强制性运动疗法联合神经肌肉电刺激在脑卒中偏瘫患者上肢功能恢复中的临床研究

Clinical Study on the Combination of Compulsory Exercise Therapy and Neuromuscular Electrical Stimulation in the Recovery of Upper Limb Function in Stroke Patients with Hemiplegia

摘要: 目的：探讨强制性运动疗法联合神经肌肉电刺激在脑卒中偏瘫患者上肢功能恢复中的临床效果，以为临床治疗提供一定的新思路。方法：将就诊于湖北省直属机关医院康复科，符合纳入标准的60例脑卒中偏瘫患者，按照随机数字法，随机分为对照组和治疗组，各30例。对照组给予常规康复训练、神经肌肉电刺激治疗，治疗组在对照组的基础上加以强制性运动疗法，连续治疗2个月。以WMFT评分、FMA评分和MBI评分变化为评价指标。结果：两组WMFT评分、FMA评分和MBI评分均明显改善(P < 0.05)，且治疗组均优于对照组(P < 0.05)。结论：对脑卒中偏瘫患者给予强制性运动疗法联合神经肌肉电刺激效果明确，值得推广。

Abstract: Objective: To explore the clinical effect of mandatory exercise therapy combined with neuromuscular electrical stimulation in the recovery of upper limb function in stroke patients with hemiplegia, to provide some new ideas for clinical treatment. Method: Sixty stroke patients with hemiplegia who met the inclusion criteria and visited the rehabilitation department of a directly affiliated hospital in Hubei Province were randomly divided into a control group and a treatment group, with 30 patients in each group, using a random number method. The control group received routine rehabilitation training and neuromuscular electrical stimulation therapy, while the treatment group received mandatory exercise therapy on the basis of the control group for two consecutive months. Use WMFT score, FMA score, and MBI score changes as evaluation indicators. Result: The WMFT score, FMA score, and MBI score of both groups were significantly improved (P < 0.05), and the treatment group was superior to the control group (P < 0.05). Conclusion: The combination of compulsory exercise therapy and neuromuscular electrical stimulation has a clear effect on stroke patients with hemiplegia and is worth promoting.