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镜像疗法联合肌电触发功能性电刺激对改善慢性脑卒中患者站立平衡和步行能力的影响。

Effects of Mirror Therapy Combined with EMG-Triggered Functional Electrical Stimulation to Improve on Standing Balance and Gait Ability in Patient with Chronic Stroke.

机构信息

Department of Physical Therapy, Gimcheon University, 214, Daehak-ro, Gimcheon 39528, Korea.

Department of Physical Therapy, College of Health and Life Science, Korea National University of Transportation, 61, Daehak-ro, Jeungpyeong-gun, Chungbuk 27909, Korea.

出版信息

Int J Environ Res Public Health. 2021 Apr 2;18(7):3721. doi: 10.3390/ijerph18073721.

DOI:10.3390/ijerph18073721
PMID:33918288
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8038158/
Abstract

This study was performed to evaluate the effects of EMG-triggered functional electrical stimulation on balance and gait ability on patient with Chronic Stroke. A total of 60 chronic stroke patients were divided into mirror treatment and functional electrical (MT-EF) Group, MT group, CON group. Each group performed 60 min a day five times a week for eight weeks. MT-FE group was performed 30 min five times a week for eight weeks in mirror therapy process with EMG-FES. MT group performed 30 min five times a week for eight weeks in mirror therapy process. CON group was performed 30 min five times a week for eight weeks in conservative treatment. To measure the balance ability, Biorescue (COP, LOS), Berg balance scale (BBS) and FRT, and the gait ability test was performed by 10 m walk test. MT-FE group revealed significant differences in COP, LOS, BBS, FRT and 10 m walk test as compared to the MT and CON groups ( < 0.05). Our results showed that MT-FE was more effective on COP, LOS, BBS, FRT and 10 m walk test in patients with chronic stroke. Our results also showed that MT-EF group was more effective on balance and gait ability in patients with chronic stroke. We suggest that this study can be used for intervention data for recovering balance and gait ability in chronic stroke patients.

摘要

本研究旨在评估肌电触发功能性电刺激对慢性脑卒中患者平衡和步态能力的影响。共有 60 名慢性脑卒中患者被分为镜像治疗和功能性电刺激(MT-EF)组、MT 组和 CON 组。每组患者每周进行 5 次、每次 60 分钟的治疗,共进行 8 周。MT-FE 组在进行 8 周的镜像治疗的同时进行 30 分钟、每周 5 次的肌电刺激。MT 组在进行 8 周的镜像治疗的同时进行 30 分钟、每周 5 次的治疗。CON 组进行 8 周的常规治疗,每周进行 5 次、每次 30 分钟的治疗。为了评估平衡能力,使用 Biorescue(COP、LOS)、Berg 平衡量表(BBS)和 FRT,以及 10m 步行测试来评估步态能力。与 MT 组和 CON 组相比,MT-FE 组在 COP、LOS、BBS、FRT 和 10m 步行测试中均有显著差异(<0.05)。我们的结果表明,与 MT 组和 CON 组相比,MT-FE 组对慢性脑卒中患者的 COP、LOS、BBS、FRT 和 10m 步行测试的效果更显著。我们的结果还表明,MT-EF 组对慢性脑卒中患者的平衡和步态能力的恢复更有效。我们建议,本研究可以作为慢性脑卒中患者恢复平衡和步态能力的干预数据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b259/8038158/491bf805661a/ijerph-18-03721-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b259/8038158/491bf805661a/ijerph-18-03721-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b259/8038158/491bf805661a/ijerph-18-03721-g001.jpg

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Technol Health Care. 2016 Jul 27;24(4):503-11. doi: 10.3233/THC-161144.
2
The effects of mirror therapy on the gait of subacute stroke patients: a randomized controlled trial.镜像疗法对亚急性卒中患者步态的影响:一项随机对照试验。
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Mirror therapy combined with neuromuscular electrical stimulation for poststroke lower extremity motor function recovery: a systematic review and meta-analysis.
镜像疗法联合神经肌肉电刺激治疗脑卒中后下肢运动功能恢复的系统评价和 Meta 分析。
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