个体化神经肌肉电刺激对脑卒中偏瘫肢体功能恢复的影响.pdf

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1、450GuangxiMedicalJournal，Apr．2014，Vo1．36，No．4个体化神经肌肉电刺激对脑卒中偏瘫肢体功能恢复的影响▲欧爱萍李昌柳李芬李争鸣梁元恒沈丽娟吴曼(广西壮族自治区江滨医院康复治疗科，南宁市530021，E-mail：ouaiping~2011@qq．corn)【摘要】目的探讨个体化神经肌肉电刺激(NMES)对脑卒中偏瘫患者肢体功能恢复的影响。方法脑卒中偏瘫患者98例，应用随机数字表法将患者分为治疗组和对照组，每组49例。对照组给予内科常规治疗及常规康复治疗，治疗组则在对照组治疗基础

2、上加个体化NMES治疗。疗程均为12周。两组治疗前后的肢体功能评分参照运动功能评估量表(MAS)进行测评；日常生活活动能力采用改良Barthel指数(MBI)测评。结果治疗12周后，治疗组的仰卧位到健侧卧位、从仰卧位到床边坐、坐位平衡、从坐位到站立、步行、上肢功能等MAS评分和MBI评分均高于对照组(P<0．01)。结论个体化NMES治疗脑卒中后偏瘫肢体能明显改善患者的肢体运动功能，减轻其残疾程度，提高患者的日常生活活动能力。【关键词】脑卒中；偏瘫；神经肌肉电刺激；康复治疗【中图分类号】R743．3【文献标识码】A

3、【文章编号】0253．4304(2014)04—0450—04DoI：10．11675／j．issn．0253—4304．2014．04．13EffectOfIndividualNeuromuscularElectricalStimulationonRecoveryofHemiplegicLimbFunctioninStrokePatientsOUAi~ing，LIChang—liu．LIFe，UZe一ming．HANGYuan—k，SHENLi-juan，WUMin(DepartmentofRehabilitat

4、ionMedwine，JiangbinHospitalofGuangxiZhuangAutonomousRegion，Nanning530021，China)【Abstract】ObjectiveToinvestigatetheefectofindividualneuromuscularelectricalstimulation(NMES)ontherecoveryofhemiplegiclimbfunctioninstrokepatients．MethodsNinety—eightstrokepatientswi

5、thhemiplegiaweredividedintotreatmentgroupandcontrolgroupaccordingtotherandomnumbertable，with49casesineachgroup．Thecontrolgroupwasgivenconventionalmedicaltreatmentandconventionalrehabilitationtherapy，thetreatmentgroupwasgivenindividualNMESbesidesthetreatmentper

6、formedinthecontrolgroup，thetreatmentlastedfor12weeksinbothgroups．Thescoresoflimbfunctionbeforeandaftertreatmentwereassessedreferringtomotorassessmentscale(MAS)．TheactivitiesofdailylivingwereevaluatedbyusingamodifiedBarthelindex(MBI)．ResultsTwelveweeksaftertrea

7、tment，theMASscores(supinationtounafectedsidelyingposition，supinationtosiUingatbedside，sittingbalance，sittingpositiontostandingposition，walking，upperlimbfunction)andMBIscoresinthetreatmentgroupwerehigherthanthecontrols(P<0．O1)．ConclusionTheindividualNMESforthet

8、reatmentofpost-strokehemiplegiacansignificantlyimprovethepatientSlimbmotorfunction，reducethedegreeoftheirdisabilityandimprovetheiractivitiesofdailyliving．【Keywords】Stroke；Hemiplegi