Hou Yan, Yang Li
Department of Internal Medicine, No. 215 Hospital of Shaanxi Nuclear Industry, Xianyang, Shaanxi Province, China.
Evid Based Complement Alternat Med. 2022 Jul 7;2022:6061652. doi: 10.1155/2022/6061652. eCollection 2022.
The research paper aims to investigate the value of multichannel functional electrical stimulation (FES) plus early rehabilitation training for hemiplegic patients after stroke attacks and assesses the impact of the combined therapy on walking capacity and daily life activities of patients.
Totally, 100 hemiplegic patients after stroke treated in No. 215 Hospital of Shaanxi Nuclear Industry from March 2019 to July 2020 were recruited and randomized into the control group and study group, with 50 cases in each group. The control group received early rehabilitation training, and the study group received multiple channel FES plus early rehabilitation. The rehabilitation effective rate, the Fugl-Meyer Assessment (FMA), the Berg Balance Scale (BBS), National Institutes of Health Stroke Scale (NIHSS), Barthel index (BI), the Quality of Life index (QLI), Mental Status Scale in Nonpsychiatric Settings (MSSNS), Self-rating Anxiety Scale (SAS), Self-rating depression scale (SDS), and the incidence of adverse response were evaluated.
The study group patients had higher scores in FMA, BBS, BI, and QLI than the control group. Multiple channel FES plus early rehabilitation adopted in the study group resulted in a higher rehabilitation efficacy and a longer walking duration at 1, 2, and 4 weeks after the treatment. NIHSS score, MSSNS score, SAS score, SDS score, and incidence rate of adverse response in the study group were significantly lower compared to those of the control group.
Multichannel FES plus early rehabilitation training effectively enhances the rehabilitation of patients after stroke attacks.
本研究旨在探讨多通道功能性电刺激（FES）联合早期康复训练对脑卒中偏瘫患者的价值，并评估该联合治疗对患者步行能力和日常生活活动的影响。
选取2019年3月至2020年7月在陕西核工业215医院接受治疗的100例脑卒中偏瘫患者，随机分为对照组和研究组，每组50例。对照组接受早期康复训练，研究组接受多通道FES联合早期康复训练。评估康复有效率、Fugl-Meyer评估量表（FMA）、Berg平衡量表（BBS）、美国国立卫生研究院卒中量表（NIHSS）、Barthel指数（BI）、生活质量指数（QLI）、非精神科环境下精神状态量表（MSSNS）、自评焦虑量表（SAS）、自评抑郁量表（SDS）以及不良反应发生率。
研究组患者在FMA、BBS、BI和QLI方面的得分高于对照组。研究组采用的多通道FES联合早期康复训练在治疗后1周、2周和4周时康复疗效更高，步行持续时间更长。研究组的NIHSS评分、MSSNS评分、SAS评分、SDS评分以及不良反应发生率均显著低于对照组。
多通道FES联合早期康复训练能有效促进脑卒中偏瘫患者的康复。
