神经肌肉电刺激联合虚拟现实训练对脑卒中患者平衡功能及生活质量的影响

Influence of Neuromuscular Electrical Stimulation Combined with Virtual Reality Training on Balance Function and Quality of Life of Stroke Patients

目的:探讨神经肌肉电刺激联合虚拟现实训练对脑卒中患者平衡功能及生活质量的影响。方法:纳入2019年1月-2020年12月泉州市医学高等专科学校附属人民医院康复科收治的脑卒中患者97例作为研究对象,按照随机数字表法分为观察组(n=49)和对照组(n=48)。对照组在常规康复训练基础上接受神经肌肉电刺激治疗,观察组在对照组基础上进行虚拟现实训练。比较两组干预前后Berg平衡量表(BBS)、Fgul-Meyer下肢运动功能评定量表(FMA-L)和改良Barthel指数(MBI)评分、起立-行走计时(TUGT)。结果:干预后两组患者BBS、FMA-L及MBI评分显著高于干预前,TUGT显著短于干预前,且观察组变化更明显(P<0.05)。结论:神经肌肉电刺激联合虚拟现实训练有利于提高脑卒中患者平衡和下肢运动功能,改善生活质量。

Objective:To explore the effect of neuromuscular electrical stimulation combined with virtual reality training on balance function and quality of life of stroke patients.Method:From January 2019 to December 2020,97 stroke patients admitted to the Rehabilitation Department of Affiliated People’s Hospital of Quanzhou Medical College were selected as research objects,and were divided into the observation group(n=49)and the control group(n=48)according to random number table method.The control group received neuromuscular electrical stimulation on the basis of routine rehabilitation training,while the observation group received virtual reality training on the basis of the control group.The Berg balance scale(BBS),Fgul-Meyer assessment of lower limb motor function(FMA-L),modified Barthel index(MBI)and time of up and go test(TUGT)were compared between the two groups before and after intervention.Result:After intervention,the BBS,FMA-L and MBI scores in the two groups were significantly higher than those before intervention,the TUGT was significantly shorter than that before intervention,and the changes in the observation group were more obvious(P<0.05).Conclusion:Neuromuscular electrical stimulation combined with virtual reality training can improve the balance and lower limb motor function of stroke patients and improve their quality of life.