实用医学杂志2025，Vol.41Issue(4)：529-535,7.DOI:10.3969/j.issn.1006-5725.2025.04.010
发散式冲击波联合痉挛肌电刺激治疗脑卒中偏瘫患者肱二头肌痉挛的效果
Clinical study on the treatment of biceps brachii spasticity in hemiplegic patients with stroke by radial extracorporeal shock wave therapy combined with spastic muscle electrical stimulation
摘要
Abstract
Objective A study of the therapeutic effect of the treatment of biceps brachii spasticity in hemiplegic patients with stroke by radial extracorporeal shock wave therapy combined with spastic muscle electrical stimulation.Methods Select 98 cases of biceps spasticity hemiplegic patients admitted and intervened in rehabili-tation in the Zhongshan Hospital Xiamen University from June 2022 to June 2024,and randomly assign the patients to two different groups,each with 49 cases,using a random method.The controlled group received spastic muscle electrical stimulation treatment for the affected upper limb biceps(the"Controlled Group"),while the observa-tion group received radial extracorporeal shock wave therapy combined with spastic muscle electrical stimulation treatment(the"Observation Group").After two months of intervention,the changes in muscle tone,activities of daily living,quality of life,improvement in motor function performance,as well as rehabilitation satisfaction and compliance were compared between the two groups.Results After the intervention,the modified Barthel index and the upper limb FMA scores of the Controlled Group were lower than those of the Observation Group(P<0.05);the muscle tone assessment MAS scale score of the Controlled Group was higher than that of the Observation Group(P<0.05);the rehabilitation satisfaction and compliance of the Controlled Group were lower than those of the Observation Group(P<0.05);the quality of life scores in all aspects of the Controlled Group were lower than those of the Observation Group(P<0.05).Conclusion The application of radial extracorporeal shock wave therapy combined with spastic muscle electrical stimulation treatment in treating biceps spasticity in hemiplegic patients with stroke can reduce the muscle tone of the patient′s biceps,alleviate spasticity,enhance the patient's motor performance and self-care ability,as well as improve their overall quality of life,and there is no concomitant medication,which is highly safe and worth promoting.关键词
脑卒中/偏瘫/肱二头肌痉挛/发散式冲击波/痉挛肌电刺激/运动功能/日常生活能力/生活质量Key words
stroke/hemiplegia/biceps brachii spasticity/radial extracorporeal shock wave therapy/spastic muscle electrical simulation/motor function/activities of daily living/quality of life分类
临床医学引用本文复制引用
江剑华,沈仁泽,邱斐,何剑全..发散式冲击波联合痉挛肌电刺激治疗脑卒中偏瘫患者肱二头肌痉挛的效果[J].实用医学杂志,2025,41(4):529-535,7.基金项目
国家自然科学基金项目(编号:82004433) （编号:82004433）
