张明，高晓盟，李宁，陈伟，巩尊科，董闪闪，陈飞.踏车训练结合功能性电刺激对脑卒中患者运动功能和日常生活活动能力的影响[J].中华物理医学与康复杂志,2017,39(9):655-658
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| 踏车训练结合功能性电刺激对脑卒中患者运动功能和日常生活活动能力的影响 |
| Cyclic movement training combined with functional electrical stimulation can improve the lower limb motor function of stroke survivors and their ability in daily life activities |
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| DOI： |
| 中文关键词: 功能性电刺激 踏车训练 脑卒中 |
| 英文关键词: Functional electrical stimulation Cyclic movement training Stroke |
| 基金项目:江苏省青年医学人才基金（QNRC2016376）；徐州市医学青年后备人才工程资助（2016015） |
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| 中文摘要: |
| 目的 观察康复踏车训练结合功能性电刺激治疗对脑卒中后偏瘫患者下肢运动功能以及日常生活自理能力的影响。 方法 选取符合入组标准的70例脑卒中后偏瘫患者，采用随机数字表法将其分为对照组和实验组，每组35例。2组患者均采用常规康复治疗方法和康复踏车训练，实验组则在康复踏车训练的同时增加功能性电刺激。于治疗前和治疗4周后对2组患者行Fugl-Meyer下肢运动功能评测（FMA-L）、Fugl-Meyer平衡功能评测（FMA-B）和改良的Barthel指数（MBI）评估。 结果 治疗后，实验组和对照组患者FMA-L评分分别为(25.20±5.11)分和(22.69±5.16)分,FMA-B评分分别为(10.66±2.98)分和(9.17±2.62)分，MBI评分分别为(67.92±11.47)分和(55.85±10.51)分，较组内治疗前均有明显改善，差异均有统计学意义（P<0.05）；且治疗后，实验组患者的上述各项评分与对照组治疗后比较，差异均有统计学意义（P<0.05）。 结论 康复踏车训练同步功能性电刺激可更有效地改善脑卒中后偏瘫患者下肢运动功能和日常生活活动能力。 |
| 英文摘要: |
| Objective To quantify any therapeutic effect of cyclic movement training combined with functional electrical stimulation for improving lower limb motor function and ability in the activities of daily life after stroke. Methods Seventy stroke survivors were randomly divided into a control group and an experimental group, each of 35. Both groups were given conventional rehabilitation, including cyclic training, but the experimental group was additionally provided with functional electrical stimulation of the quadriceps, hamstrings, anterior tibialis and gastrocnemius at the affected side. Before and after four weeks of treatment the Fugl-Meyer lower limb (FMA-L) and balance (FMA-B) assessments were performed and a modified Barthel index (MBI) was assigned to each subject to quantify functioning. Results Before the treatment, no significant differences were observed between the two groups in any of the measurements. But after four weeks of treatment the average FMA-L, FMA-B and MBI scores of the experimental group were all significantly better than before the treatment and significantly better than the control group′s averages. Conclusion Cyclic movement training combined with functional electrical stimulation can improve the lower limb motor function of stroke survivors and their ability in the activities of daily life. |
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