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镜像疗法联合神经肌肉电刺激对腓总神经损伤患者运动和感觉功能的影响

The effects of mirror therapy with neuromuscular electrical stimulation on motor and sensory functions in patients with common peroneal nerve injury.

作者信息

Chu Xiaolei, Liang Jiajia, Gao Mingwei, Zhao Xiaoxuan, Sun Jiaojiao, Liu Wenjie, Zhao Donglin, Xing Zheng, Li Qi

机构信息

Department of Rehabilitation, Tianjin Hospital, Tianjin, China.

Tianjin Key Laboratory of Exercise Physiology and Sports Medicine, Institute of Sport, Exercise and Health, Tianjin University of Sport, Tianjin, China.

出版信息

Front Neurosci. 2025 Jan 13;18:1486959. doi: 10.3389/fnins.2024.1486959. eCollection 2024.

Abstract

BACKGROUND

Injuries to the common peroneal nerve often result in significant sensory and motor function loss, severely affecting patients' quality of life. Although existing treatments, including medication and surgery, provide some degree of efficacy, their effectiveness is limited by factors such as tolerance and adverse side effects.

METHODS

This study aims to evaluate the effects of a 4-week regimen of mirror therapy combined with neuromuscular electrical stimulation on lower limb function, muscle strength, and sensation in patients with common peroneal nerve injuries. The objective is to identify novel therapeutic strategies for lower limb peripheral nerve injuries.30 patients with Common peroneal nerve caused by pelvic fractures were selected from the Rehabilitation Medicine Department of Tianjin Hospital between July 2023 and July 2024. They were randomly divided into two groups: the neuromuscular electrical stimulation group ( = 15) and the mirror therapy with neuromuscular electrical stimulation group ( = 15).

RESULTS

After 4 weeks, it was found that mirror therapy with neuromuscular electrical stimulation has a significantly better therapeutic effect on Common peroneal nerve than simple electrical stimulation therapy, particularly in terms of superficial sensation, nerve conduction velocity and ROM.

摘要

背景

腓总神经损伤常导致严重的感觉和运动功能丧失,严重影响患者的生活质量。尽管现有的治疗方法,包括药物治疗和手术治疗,具有一定程度的疗效,但其有效性受到耐受性和副作用等因素的限制。

方法

本研究旨在评估为期4周的镜像疗法联合神经肌肉电刺激对腓总神经损伤患者下肢功能、肌肉力量和感觉的影响。目的是确定下肢周围神经损伤的新型治疗策略。2023年7月至2024年7月期间,从天津医院康复医学科选取30例因骨盆骨折导致腓总神经损伤的患者。将他们随机分为两组:神经肌肉电刺激组(n = 15)和镜像疗法联合神经肌肉电刺激组(n = 15)。

结果

4周后发现,镜像疗法联合神经肌肉电刺激对腓总神经的治疗效果明显优于单纯电刺激疗法,尤其是在浅感觉、神经传导速度和关节活动度方面。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/193a/11770097/7c3e068e8535/fnins-18-1486959-g001.jpg

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