Department of Physical and Rehabilitation Medicine, Irkutsk State Medical Academy of Postgraduate Education - Branch of the FGBOU DPO RMANPO of the Ministry of Health of Russia, 664049, 100 Yubileynyy Microdistrict, Irkutsk, Russian Federation.
Department of Hospital Therapy and Medical Rehabilitation, Novosibirsk State Medical University, 630091, 52 Krasnyy Ave., Novosibirsk, Russian Federation.
J Stroke Cerebrovasc Dis. 2020 Nov;29(11):105189. doi: 10.1016/j.jstrokecerebrovasdis.2020.105189. Epub 2020 Aug 6.
Acute cerebrovascular accident poses a threat to the health of the nation. Dynamic electric neurostimulation decreases the excitability of the receptor apparatus, optimize microcirculatory processes, analgesic and antispasmodic effects.
This article discusses the rehabilitation of 96 men and women with post-stroke spasticity, mean age of 60.51 ± 4.9 years, in the early recovery period after ischemic stroke, randomized into 4 equal groups: Group 1 received botulinum toxin therapy in combination with dynamic electric neurostimulation and basic therapy, including massage and therapeutic exercises; Group 2 -botulinum toxin therapy and basic therapy; Group 3 - dynamic electric neurostimulation and basic therapy; Group 4 - basic therapy only. Study methods included the use of the Modified Asworth Scale to assess spasticity, the Rivemead Motor Assessment test, and goniometry to assess the range of joint movements.
During a three-week observation, it was found that the inclusion of botulinum toxin therapy and dynamic electrical neurostimulation in the standard therapy of post-stroke spasticity in patients after ischemic stroke in the early recovery period contributed to patients' recovery.
Botulinum toxin therapy and dynamic electrical neurostimulation contributed to a more significant decrease in spasticity in the proximal and distal parts of the paretic upper extremity. It is also increased the amplitude of voluntary movements in the affected shoulder, elbow, and wrist joints, compared to the separate use of botulinum toxin therapy and dynamic electric neurostimulation as part of basic rehabilitation.
急性脑血管意外对国民健康构成威胁。动态电神经刺激降低受体装置的兴奋性，优化微循环过程，具有镇痛和抗痉挛作用。
本文讨论了 96 名男女中风后痉挛患者的康复情况，平均年龄 60.51 ± 4.9 岁，均处于缺血性中风后早期恢复阶段，随机分为 4 组：第 1 组接受肉毒毒素治疗联合动态电神经刺激和基础治疗，包括按摩和治疗性运动；第 2 组 - 肉毒毒素治疗和基础治疗；第 3 组 - 动态电神经刺激和基础治疗；第 4 组 - 仅基础治疗。研究方法包括使用改良的 Ashworth 量表评估痉挛程度、Rivemead 运动评估测试和测角法评估关节活动范围。
在为期 3 周的观察中发现，在缺血性中风后早期恢复阶段的中风后痉挛患者的标准治疗中加入肉毒毒素治疗和动态电神经刺激有助于患者的康复。
肉毒毒素治疗和动态电神经刺激有助于更显著地降低偏瘫上肢近端和远端的痉挛程度。与单独使用肉毒毒素治疗和动态电神经刺激作为基础康复的一部分相比，还增加了患侧肩部、肘部和腕关节的主动运动幅度。
