摘要
目的评估强制性运动疗法(CIMT)+神经肌肉电刺激(NMES)应用在脑卒中偏瘫患者上肢功能康复中的临床疗效。方法纳入2021年5月至2022年5月的84例脑卒中偏瘫患者,全部受试者以随机数字表法分为对照组(纳入42例,行NMES)、观察组(纳入42例,行CIMT+NMES),评价组间Fugl-Meyer运动功能评分量表(FMA)、简易上肢功能检查量表(STEF)、徒手肌力检查(MMT)、Barthel指数(BI)、美国国立卫生研究院卒中量表(NIHSS)、治疗有效率。结果(1)治疗前,组间FMA、STEF、MMT、BI、NIHSS无差异,P>0.05;治疗4周后,观察组FMA、STEF、MMT、BI、NIHSS更佳,P<0.05;(2)在治疗有效率方面,观察组(90.48%)高于对照组(71.43%),P<0.05。结论对脑卒中偏瘫患者行CIMT+NMES,能够增强疗效,尽快减轻神经功能缺损,促进上肢功能康复,提升日常生活能力,值得推广。
Objective To evaluate the clinical efficacy of mandatory exercise therapy(CIMT)+neuromuscular electrical stimulation(NMES)in the rehabilitation of upper limb function in stroke patients with hemiplegia.Methods A total of 84 stroke patients with hemiplegia from May 2021 to May 2022 were enrolled.All subjects were randomly divided into control group(n=42,receiving NMES)and observation group(n=42,receiving CIMT+NMES)by random number table method.The Fugl-Meyer Motor Function scale(FMA),Simple Upper Limb Function Examination(STEF),free hand muscle strength test(MMT),Barthel index(BI),National Institutes of Health Stroke Scale(NIHSS)and treatment response rate were evaluated between groups.Results(1)before treatment,there was no difference in FMA,STEF,MMT,BI and NIHSS between groups(P>0.05);After 4 weeks of treatment,FMA,STEF,MMT,BI and NIHSS were better in the observation group(P<0.05).(2)In the treatment efficiency,the observation group(90.48%)was higher than the control group(71.43%),P<0.05.Conclusion CIMT+NMES for stroke patients with hemiplegia can enhance the efficacy,reduce neurological deficits as soon as possible,promote the rehabilitation of upper limb function,and improve the ability of daily living,which is worthy of promotion.
作者
王梦露
尔兆娟
肖中兴
Wang Meng-lu;ER Zhao-juan;XIAO Zhong-xing(Department of Rehabilitation Medicine,Tianjin Baodi Hospital,Tianjin 301800,China)
出处
《罕少疾病杂志》
2023年第3期20-21,38,共3页
Journal of Rare and Uncommon Diseases
关键词
强制性运动疗法
神经肌肉电刺激
脑卒中
偏瘫
上肢功能
Compulsory Exercise Therapy
Neuromuscular Electrical Stimulation
Stroke
Hemiplegia
Upper limb Function
