重复局部肌肉振动疗法对脑卒中偏瘫早期患者上肢功能恢复的效果

doi:10.3969/j.issn.1006-9771.2018.08.013

《中国康复理论与实践》 ›› 2018, Vol. 24 ›› Issue (8): 938-941.doi: 10.3969/j.issn.1006-9771.2018.08.013

重复局部肌肉振动疗法对脑卒中偏瘫早期患者上肢功能恢复的效果

袁小敏¹, 琚红艳²

1.珠海市第二人民医院康复科,广东珠海市 519002;
2.中山市疾病预防控制中心,广东中山市 528400

收稿日期:2018-06-26 修回日期:2018-07-23 出版日期:2018-08-25 发布日期:2018-08-20
通讯作者: 袁小敏。E-mail: m18818651991@163.com
作者简介:袁小敏(1975-),男,汉族,湖北襄阳市人,副主任医师,主要研究方向：神经康复和骨科康复。

Effect of Repetitive Focal Muscle Stimulation on Upper Limb Function Recovery after Stroke

YUAN Xiao-min¹, QU Hong-yan²

1. Rehabilitation Department, Zhuhai City Second People's Hospital, Zhuhai, Guangdong 519002, China;
2. Center for Disease Control and Prevention of Zhongshan City, Zhongshan, Guangdong 528400, China

Received:2018-06-26 Revised:2018-07-23 Published:2018-08-25 Online:2018-08-20
Contact: YUAN Xiao-min. E-mail: m18818651991@163.com

摘要/Abstract

摘要： 目的观察重复局部肌肉振动疗法对脑卒中偏瘫早期患者上肢功能恢复的影响。方法 2016年10月至2018年2月,选择在本院住院的脑卒中偏瘫早期患者46例分为对照组(n=23) 和观察组(n=23)。两组均接受常规康复治疗。观察组在此基础上,进行重复局部肌肉振动,分别作用于患者的掌心、前臂桡侧腕伸肌腱、肱二头肌及肩胛周围肌肉;对照组接受相同时长的安慰刺激。每天1次,每周5 d,共4周。分别于治疗前、治疗后采用Fugl-Meyer评定量表上肢部分(FMA-UE)、运动力指数上肢部分(MI-UE)、偏瘫上肢功能测试(香港版)(FTHUE-HK)对上肢功能进行评定。结果治疗后,两组FMA-UE、MI-UE及FTHUE-HK评分均较治疗前提高(F>2.577, P<0.05),且观察组各评分均高于对照组(t>2.153, P<0.05)。结论重复局部肌肉振动疗法有助于提高偏瘫早期患者上肢功能的恢复。

关键词: 脑卒中, 偏瘫, 重复局部肌肉振动, 上肢, 康复

Abstract: Objective To observe the effect of repetitive focal muscle stimulation on recovery of upper limb function after stroke.Methods From October, 2016 to February, 2018, 46 stroke patients at early stage were recruited and divided into control group (n=23) and observation group (n=23). Both groups received basic rehabilitation training. The observation group accepted additional repetitive focal muscle stimulation on palms, forearm extensor carpi radialis, biceps brachii and muscles around scapula. The control group received sound stimulation as placebo treatment. The treatment was implemented once a day, five days a week for four weeks totally. The scores of Fugl-Meyer Assessment -Upper Extremities (FMA-UE), the Motricity Index of Upper Extremities (MI-UE) and the Hong Kong version of Functional Test for the Hemiplegic Upper Extremity (FTHUE-HK) were compared before and four weeks after treatment. Results After treatment, the scores of FMA-UE, MI-UE and FTHUE-HK improved in both groups (F>2.577, P<0.05), and were higher in the observation group than in the control group (t>2.153, P<0.05).Conclusion Repetitive focal muscle stimulation could facilitate to recover the function of upper limb in early-stage stroke patients.

Key words: stroke, hemiplegia, repetitive focal muscle stimulation, upper limb, rehabilitation

中图分类号:

R743.3

袁小敏, 琚红艳. 重复局部肌肉振动疗法对脑卒中偏瘫早期患者上肢功能恢复的效果[J]. 《中国康复理论与实践》, 2018, 24(8): 938-941.

YUAN Xiao-min, QU Hong-yan. Effect of Repetitive Focal Muscle Stimulation on Upper Limb Function Recovery after Stroke[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2018, 24(8): 938-941.

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重复局部肌肉振动疗法对脑卒中偏瘫早期患者上肢功能恢复的效果

Effect of Repetitive Focal Muscle Stimulation on Upper Limb Function Recovery after Stroke

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