穴位外周磁刺激对脑卒中患者踝跖屈肌痉挛的即刻影响

Immediate effect of peripheral magnetic stimulation of acupoints on ankle plantar flexor spasms in stroke patients

目的研究穴位外周磁刺激对脑卒中偏瘫患者踝跖屈肌痉挛及运动步行的即时有效性.方法采用自身前后对照设计.对30例脑卒中患者行重复穴位外周磁刺激,刺激前后采用综合痉挛量表(CSS)、"起立-行走"计时测试(TUGT)、10m最大步行速度进行评定.结果rPMS刺激后,患者下肢CSS评分有明显改善(P<0.001).TUGT和10m最大步行速度均优于刺激前(P<0.001),具有统计学意义.结论低频穴位外周磁刺激能够有效改善脑卒中患者踝跖屈肌痉挛,提高踝关节稳定性,进而提高步行及运动功能.

Objective To investigate the immediate effectiveness of peripheral magnetic stimulation of acupoints on ankle plantar flexor spasms and motor walking in stroke patients with hemiplegia.Method A self controlled design was used.Thirty stroke patients were subjected to repeated peripheral magnetic stimulation of acupoints.Before and after stimulation,comprehensive spasticity scale(CSS),"stand walk"timing test(TUGT),and maximum walking speed of 10 meters were used to evaluate.Result After rPMS stimulation,the patient's lower limb CSS score showed significant improvement(P<0.001).The TUCT and 10m maximum walking speed were both better than before stimulation(P<0.001),with statistical significance.Conclusion Low frequency acupoint peripheral magnetic stimulation can effectively improve ankle plantar flexor spasm in stroke patients,improve ankle joint stability,and thereby improve walking and motor function.