addtion. Treatment lasted for 5 weeks . Assessment were performed before and after the treatment, including Fugl-Meyer assessment （FMA）, Functional Ambulation Category （FAC） and foot-print analysis. Results： After treatment, FAM, FAC and foot-print analysis in the both groups were increased compared with those at pretreatment （ P〈0.05）, and the parameters in the observation group were obviously higher than those in the control group （ P〈0.05）. Conclusion： Functional electrical stimulation with normal rehabilitation therapy was more effective than routine rehabilitation therapy in improving walking ability in stroke patients with foot drop.