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功能性电刺激结合快速步行训练对脑卒中偏瘫患者功能的影响

杨婷 林强 程凯 杨倩 谢增艳

中国康复2017,Vol.32Issue(6):451-454,4.
中国康复2017,Vol.32Issue(6):451-454,4.DOI:10.3870/zgkf.2017.06.003

功能性电刺激结合快速步行训练对脑卒中偏瘫患者功能的影响

Effects of functional electrical stimulation combined with fast gait training on walking performance in hemiplegic stroke patients

杨婷 1林强 1程凯 1杨倩 1谢增艳1

作者信息

  • 1. 南京医科大学附属南京医院康复医学科,南京 210006
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摘要

Abstract

Objective:To explore the effects of functional electrical stimulation (FES) combined with fast gait training on community walking and energy cost of hemiplegic stroke patients during sequelae stage.Methods:Thirty hemiplegic stroke patients with foot drop were divided into two groups randomly.Both two groups were given routine medical treatment and rehabilitation training.FES (two electrodes were respectively placed on peroneal nerve and the tibialis anterior muscle) combined with fast gait training was given to the treatment group while control group received conventional weight support treadmill fast gait training only.Both two groups were treated twice per day and 5 days per week for 4 weeks.The distances of 6 min walking test (6MWT) and physiological consumption index (PCI) were assessed before and after treatment.Results:After 4-week treatment,both two groups showed significant improvements in 6MWT and PCI (P<0.05).There was no significant difference in 6MWT between two groups,but PCI was significantly decreased in the treatment group after treatment (P<0.05).Conclusions:FES combined with fast gait training and conventional weight support treadmill fast gait training can both improve community walking ability and decrease energy consumption in hemiplegic stroke patients during sequelae stage while FES combined with fast gait training has distinct advantage on energy consumption.

关键词

功能性电刺激/步行训练/偏瘫/功能

Key words

functional electrical stimulation/gait training/hemiplegia/function

分类

医药卫生

引用本文复制引用

杨婷,林强,程凯,杨倩,谢增艳..功能性电刺激结合快速步行训练对脑卒中偏瘫患者功能的影响[J].中国康复,2017,32(6):451-454,4.

中国康复

OACSTPCD

1001-2001

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