功能性电刺激在改善早期脑卒中患者日常生活活动能力中的应用

Effect of functional electrical stimulation early after stroke in improving ability in activities of daily living

目的观察功能性电刺激对改善脑卒中偏瘫患者日常生活活动能力的作用。方法 68例脑卒中早期患者随机分为对照组(22例)、功能性电刺激(FES)组(23例)和安慰组(23例)。对照组只接受常规治疗,FES组同时接受常规治疗及功能性电刺激,安慰组接受常规治疗及假功能性电刺激。安慰组操作与FES组相同,但每次治疗时不通电。30min·d^(-1),共3w。患者在治疗前、治疗3w后分别接受FuglMeyer评定(FMA)、改良Barthel指数(MBI)评定。结果治疗3w后,与安慰组及对照组相比,FES组的FMA、MBI评分有明显提高,(P<0.05)。结论功能性电刺激能改善早期脑卒中患者的日常生活活动能力。

Objective To investigate the effectiveness of functional electrical stimulation （ FES ） in enhancing the ability in activities of daily living （ ADL ） of early stroke patients. Method Sixty-eight subjects with first stroke were randomly assigned into control group with standard rehabilitation （ SR ） （ n=twenty-two ） , FES group with SR and FES （ n=twenty-three ） , and placebo group with SR and sham-FES （ n=twenty-three ） . Patients in the placebo group received functional electrical stimulation without electrical currents. Treatments were thirty min per day for 3 weeks. Measurements including Fugl-Meyer motor assessment （ FMA ） and Modified Barthel index （ MBI ） were assessed before treatment and after 3 week treatment respectively. Results After 3 weeks treatment, FES group showed a significant improvement of FMA and MBI, compared with the placebo group and the control group （ P〈0.05 ）. Conclusion FES on the paretic lower limb early after stroke could improve the abilities in activities of daily living.