以镜像神经元理论为基础的步行稳定性训练配合神经肌肉电刺激治疗脑卒中偏瘫的效果观察

Effect of Walking Stability Training Based on Mirror Neuron Theory Combined with Neuromuscular Electrical Stimulation in Treating Stroke Hemiplegia

目的探究以镜像神经元理论为基础的步行稳定性训练配合神经肌肉电刺激在脑卒中偏瘫中的应用效果。方法选取该院2021年10月—2023年9月收治的120例脑卒中偏瘫患者为研究对象,采用密闭信封法将其分为对照组和研究组,各60例。对照组实施减重平板步行训练联合神经肌肉电刺激治疗,研究组行以镜像神经元理论为基础的步行稳定性训练配合神经肌肉电刺激。比较两组的Fugl-Meyer平衡量表(FM-B)、Tinetti步态评估量表(TGA)、日常生活能力量表(ADL)及脑卒中生命质量测定量表(QLICD-ST)评分。结果干预前,两组患者FM-B及TGA评分比较,组间差异无统计学意义(P>0.05);干预2个月后,研究组FM-B及TGA评分均高于对照组,组间差异有统计学意义(P<0.05)。干预前,两组ADL评分比较,差异无统计学意义(P>0.05);干预2个月后,研究组ADL评分低于对照组,差异有统计学意义(P<0.05)。干预前,两组QLICD-ST评分比较,差异无统计学意义(P>0.05);干预2个月后,研究组QLICD-ST评分高于对照组,差异有统计学意义(P<0.05)。结论脑卒中偏瘫患者实施以镜像神经元理论为基础的步行稳定性训练配合神经肌肉电刺激的治疗效果显著,能够增强患者的步行稳定性,从而提高日常生活能力及生命质量。

Objective To explore and analyze the application effect of walking stability training based on mirror neuron theory and neuromuscular electrical stimulation in stroke hemiplegia.Methods A total of 120 stroke patients with hemiplegia admitted to the hospital from October 2021 to September 2023 were selected as the research subjects.They were divided into a control group and a research group using a sealed envelope method,with 60 cases in each group.The control group received weight loss flat walking training combined with neuromuscular electrical stimulation therapy,while the research group received walking stability training based on mirror neuron theory combined with neuromuscular electrical stimulation therapy.Compare the Fugl-Meyer Balance Scale(FM-B),Tinetti Gait Assessment Scale(TGA),Activity of Daily Living Scale(ADL)and Quality of Life Instruments for Chronic Diseases-Stroke(QLICD-ST)score.Results Before intervention,there was no statistically significant difference in FM-B and TGA scores between the two groups of patients(P>0.05);after 2 months of intervention,the FM-B and TGA scores of the research group were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).Before intervention,there was no statistically significant difference in ADL scores between the two groups(P>0.05);After 2 months of intervention,the ADL scores of the research group were lower than those of the control group,and the difference was statistically significant(P<0.05).Before intervention,there was no statistically significant difference in QLICD-ST scores between the two groups(P>0.05);After 2 months of intervention, the QLICD-ST score of the research group was higher than that of the control group, and the difference was statistically significant (P<0.05). Conclusion The walking stability training based on mirror neuron theory and neuromuscular electrical stimulation treatment are effective, which can enhance the walking stability, and thus improve the daily life ability and quality of life.