功能性电刺激踏车疗法在脑卒中早期康复中的疗效研究

Effect of functional electrical stimulation cycling therapy for the patients with acute stroke: A preliminary randomized controlled study

目的:观察比较功能性电刺激踏车疗法在脑卒中后早期康复中的临床疗效。方法:选取符合入组标准的急性期脑卒中患者26例,随机分为试验组和对照组各13例,观察比较两组受试者在治疗前、治疗后2周、4周下肢肌力(MI)、Fugl-Meyer运动功能评分(FMA)和步行能力(FAC)的差异,采用SPSS19.0统计软件进行统计学分析。结果:两组受试者一般资料和治疗前下肢功能指标无显著性差异,具有可比性;治疗2周及4周后,两组受试者下肢MI、FMA和FAC评分均较治疗前提高,且随治疗时间的增加呈上升趋势;治疗2周后试验组各指标均优于对照组,但差异未具有显著性意义(P>0.05);治疗4周后试验组下肢MI(88.15±4.72)和FAC(3.77±0.73)分值均显著优于对照组(MI=72.23±14.11,FAC=2.92±0.86),差异具有显著性意义(P值分别为0.001和0.009)。结论:功能性电刺激踏车疗法针对脑卒中急性期患者下肢功能的康复疗效显著优于单纯踏车训练。

Objective:To observe and compare the clinical effect of functional electrical stimulation cycling therapy in early rehabilitation after stroke.Method:Twenty-six patients with acute stroke were randomly divided into experimental group and control group with 13 cases in each group.The differences of lower limb muscle strength(MI),Fugl-Meyer motor function score(FMA)and walking ability(FAC)between the two groups were observed and compared before treatment,2 weeks after treatment and 4 weeks after treatment.SPSS 19.0 statistical software was used for statistical analysis.Result:There was no statistical difference between the two groups in general data and lower extremity function before treatment.After 2 and 4 weeks of treatment,the scores of MI,FMA and FAC of lower extremity of the two groups were higher than those before treatment,and showed an upward trend with the increase of treatment time.After 2 weeks of treatment,the scores of the experimental group were higher than those of the control group,but the difference was not significant(P>0.05).The MI of lower limb and FAC scores were significantly higher than those of the control group after 4 weeks treatment(P values were 0.001 and 0.009,respectively).Conclusion:Functional electrical stimulation cycling therapy for the rehabilitation of lower limb function in patients with acute stroke is significantly better than simple cycling training.