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经皮神经电刺激与功能性电刺激对脑卒中患者肩关节半脱位的即刻影响 被引量：12

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摘要 脑卒中后的肩关节半脱位（glenohumeral subluxation,GHS）,是患者偏瘫上肢的主要表现之一,是脑卒中常见的并发症[1].纠正GHS的方法有电刺激、肩吊带、针灸、康复训练、肌效贴等[2].功能性电刺激（functional electrical stimulation,FES）和经皮神经电刺激（transcutaneous electrical stimulation,TENS）是常用的电刺激治疗方法,Ekim等[3]发现TENS结合常规康复治疗方法可明显缓解脑卒中肩关节半脱位后的肩痛,Wang等[4]发现FES治疗可减轻脑卒中后的肩痛,增加肩关节被动活动度并减轻GHS.Koyuncu等[5]则得出FES可以治疗GHS和肩关节痛的结论.TENS作为镇痛的主要物理因子是否也会对GHS产生影响？本课题就此对单次的FES与TENS即刻治疗效果通过X线检查进行了观察.
作者 郑修元 林阳阳 燕铁斌 董军涛 庄志强 吴伟 李睿
机构地区 中山大学孙逸仙纪念医院 中山大学附属六院
出处 《中国康复医学杂志》 CAS CSCD 北大核心 2015年第11期1168-1170,共3页 Chinese Journal of Rehabilitation Medicine
基金 国家自然科学基金面上项目(81171863) "十二五"国家科技支撑计划(2013BA丨10B 2011BA丨08b)
关键词 肩关节半脱位 功能性电刺激 经皮神经电刺激 脑卒中患者 即刻 治疗方法 脑卒中后 TENS
分类号 R743.3 [医药卫生—神经病学与精神病学]
  • 相关文献

参考文献11

  • 1Huang SW, Liu SY, Tang HW, et al. Relationship between severity of shoulder subluxation and soft-tissue injury in hemiplegic stroke patients[J]. Journal of Rehabilitation Medi- cine,2012,44(9): 733-739.
  • 2Stolzenberg D, Siu G, Cruz E. Current and future interven- tions for glennhumeral subluxation in hemiplegia secondary to stroke[J]. Top Stroke Rehabil,2012,19(5):44456.
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  • 5Koyuncu E,Nakipoglu-Yuzer GF,Dogan A, et al. The effec- tiveness of functional electrical stimulation for the treatment of shoulder subluxation and shoulder pain in hemiplegic pa- tients: A randomized controlled trial[J]. DisabilRehabil,2010, 32(7): 560566.
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  • 7陈丹凤,燕铁斌,黎冠东,李方明,梁启堂.功能性电刺激对脑卒中早期患者下肢运动功能及磁共振弥散张量成像的影响[J].中华医学杂志,2014,94(37):2886-2892. 被引量：21
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二级参考文献20

  • 1郭敏,陈洪沛,黄佳,刘骏.Brunel平衡量表:一种新型的脑卒中平衡量表[J].中国临床康复,2006,10(32):150-151. 被引量：6
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  • 3Yan T,Hui-Chan CW,Li LS.Functional electrical stimulation improves motor recovery of the lower extremity and walking ability of subjects with first acute stroke:a randomized placebo-controlled trial[J] .Stroke,2005,36:80-85.
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  • 6Van Peppen RP,Kwakkel G,Wood-Dauphinee S,et al.The impact of physical therapy on functional outcomes after stroke:what's the evidence?[J] .Clin Rehabil,2004,18:833-862.
  • 7Kwakkel G,van Peppen R,Wagenaar RC,et al.Effects of augmented exercise therapy time after stroke:a meta-analysis[J] .Stroke,2004,35:2529-2539.
  • 8Kesar TM,Perumal R,Reisman DS,et al.Functional electrical stimulation of ankle plantarflexor and dorsiflexor muscles:effects on poststroke gait[J] .Stroke,2009,40:3821-3827.
  • 9Blum L,Korner-Bitensky N.Usefulness of the Berg Balance Scale in stroke rehabilitation:a systematic review[J] .Phys Ther,2008,88:559-566.
  • 10Tyson SF,DeSouza LH.The accessment of balance and walking post stroke:Part 1 ordinal scales[J] .Phys Ther Rev,2002,7:77-85.

共引文献20

同被引文献151

引证文献12

二级引证文献31

中国康复医学杂志
2015年 第11期

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