神经肌肉电刺激配合作业疗法对臂丛神经损伤患儿上肢功能恢复及神经传导速度的影响

Effect of neuromuscular electrical stimulation combined with occupational therapy on upper limb function recovery and nerve conduction velocity in children with brachial plexus injury

目的探究神经肌肉电刺激配合作业疗法应用于臂丛神经损伤患儿的效果及对神经传导速度、上肢功能恢复的影响。方法选取2019年1月至2022年6月河南省人民医院收治的臂丛神经损伤患儿80例,随机分为观察组和对照组各40例。对照组给予作业疗法,观察组给予联合神经肌肉电刺激疗法,对比两组患儿上肢功能、肩关节活动度及神经传导速度。结果干预后观察组Mallet、Gilbert、Raimondi评分,前屈上举、外展上举、后伸、外旋、内旋、内收活动度,尺神经、正中神经、桡神经传导速度均高于对照组,差异有统计学意义(P<0.05)。结论神经肌肉电刺激配合作业疗法对臂丛神经损伤患儿干预,可有效提高神经传导速度和肩关节活动度,促进上肢功能恢复正常。

Objective To explore the effect of neuromuscular electrical stimulation combined with occupational therapy in children with brachial plexus injury and its influence on nerve conduction velocity and upper limb function recovery.Methods A total of 80 children with brachial plexus injury admitted to Henan Provincial People's Hospital from January 2019 to June 2022 were randomly divided into the observation group and the control group with 40 cases in each group.The control group was given occupational therapy,and the observation group was given occupational therapy combined neuromuscular electrical stimulation therapy.The upper limb function,shoulder range of motion and nerve conduction velocity were compared between the two groups.Results After intervention,the Mallet,Gilbert and Raimondi scores,anterior flexion and upward lift,abduction and upward lift,posterior extension,external rotation,internal rotation,adductor activity,and the conduction velocity of ulnar nerve,median nerve and radial nerve in the observation group were higher than those in the control group,the difference being with statistical significance(P<0.05).Conclusion Neuromuscular electrical stimulation combined with occupational therapy can effectively improve nerve conduction velocity and range of shoulder motion in children with brachial plexus injury,and promote the recovery of upper limb function.