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

Abstract

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

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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References 30

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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

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

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