不同组合模式神经肌肉电刺激促进瘫痪上肢功能恢复的效果

Effect of neuromuscular electrical stimulation in various modes on the rehabilit ation of upper limb function in patients with hemiplegia

目的:观察电刺激对脑卒中神经损伤是否具有促进功能恢复的作用。方法:60例脑卒中患者随机分为治疗组与对照组,治疗组患者30例,在常规进行促通技术治疗基础上,给予AK-2000型微电脑低频治疗器治疗,取连锤加针灸和推拿加按摩4种模式;治疗时间每种选择模式各15min,30min/次,1次/d,5次/周。对照组不采用上述方法,仅采用常规促通技术。结果:治疗Fugl-Meyer评分(FMA)由治疗前(12.55±9.04)分升至(21.26±8.12)分,治疗前后差异有显著性意义(t=3.92,P<0.05),治疗组较对照组(16.36±8.27)分改善明显(t=2.33,P<0.05),独立功能性测评治字疗组改善也优于对照组(P<0.05)。结论:AK-2000型低频治疗器提供的电刺激能恢复脑卒中患者的功能,可作为瘫痪类疾病的有效治疗手段。

AIM:To observe whether electrical stimulation can improve the functional rehab ilitation of nerve injury as stroke. METHODS: Sixty patients with stroke were randomly divided into treatment group (n=30) and control group(n=30).All the patients accepted regularly physical ther apy,besides patients in the treatment group accepted neuromuscular electrical st imulation(NES) with AK-2000 Computer-Low Frequency Electric Apparatus.The sele ction of prescription had four modes,e.g.Lianchui add acupuncture,manipulation a dd massage.Each mode was performed for 15 minutes or 30 minutes,once a day or fi ve times every week.Patients in the control group did not accept the treatment a bove except regularly physical therapy. RESULTS:The Fugl-Meyer(FMA) score in the treatment group increased from 12.55 ±9.04 before treatment to 21.26±8.12 after treatment(t=3.92,P< 0.05),which imp roved more significantly as compared with that of the control group(16.36±8.27) (t=2.33,P< 0.05).The free functional evaluation showed that the treatment group also improved better than the control group(P< 0.05). CONCLUSION:The NES supplied by AK-2000 Computer-Low Frequency Electric Appar atus can improve the functional rehabilitation in patients with stroke,which can serve as an effective therapy for paralysis.