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穿戴式多关节联动功能性电刺激对脑卒中患者下肢运动功能的影响

李国正 李琳 苏玉萍 王自玲 杨轶楠

中国康复2025,Vol.40Issue(12):727-731,5.
中国康复2025,Vol.40Issue(12):727-731,5.DOI:10.3870/zgkf.2025.12.004

穿戴式多关节联动功能性电刺激对脑卒中患者下肢运动功能的影响

Effects of wearable multi-joint linkage functional electrical stimulation on balance function,walking ability and lower limb muscle tension in stroke patients with lower limb motor dysfunction

李国正 1李琳 1苏玉萍 1王自玲 1杨轶楠1

作者信息

  • 1. 秦皇岛市第一医院康复理疗科,河北秦皇岛 066000
  • 折叠

摘要

Abstract

Objective:To investigate the effect of wearable multi-joint functional electrical stimulation on lower limb motor dysfunction after stroke.Methods:A total of 108 stroke patients with lower limb motor dysfunction ad-mitted to our hospital from 2021.06~2024.06 were selected and divided into two groups with 54 cases in each.The control group was given routine treatment rehabilitation training,and the observation group received additional wearable multi joint linkage functional electrical stimulation therapy.The treatment course was 28 d.The clinical efficacy,including balance function,walking ability,lower limb muscle strength and quality of life,was evaluated and compared between two groups.Results:After treatment,the Berg Balance Scale(BBS)scores,gait parameter values including stride length,step frequency,peak hip flexion,peak knee flexion,muscle strength values of the medial femoris,biceps femoris,tibialis anterior and peroneal longus,the scores of physical function,psychological function,social function and psychological function in the Stroke Quality of Life Scale(SS-QOL)were all higher than those before treatment(P<0.05),and that in the observation group were higher than in the control group(P<0.05).The Timed Standing and Walking Test(TUGT)time of the two groups after treatment was shorter than that before treatment(P<0.05),and those in the observation group were lower than those in the control group(P<0.05).The total effective rate of the observation group was higher than that of the control group(P<0.05).Conclusion:Wearable multi joint linkage functional electrical stimulation has a good intervention effect on lower limb motor dysfunction in stroke patients,which can improve their balance function,walking ability and quali-ty of life,and lower limb muscle strength level.

关键词

脑卒中/下肢运动功能障碍/穿戴式多关节联动功能性电刺激/平衡功能/步行能力/下肢肌力

Key words

stroke/lower limb motor dysfunction/searable multi-joint linkage functional electrical stimulation/balance function/salking ability/lower limb muscle strength

分类

医药卫生

引用本文复制引用

李国正,李琳,苏玉萍,王自玲,杨轶楠..穿戴式多关节联动功能性电刺激对脑卒中患者下肢运动功能的影响[J].中国康复,2025,40(12):727-731,5.

基金项目

河北省医学科学研究课题(20200117) (20200117)

河北省秦皇岛市市级科学技术研究与发展计划项目(202004A063) (202004A063)

中国康复

1001-2001

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