功能性电刺激恢复性治疗踏车对脑卒中早期患者下肢主动运动的影响

Effects of functional electrical stimulation combined with cycling active exercise of lower limbs in patients with early stroke

目的:探讨功能性电刺激恢复性治疗踏车对脑卒中早期患者下肢主动运动功能的影响。方法:将52例脑卒中偏瘫患者随机分为3组。所有患者均给予常规康复治疗,A组(18例)加用功能性电刺激恢复性治疗踏车治疗;B组(17例)加用智能循环运动治疗;C组(17例)常规康复治疗。共8周。在治疗前、治疗8周后对所有患者进行肌张力、下肢运动、平衡功能及步行功能的评定,分别采用综合痉挛量表(CSS)、下肢Fugl-Meyer量表(FMA)、Berg平衡量表(BBS)、10m最大步行速度测试(10m MWS)对所有患者进行评定。结果:治疗前3组CSS、FMA、BBS和10m MWS各项评定结果均无显著性差异(P>0.05)。治疗8周后,3组患者痉挛、下肢主动运动功能、平衡功能及步行速度均有明显改善(P<0.05),A组改善情况优于B组和C组(P<0.05)。结论:功能性电刺激恢复性治疗踏车可显著改善下肢痉挛状态,提高脑卒中早期下肢主动运动功能、平衡功能及步行速度,可成为脑卒中早期患者康复治疗的新方法。

Objective： To observe the effect of functional electrical stimulation （FES） - cycling on the active exercise of lower limbs in patients with early stroke. Method： Fifty-two stroke patients were randomly divided into three groups. Every patient was given normal re- habilitation therapy. In addition, group A （18 cases） was added with FES-cycling; group B （17 cases） was add- ed with imelligent motion system; group C （17 cases） was added with nothing. Before and after 8 weeks treat- ment, muscle tone, lower limb motor function , balance function and walking function were assessed by com- posite spasticity scale （CSS）, Modified Fugl-Meyer lower limbs scales, Berg balance scale （BBS） as well as 10m maximum walking speed （10m MWS）. Result： Before treatment, there were no significant differences among three groups in the scores of CSS, FMA, BBS and 10m MWS （P〉 0.05）. After 8 week treatment, there were significant improvement in spastici- ty, lower limb motor function, balance function and walking speed of all patients （P 〈 0.05）, and group A had better effect （P 〈 0.05）. Conclusion： FES-cycling could significantly improve spasticity, lower limb motor fianction, balance function and walking speed of patients with early stroke. FES-cycling seems to be a promising intervention for rehabilitation of patients with early stroke.