双侧上肢经皮穴位电刺激对亚急性脑卒中偏瘫患者上肢功能的效果

doi:10.3969/j.issn.1006-9771.2021.11.012

Abstract

Abstract:

Objective To explore the effects of bilateral arm transcutaneous electrical acupoint stimulation (TEAS) based on mirror therapy (MT) on upper limb function of subacute stroke hemiplegic patients.Methods From September, 2017 to October, 2019, 48 subacute stroke hemiplegic patients were randomly divided into control group (n = 24) and experimental group (n = 24). All the patients accepted routine rehabilitation and MT, while the experimental group received bilateral arm TEAS and the control group received sham TEAS, for four weeks. They were assessed with Fugl-Meyer Assessment-Upper Extremity (FMA-UE), Action Research Arm Test (ARAT), Wolf Motor Function Test (WMFT) and modified Barthel Index (MBI) before and after treatment.Results All the scores of FMA-UE, ARAT, WMFT and MBI improved in both groups after treatment (|t| > 11.870, P < 0.001), and improved more in the experimental group than in the control group (|t| > 2.678, P < 0.05).Conclusion Bilateral arm TEAS based on MT can promote the upper limb function of subacute stroke hemiplegic patients.

Key words: stroke, transcutaneous electrical acupoint stimulation, mirror therapy, upper limb, motor

XIA Dao-jin,XIONG Xian-shi,LÜ Yu-qin,FAN Rong,PENG Tao. Effects of Bilateral Arm Transcutaneous Electrical Acupoint Stimulation on Upper Limb Function for Subacute Stroke Hemiplegic Patients[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(11): 1318-1322.

Figures/Tables 5

References 31

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组别	n	性别(男/女, n)	年龄(岁)	病程(周)	性质(梗死/出血,n)
对照组	24	17/7	56.50±7.90	5.20±2.57	12/12
观察组	24	18/6	56.20±9.91	5.00±2.58	15/9
χ²/t值		2.083	0.075	0.173	0.333
P值		0.149	0.941	0.864	0.564

组别	n	治疗前	治疗后	t值	P值
对照组	24	22.40±4.55	31.60±6.04	-12.393	< 0.001
观察组	24	22.60±4.40	41.50±6.80	-15.793	< 0.001
t值		-0.100	-3.441
P值		0.922	0.003

组别	n	治疗前	治疗后	t值	P值
对照组	24	11.10±4.01	20.90±4.56	-25.210	< 0.001
观察组	24	11.20±3.71	26.20±4.29	-38.032	< 0.001
t值		-0.058	-2.678
P值		0.950	0.015

组别	n	治疗前	治疗后	t值	P值
对照组	24	22.40±4.22	34.10±6.61	-13.864	< 0.001
观察组	24	22.70±5.58	47.00±9.43	-17.372	< 0.001
t值		-0.136	-3.543
P值		0.894	0.002

组别	n	治疗前	治疗后	t值	P值
对照组	24	8.00±2.49	17.10±3.78	-11.870	< 0.001
观察组	24	7.50±2.92	24.50±3.03	-43.103	< 0.001
t值		0.412	-4.828
P值		0.685	< 0.001

Effects of Bilateral Arm Transcutaneous Electrical Acupoint Stimulation on Upper Limb Function for Subacute Stroke Hemiplegic Patients

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