功能性电刺激辅助步行设备配合减重训练对脑卒中患者下肢功能的影响

关键词：功能性电刺激辅助步行设备  减重训练  脑卒中  运动功能

Keywords:functional electrical stimulation assisted walking device  partial body weight support treadmill  stroke  motor function

摘要：

      摘要 目的：探讨功能性电刺激辅助步行设备配合减重训练对脑卒中恢复期患者下肢功能的影响。 方法：60例脑卒中恢复期患者随机分为治疗组及对照组。对照组(30例)在常规康复治疗基础上，辅以减重支持步行训练；治疗组(30例)在常规康复治疗基础上，佩戴功能性电刺激辅助步行设备进行减重支持步行训练。两组患者均在治疗前、治疗4周后采用Fugl-Meyer下肢运动功能量表（FMA-L）、Berg平衡量表（BBS）、功能性步行量表（FAC）进行评定。 结果：治疗前两组患者的一般资料及FMA、BBS、FAC各项评定结果无显著性差异（P>0.05）；治疗4周后与治疗前比较，两组患者的FMA、Berg、FAC评定结果较治疗前均有明显提高，差异有显著性意义（P<0.05）；试验组的FMA、BBS、FAC评分改善情况明显优于对照组，差异有显著性意义（P<0.05）。 结论：功能性电刺激辅助步行设备配合减重训练能改善脑卒中恢复期患者的下肢运动功能、平衡功能及步行功能，较传统方法结合减重训练更有利于促进脑卒中患者下肢功能恢复。

Abstract:

      Abstract Objective：To observe the effects of functional electrical stimulation（FES） assisted walking device combined with partial body weight support treadmill on the function of lower limbs in patients after stroke Method: Sixty patients after stroke were randomly divided into two groups:the treatment group(30 cases) and the control group(30 cases).The patients of both groups all received standardized rehabilitation program.In addition,the control group received partial body weight support treadmill treatment,the treatment group received functional electrical stimulation assisted walking device combined with partial body weight support treadmill treatment. Before treatment and 4 weeks after treatment, Fugl-Meyer assessment(FMA-L）、Berg balance scale(BBS) and functional ambulation category(FAC） were used to evaluate the patients‘lower limbs’ motor function . Result:Before treatment,there was no significant diffrence between two groups in the scores of FMA-L，BBS，FAC and the baseline data.After 4 weeks treatment,both groups improved significantly regard to their scores with FMA，BBS and FAC（P<0.05）,and the treatment group scored significantly better than the control group （P<0.05）. Conclusion: Functional electrical stimulation assisted walking device combined with partial body weight support treadmill can significantly improve the lower limbs’ motor function，balance function and the walking ability of patients after stroke.