全科医学临床与教育
全科醫學臨床與教育
전과의학림상여교육
Clinical Education of General Practice
2015年
5期
515-518
,共4页
李展振%龚立君%许志生%江迪锦
李展振%龔立君%許誌生%江迪錦
리전진%공립군%허지생%강적금
中风%功能电刺激%足下垂%步行能力
中風%功能電刺激%足下垂%步行能力
중풍%공능전자격%족하수%보행능력
stroke%functional electrical stimulation%foot drop%walking ability
目的：探讨触发式功能电刺激结合序列组合训练对脑卒中后足下垂患者步行能力的影响。方法选取40例脑卒中致足下垂的患者，分成实验组和对照组各20例。在常规药物治疗、康复治疗的基础上，对照组采用电刺激结合神经肌肉功能再训练肢体功能强化训练及步行训练；实验组采用特制触发式功能电刺激设备辅助步行治疗结合序列组合训练。比较两组治疗8周后 Berg平衡测试、“起立-走”计时、10 m最大步行速度和2/6分钟步行能力。治疗每次60 min，每天2次，每周5天，共计8周。结果治疗8周后，实验组和对照组两组患者Berg平衡测试、“起立-走”计时、10 m最大步行速度、2/6分钟步行能力均较治疗前明显提高（t分别=-11.09、-9.25；5.19、5.95；-7.94、-6.25；-9.11、-7.69，P均＜0.05）；实验组2/6分钟步行能力明显优于对照组，差异有统计学意义（t=3.66，P＜0.05）。结论触发式功能电刺激结合序列组合训练更有效改善卒中足下垂患者2/6分钟步行能力。
目的：探討觸髮式功能電刺激結閤序列組閤訓練對腦卒中後足下垂患者步行能力的影響。方法選取40例腦卒中緻足下垂的患者，分成實驗組和對照組各20例。在常規藥物治療、康複治療的基礎上，對照組採用電刺激結閤神經肌肉功能再訓練肢體功能彊化訓練及步行訓練；實驗組採用特製觸髮式功能電刺激設備輔助步行治療結閤序列組閤訓練。比較兩組治療8週後 Berg平衡測試、“起立-走”計時、10 m最大步行速度和2/6分鐘步行能力。治療每次60 min，每天2次，每週5天，共計8週。結果治療8週後，實驗組和對照組兩組患者Berg平衡測試、“起立-走”計時、10 m最大步行速度、2/6分鐘步行能力均較治療前明顯提高（t分彆=-11.09、-9.25；5.19、5.95；-7.94、-6.25；-9.11、-7.69，P均＜0.05）；實驗組2/6分鐘步行能力明顯優于對照組，差異有統計學意義（t=3.66，P＜0.05）。結論觸髮式功能電刺激結閤序列組閤訓練更有效改善卒中足下垂患者2/6分鐘步行能力。
목적：탐토촉발식공능전자격결합서렬조합훈련대뇌졸중후족하수환자보행능력적영향。방법선취40례뇌졸중치족하수적환자，분성실험조화대조조각20례。재상규약물치료、강복치료적기출상，대조조채용전자격결합신경기육공능재훈련지체공능강화훈련급보행훈련；실험조채용특제촉발식공능전자격설비보조보행치료결합서렬조합훈련。비교량조치료8주후 Berg평형측시、“기립-주”계시、10 m최대보행속도화2/6분종보행능력。치료매차60 min，매천2차，매주5천，공계8주。결과치료8주후，실험조화대조조량조환자Berg평형측시、“기립-주”계시、10 m최대보행속도、2/6분종보행능력균교치료전명현제고（t분별=-11.09、-9.25；5.19、5.95；-7.94、-6.25；-9.11、-7.69，P균＜0.05）；실험조2/6분종보행능력명현우우대조조，차이유통계학의의（t=3.66，P＜0.05）。결론촉발식공능전자격결합서렬조합훈련경유효개선졸중족하수환자2/6분종보행능력。
Objective To explore the effect of gait triggered functional electrical stimulation combined with task-oriented circuit class training on walking ability in stroke patients with foot drop. Methods A total of 40 stroke patients with foot drop were included and randomly divided into the experimental group and control group with 20 cases in each. On the basis of conventional therapy, the control group patients were received the electrical stimulation combined with neuromuscular function training and walk-training, the experimental group was received gait triggered functional electrical stimulation combined with task-oriented circuit class training. The berg balance, timed up and go, walking speed (10m maximum walking speed, 10m MWS) and endurance (2/6 minutes walking test) were compared in two groups. Results After treat-ing for eight weeks, both two groups had the significantly improvement on berg balance , timed up and go, 10m MWS and 2/6 minutes walking test (t=-11.09,-9.25, 5.19, 5.95,-7.94,-6.25,-9.11,-7.69, P<0.05). The walking endurance (2/6 minutes walking test) of experimental group was significantly greater than that of the control group(t=3.66, P<0.05). Conclusion The trigger functional electrical stimulation combined with sequence combination training for stroke patients with foot drop can effectively improve the 2/6 minutes walking ability.
