功能性电刺激联合镜像疗法对脑卒中偏瘫患者下肢功能、平衡功能和血清鸢尾素水平的影响

Effects of functional electrical stimulation combined with mirror therapy on lower limb function,balance function and serum irisin level in stroke patients with hemiplegia

目的探讨功能性电刺激(FES)联合镜像疗法对脑卒中偏瘫患者下肢功能、平衡功能和血清鸢尾素(irisin)水平的影响。方法选取前海人寿南宁医院2022年1月至2023年6月收治的84例脑卒中偏瘫患者作为研究对象,采用随机数字表法分为对照组(42例)与FES组(42例)。在常规康复基础上,对照组予以镜像疗法,FES组予以FES联合镜像疗法,两组均干预4周。比较两组治疗前和治疗后下肢运动功能[Fugl-Meyer量表下肢部分(FMA-L)]、平衡功能[Berg平衡量表(BBS)]、步行能力[10m行走时间测试(10MWT)、功能性步行能力分级(FAC)]和日常生活能力[改良Barthel指数(MBI))和血清irisin水平。结果治疗4周后FES组下肢FMA、BBS和MBI评分高于对照组,FES组10MWT所用时间短于对照组,FES组FAC高于对照组,差异有统计学意义(P<0.05)。治疗4周后,FES组血清irisin水平高于对照组,差异有统计学意义(P<0.05)。结论FES联合镜像疗法能够更好地改善患者下肢功能和平衡功能,提高血清irisin水平,促进患者步行能力提高。

Objective To investigate the effects of functional electrical stimulation(FES)combined with mirror therapy on lower limb function,balance function and serum irisin level in stroke patients with hemiplegia.Methods A total of 84 stroke patients with hemiplegia admitted to Foresea Life Insurance Nanning Hospital from January 2022 to June 2023 were select-ed as the research objects.They were divided into control group(42 cases)and FES group(42 cases)by random number table method.On the basis of routine rehabilitation,the control group was given mirror therapy,and the FES group was given FES combined with mirror therapy.Both groups were intervened for 4 weeks.The lower limb motor function(Fugl-Meyer assessment lower limb part[FMA-LD,balance function(berg balance scale[BBS),walking ability(10 m walking time test[1OMWT],functional walking ability classification[FACD),daily living ability(modified Barthel index MBI)and serum irisin levels were compared between the two groups before and after treatment.Results After 4 weeks of treatment,the FMA score,BBS score and MBI score of the lower limbs in the FES group were higher than those in the control group,and the 10MWT and FAC were better than those in the control group,the differences were statistically significant(P<0.05).After 4 weeks of treatment,the serum irisin level in the FES group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion FES combined with mirror therapy can better improve lower limb function and balance function,increase serum irisin level and promote walking ability of patients.