双侧上肢经皮穴位电刺激对亚急性脑卒中偏瘫患者上肢功能的效果

Effects of Bilateral Arm Transcutaneous Electrical Acupoint Stimulation on Upper Limb Function for Subacute Stroke Hemiplegic Patients

目的探讨镜像疗法基础上行双侧上肢经皮穴位电刺激(TEAS)对亚急性期脑卒中偏瘫患者上肢运动功能恢复的影响。方法2017年9月至2019年10月,48例亚急性期脑卒中偏瘫患者随机分为对照组(n=24)和观察组(n=24)。所有患者均给予常规康复和镜像疗法,观察组行双侧上肢TEAS,对照组行假刺激,共4周。治疗前后采用Fugl-Meyer评定量表上肢部分(FMA-UE)、上肢动作研究量表(ARAT)、Wolf运动功能测试(WMFT)和改良Barthel指数(MBI)进行评定。结果治疗后,两组FMA-UE、ARAT、WMFT和MBI评分均显著改善(|t|>11.870,P<0.001),观察组各项评分均高于对照组(|t|>2.678,P<0.05)。结论镜像疗法基础上行双侧上肢TEAS可进一步改善亚急性期脑卒中偏瘫患者上肢运动功能,提高患者日常生活活动能力。

Objective To explore the effects of bilateral arm transcutaneous electrical acupoint stimulation(TEAS)based on mirror therapy(MT)on upper limb function of subacute stroke hemiplegic patients.Methods From September,2017 to October,2019,48 subacute stroke hemiplegic patients were randomly divided into control group(n=24)and experimental group(n=24).All the patients accepted routine rehabilitation and MT,while the experimental group received bilateral arm TEAS and the control group received sham TEAS,for four weeks.They were assessed with Fugl-Meyer Assessment-Upper Extremity(FMA-UE),Action Research Arm Test(ARAT),Wolf Motor Function Test(WMFT)and modified Barthel Index(MBI)before and after treatment.Results All the scores of FMA-UE,ARAT,WMFT and MBI improved in both groups after treatment(|t|>11.870,P<0.001),and improved more in the experimental group than in the control group(|t|>2.678,P<0.05).Conclusion Bilateral arm TEAS based on MT can promote the upper limb function of subacute stroke hemiplegic patients.