功能性电刺激下踏车训练对亚急性期脑卒中患者运动功能和心肺适能的效果

doi:10.3969/j.issn.1006-9771.2020.09.002

《中国康复理论与实践》 ›› 2020, Vol. 26 ›› Issue (9): 1005-1009.doi: 10.3969/j.issn.1006-9771.2020.09.002

功能性电刺激下踏车训练对亚急性期脑卒中患者运动功能和心肺适能的效果

徐泉^1,²,马迪¹,潘钰¹(),李颜杝¹,杨绯¹,杨晓辉¹,季林红²()

1.清华大学附属北京清华长庚医院康复医学科,清华大学临床医学院,北京市 102218
2.清华大学机械工程系,摩擦学国家重点实验室智能生物机械分室,北京市 100084

收稿日期:2020-03-06 修回日期:2020-05-29 出版日期:2020-09-25 发布日期:2020-09-24
通讯作者: 潘钰,季林红 E-mail:py10335@163.com;jilh@tsinghua.edu.cn
作者简介:徐泉(1983-),男,汉族,山东青岛市人,硕士,主治医师,主要研究方向：神经康复和康复工程。
基金资助:
1.北京市医院管理中心青年人才培养“青苗”计划项目(QML20190902);2.北京中医药科技发展资金项目(QN2018-06)

Effects of Functional Electrical Stimulation-assisted Cycling on Motor Function and Cardiopulmonary Fitness in Subacute Stroke Patients

XU Quan^1,²,MA Di¹,PAN Yu¹(),LI Yan-yi¹,YANG Fei¹,YANG Xiao-hui¹,JI Lin-hong²()

1. Department of Rehabilitation Medicine, Beijing Tsinghua Changgung Hospital; School of Clinical Medicine, Tsinghua University, Beijing 102218, China
2. Division of Intelligent and Biomimetic Machinery, State Key Laboratory of Tribology, Department of Mechanical Engineering, Tsinghua University, Beijing 100084, China

Received:2020-03-06 Revised:2020-05-29 Published:2020-09-25 Online:2020-09-24
Contact: PAN Yu,JI Lin-hong E-mail:py10335@163.com;jilh@tsinghua.edu.cn
Supported by:
Beijing Hospitals Authority Youth Training Program(QML20190902);Beijing Traditional Chinese Medicine Development Fund(QN2018-06)

摘要/Abstract

摘要：

目的探讨功能性电刺激下踏车训练对脑卒中亚急性期患者运动功能、心肺适能和日常生活活动能力的影响。
方法 2016年1月至2019年4月,初发脑卒中亚急性期患者60例分为对照组(n = 30)和实验组(n = 30),在常规治疗基础上,对照组予四肢联动康复踏车训练,实验组予功能性电刺激康复踏车训练,共4周。治疗前后采用Fugl-Meyer评定量表(FMA)、改良Barthel指数(MBI)进行评定,测量峰值摄氧量(VO_2peak)。
结果治疗后,两组FMA评分、MBI评分和VO_2peak均显著升高(|t| > 7.889, P < 0.001),实验组FMA评分和VO _2peak明显高于对照组(|t| > 3.332, P< 0.01)。
结论功能性电刺激下踏车训练更有利于脑卒中亚急性期患者运动功能、心肺适能和日常生活活动能力恢复。

关键词: 脑卒中, 功能性电刺激, 康复踏车, 心肺适能, 运动功能

Abstract:

Objective To explore the effects of functional electrical stimulation (FES)-assisted rehabilitation cycling on motor function, cardiopulmonary fitness and activities of daily living in patients with subacute stroke.
Methods From January, 2016 to April, 2019, 60 patients with first-onset stroke at subacute stage were divided into control group (n = 30) and experimental group (n = 30). The experimental group and the control group received cycling training with or without FES based on the routine treatment for four weeks. They were assessed with Fugl-Meyer Assessment (FMA) and modified Barthel Index (MBI), and measured peak oxygen uptake (VO_2peak) before and after treatment.
Results The scores of FMA and MBI, and VO_2peak increased in both groups after treatment (|t| > 7.889, P < 0.001), and the scores of FMA and VO _2peak increased more in the experimental group than in the control group (|t| > 3.332, P< 0.01).
Conclusion FES-assisted rehabilitation cycling could promote the recovery of motor function, cardiopulmonary fitness and activities of daily living in subacute stroke patients.

Key words: stroke, functional electrical stimulation, rehabilitation cycling, cardiovascular fitness, motor function

徐泉,马迪,潘钰,李颜杝,杨绯,杨晓辉,季林红. 功能性电刺激下踏车训练对亚急性期脑卒中患者运动功能和心肺适能的效果[J]. 《中国康复理论与实践》, 2020, 26(9): 1005-1009.

XU Quan,MA Di,PAN Yu,LI Yan-yi,YANG Fei,YANG Xiao-hui,JI Lin-hong. Effects of Functional Electrical Stimulation-assisted Cycling on Motor Function and Cardiopulmonary Fitness in Subacute Stroke Patients[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(9): 1005-1009.

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组别	n	性别 (男/女, n)	年龄(岁)	体质量指数 (kg/m²)	病程(月)	卒中类型 (出血/梗死, n)	高血压(n)	糖尿病(n)	冠心病(n)
对照组	30	22/8	59.7±11.0	25.3±3.1	1.5±0.8	8/22	26	10	8
实验组	30	18/12	62.6±6.9	24.7±4.3	1.2±0.8	10/20	24	12	4
χ²/t值		0.600	-0.101	0.680	1.756	0.159	0.240	0.144	0.833
P值		0.439	0.920	0.499	0.084	0.690	0.624	0.705	0.361

组别	n	治疗前	治疗后	t值	P值
对照组	30	40.5±11.7	55.0±13.0	-8.863	< 0.001
实验组	30	46.1±24.0	69.7±20.1	-11.102	< 0.001
t值		-1.161	-3.332
P值		0.25	0.002

组别	n	治疗前	治疗后	t值	P值
对照组	30	44.3±18.7	75.4±18.7	-10.208	< 0.001
实验组	30	46.2±25.3	73.3±23.6	-7.889	< 0.001
t值		-0.325	0.376
P值		0.746	0.708

组别	n	治疗前	治疗后	t值	P值
对照组	30	13.2±2.8	15.9±3.2	-13.157	< 0.001
实验组	30	13.4±2.1	19.1±2.9	-17.892	< 0.001
t值		-0.236	-4.039
P值		0.841	< 0.001

功能性电刺激下踏车训练对亚急性期脑卒中患者运动功能和心肺适能的效果

Effects of Functional Electrical Stimulation-assisted Cycling on Motor Function and Cardiopulmonary Fitness in Subacute Stroke Patients

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