摘要
目的研究神经肌肉电刺激联合躯干控制训练对脑卒中急性期偏瘫患者躯干功能障碍、日常生活活动能力(ADL)的影响。方法选取110例2020年3月—2021年3月上海市金山区亭林医院收治的脑卒中急性期偏瘫患者,以随机数字表法进行分组,对照组(n=55)行常规康复训练干预,研究组(n=55)行神经肌肉电刺激与躯干控制训练联合干预,对比干预结果。结果干预后,研究组的躯干损伤量表(TIS)、运动功能评定量表(FMA)以及Berg平衡量表(BBS)评分与对照组相比均明显增高,差异有统计学意义(P<0.05,t=13.488,t=13.293,t=10.297);研究组的ADL评分(69.26±4.55)分,明显高于对照组[(53.13±4.37)分],差异有统计学意义(t=18.961,P<0.05)。结论神经肌肉电刺激与躯干控制训练联合干预可有效改善脑卒中急性期偏瘫患者的躯干功能,提高其日常生活活动能力,值得推广。
Objective To study the effects of neuromuscular electrical stimulation combined with trunk control training on trunk dysfunction and ability of daily living activities in patients with acute hemiplegia after stroke.Methods A total of 110 patients with acute stroke hemiplegia received by our hospital from March 2020 to March 2021 were selected and divided into equal groups by random number table method.The control group(n=55)received routine rehabilitation training intervention,and the research group(n=55)received combined neuromuscular electrical stimulation and trunk control training intervention,and the intervention results were compared.Results After intervention,torso injury Scale(TIS),Motor Function Rating Scale(FMA)and Berg balance Scale(BBS)scores in the study group were significantly higher than those in the control group,with statistically significant differences(P<0.05,t=13.488,t=13.293,t=10.297).The ADL score of study group(69.26±4.55)was significantly higher than that of control group(53.13±4.37),and the difference was statistically significant(t=18.961,P<0.05).Conclusion The combined intervention of neuromuscular electrical stimulation and trunk control training can effectively improve the trunk function and the ability of daily living in patients with acute hemiplegia of stroke,which is worthy of promotion.
作者
宋明娟
覃静
许东升
孙继权
SONG Ming-juan;QIN Jing;XU Dong-sheng;SUN Ji-quan(Department of Rehabilitation,Tinglin Hospital,Jinshan District,Shanghai 201505,China;Operating Koom,Tinglin Hospital,Jinshan District,Shanghai 201505,China)
出处
《医药论坛杂志》
2022年第9期7-10,共4页
Journal of Medical Forum
基金
上海市金山区卫生和计划生育委员会(JSKJ-KTMS-2018-27)。
关键词
神经肌肉电刺激
躯干控制训练
脑卒中
急性期
偏瘫
躯干功能
Neuromuscular electrical stimulation
Trunk control training
Stroke
The acute phase
Hemiplegia
Function of the trunk