触发式功能性电刺激训练结合肌内效贴对脑卒中偏瘫足下垂患者的疗效观察

Effect of triggered functional electrical stimulation training combined with intramuscular plaster on hemiplegic foot drop after stroke

目的观察触发式功能性电刺激训练结合肌内效贴对脑卒中偏瘫足下垂患者的治疗疗效。方法选取2016年7月至2017年6月深圳市大鹏新区南澳人民医院康复科收治的82例脑卒中偏瘫足下垂患者,采用随机数字表法分为对照组与观察组,每组41例。两组患者给予常规临床药物治疗及康复训练:对照组予以常规步态训练;观察组予以触发式功能性电刺激训练结合肌内效贴治疗。比较两组患者治疗前后测量踝背伸功能(AROM)、Berg平衡量表(BBS)、Holden步行功能分级(FAC)量表及6 min步行距离法(6MWT)结果。结果两组治疗前AROM及BBS评分比较,差异无统计学意义(P>0.05);观察组治疗后AROM及BBS评分高于对照组(P<0.05)。两组治疗前FAC、6MWT比较,差异无统计学意义(P>0.05);观察组治疗后FAC、6MWT高于对照组(P<0.05)。两组治疗前步行速度及左右步长差比较,差异无统计学意义(P>0.05)。两组治疗后步行速度较治疗前下降,而左右步长差较治疗前提升;且观察组步行速度下降幅度及左右步长差提升幅度均大于对照组,差异有统计学意义(P<0.05)。观察组治疗后总满意率高于对照组,差异有统计学意义(P<0.05)。结论触发式功能性电刺激训练结合肌内效贴对脑卒中偏瘫足下垂患者疗效显著,值得临床应用推广。

【Objective】 To observe the effect of triggered functional electrical stimulation training combined with intramuscular effect sticking on hemiplegic foot drop after stroke. 【Methods】 From July 2016 to June 2017, 82 patients with hemiplegic foot drop after stroke were randomly divided into control group and observation group, 41 cases in each group. Both groups were given routine clinical medication and rehabilitation training, the control group was given routine gait training, while the observation group was given triggered functional electrical stimulation training combined with intramuscular effect sticking therapy.The scores of active range of motion(AROM), Berg Balance Scale(BBS), Functional Ambulation Category(FAC) scale and 6 MWT before and after treatment were compared between the two groups. 【Results】 Before treatment, there was no significant difference in AROM and BBS scores between the two groups(P>0.05);after treatment, the scores of the observation group were better than those of the control group, and there was significant difference between the two groups(P<0.05). Before treatment, there was no significant difference in FAC and 6 MWT between the two groups(P>0.05);after treatment, the scores of the control group were lower than those of the observation group, and there was significant difference between the two groups(P<0.05). Before treatment,there was no significant difference in walking speed and left-right step difference between the control group and the observation group(P>0.05);after treatment, the walking speed of the two groups decreased and the left-right step difference increased, the decrease and the increase of the observation group were lager than those of the control group, and the difference between the two groups was statistically significant(P<0.05). After treatment, the satisfaction rate of patients in the observation group was significantly higher than that in the control group, and the difference between the two groups was statistically significant(P<0.05).【Conclusion】 Triggered functional electrical stimulation training combined with intramuscular effect paste has a significant effect on stroke patients with hemiplegic foot drop, which is worthy of vigorous promotion.