新医学2024，Vol.55Issue(8)：594-600,7.DOI:10.3969/j.issn.0253-9802.2024.08.002
川平法联合低频穴位电刺激治疗脑卒中后上肢运动功能障碍
Interventional study of repetitive facilitative exercise combined with low-frequency acupoint electrical stimulation in patients with upper limb motor dysfunction after stroke
摘要
Abstract
Objective To evaluate the efficacy of repetitive facilitative exercise combined with low-frequency acupoint electrical stimulation therapy in the recovery of patients with upper limb motor dysfunction after stroke.Methods Sixty-two patients with upper limb motor dysfunction after stroke were divided into the observation group(n=31)and control group(n=31).Patients in the control group were treated with conventional rehabilitation training combined with low-frequency acupoint electrical stimulation in Department of Neurology,and those in the observation group were treated with repetitive facilitative exercise besides the interventions in the control group.The efficacy of the two groups was evaluated by Fugl-Meyer Motor Assessment(FMA)scale,Modified Ashworth scale(MAS)and Modified Barthel Index(MBI)scale before treatment and at 2 weeks after treatment,respectively.Results The FMA scores after treatment were significantly higher than pre-treatment scores in two groups,the FMA scores in the observation group were significantly higher than those in the control group,and the difference of the FMA scores between pre-and post-treatment in the observation group was significantly larger compared with that in the control group(all P<0.05).After treatment,the MAS grade was decreased compared with that before treatment in two groups,and the degree of grade decrease in the observation group was greater than that in the control group(all P<0.05).The MBI scores after treatment were higher than those before treatment in two groups,the MBI scores in the observation group were higher than those in the control group,and the difference of the MBI scores between pre-and post-treatment in the observation group was larger than that in the control group(all P<0.05).Conclusion Repetitive facilitative exercise combined with low-frequency acupoint electrical stimulation therapy yields high efficacy in the recovery of upper limb motor function,mitigation of muscular spasm and improvement of daily living capability after stroke.关键词
脑卒中/川平法/低频穴位电刺激/上肢运动功能障碍/康复Key words
Stroke/Repetitive facilitative exercise/Low-frequency acupoint electrical stimulation/Upper limb motor dysfunction/Rehabilitation引用本文复制引用
张禹,邹家莉,李晓洁,王兵,李洁,石国凤,周谊霞..川平法联合低频穴位电刺激治疗脑卒中后上肢运动功能障碍[J].新医学,2024,55(8):594-600,7.基金项目
国家自然科学基金(82160099) （82160099）
贵州省科技计划项目(黔科合基础-ZK[2021]一般356,黔科合支撑[2022]一般263) （黔科合基础-ZK[2021]一般356,黔科合支撑[2022]一般263）
