对侧控制型功能性电刺激及其联合疗法在 偏瘫康复中的研究进展

Research progress of contralateral controlled functional electrical stimulation and combination therapy in hemiplegia rehabilitation

脑卒中常引发严重的肢体运动功能、感觉功能、日常生活功能障碍,尤以肢体远端伸肌运动功能恢复最为困难。随着近年来对侧控制型功能性电刺激(CCFES)在脑卒中康复领域的广泛应用及集成穿戴设备的不断改良,CCFES及联合疗法在提高脑卒中患者腕伸展、踝背伸功能方面有良好效果。CCFES对于上肢功能的改善包括肢体远端、近端,应用于下肢时需关注反向协调机制。早介入、足疗程、多联合的CCFES治疗方案能够加速改善脑卒中患者功能。

Stroke often causes severe motor,sensory,and daily living function impairments,especially the recovery of distal limb extensor motor function is the most difficult.With the widespread application of Contralateral Control Functional Electrical Stimulation(CCFES)in stroke rehabilitation and continuous improvement of integrated wearable devices in recent years,it has been found that CCFES and combination therapy have good therapeutic effects in improving wrist extension and ankle dorsiflexion function in stroke patients.CCFES can improve both distal and proximal upper limb function,when applied to lower limbs,attention should be paid to the reverse coordination mechanism.Early intervention,sufficient treatment courses,and multiple combination CCFES treatment plans can accelerate the improvement of stroke patients′function.