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| 神经肌肉电刺激联合Rood技术对脑卒中软瘫期患者上肢功能的影响 |
| Effect of neuromuscular electrical stimulation combined with Rood technology on upper limb function in stroke patients with flaccid paralysis |
| 投稿时间：2022-02-24 |
| DOI：10.3969/j.issn.1000-0399.2022.09.001 |
| 中文关键词: 电刺激 Rood技术 软瘫期 上肢运动功能 表面肌电 |
| 英文关键词: Electrical stimulation Rood technology Flaccid paralysis period Upper limb motion function Surface EMG |
| 基金项目:国家自然科学基金(项目编号:61771444) |
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| 中文摘要: |
| 目的 观察神经肌肉电刺激(NMES)联合Rood技术对脑卒中软瘫期患者上肢运动功能的影响。方法 选择2020年7月至2021年6月在安徽医科大学第一附属医院康复科住院的60例脑卒中软瘫期患者,按照随机数字表法分为对照组(20例,常规康复治疗)、NMES组(20例,常规康复治疗联合NMES治疗)和联合组(20例,常规康复治疗、NMES治疗联合Rood治疗)。治疗前后使用平均肌电值(AEMG)评估上肢肌肉的激活程度;治疗4周后,使用改良的Ashworth分级量表(MAS)评估上肢肌张力、运动功能量表(FMA)评估上肢运动功能。结果 治疗4周后,3组患者MAS分级、FMA评分组间比较,差异有统计学意义(P＜0.05);联合组MAS分级与对照组比较,差异有统计学意义(P＜0.0167);联合组较NMES组、联合组较对照组FMA评分比较,差异均有统计学意义(P＜0.0167)。治疗前,3组患者AEMG值比较,差异无统计学意义(F=0.496,P=0.612);3组患者AEMG值治疗前后差值比较,差异有统计学意义(P＜0.05);组间AEMG值两两比较,差异均有统计学意义(P＜0.0167)。结论 NMES联合Rood技术可以较好的激活肌肉、促进肌肉主动收缩、更快的渡过软瘫期,改善脑卒中软瘫期患者上肢的运动功能。 |
| 英文摘要: |
| Objective To observe the effect of neuromuscular electrical stimulation(NMES) combined with Rood technology on upper limb motion function in stroke patients with flaccid paralysis. Methods Sixty stroke flaccid paralysis patients hospitalized in the Department of Rehabilitationin the First Affiliated Hospital of Anhui Medical University from July 2020 to June 2021 were selected and randomly divided into control group (20 cases, routine rehabilitation therapy), NMES group (20 cases, routine rehabilitation therapy combined with NMES therapy) and combined group (20 cases, routine rehabilitation therapy, NMES therapy combined with Rood therapy). Average electromyography (AEMG ) was used to evaluate the activation of upper limb muscles before and after four weeks of treatment. After treatment modified Ashworth scale (MAS) was used to evaluate upper limb muscle tension, and motor function scale (FMA) was used to evaluate upper limb motor function.Results After four weeks of treatment, the differences in MAS classification and FMA scores among the three groups were statistically significant (P<0.05). There was significant difference in MAS classification between the combined group and the control group (P<0.0167). The FMA scores of the combined group were significantly higher than those of the NMES group and the combined group (P<0.0167). Before treatment, there was no significant difference in AEMG values among the three groups (F=0.496, P=0.612). The difference in AEMG values among the three groups before and after treatment was statistically significant (P<0.05). AEMG value between groups were pairwise compared. The differences were statistically significant (P<0.0167).Conclusions NMES combined with Rood technology can better activate muscle, promote active muscle contraction, faster across the soft paralysis period, and improve the upper limb motor function of patients. |
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