感觉电刺激对慢性期脑卒中患者上肢运动及感觉功能的影响

摘要

Objective:To investigate the effects of somatosensory electrical stimulation on the upper limb sensory function and motor function in chronic stroke patients.Method:Totally 78 cases of stroke more than six months.Randomly divided into two groups,39 cases with somatosensory electrical stimulation and regular exercise therapy group (experimental group),39 cases with regular exercise therapy group (control group).Before and after 4 weeks treatment,patients were assessed by Touch threshold test,Two-point discrimination test,Pinch force test,Power grip strength test,FIM test and motor assessment scale upper limb Fugl-Meyer motor assessment scale.Result:Before training,there was no significant difference between two groups in all the measured parameters.After 4 weeks training,the experimental group and control group's result in Fugl-Meyer and FIM was significantly improved(P＜0.05),There were significant difference between the two groups in the Pinch force and Twopoint discrimination sensory test (P＜0.05) after 4 weeks' treatment.Condusion:The somatosensory electrical stimulation could obviously improve the upper limb sensory function and motor function of the chronic stroke patients.%目的:探讨感觉电刺激对慢性期脑卒中患者上肢运动及感觉功能的影响.方法:招募病程超过6个月的脑卒中患者78例,随机分为两组:试验组为感觉电刺激加常规运动治疗组39例,对照组为神经肌肉电刺激加常规运动治疗组39例.两组患者分别在治疗前后进行感觉阈值、两点辨别觉、捏力、握力的评定及功能独立性评定(FIM)Fugl-Meyer运动功能评定.结果:两组患者的治疗前后的FIM评分及Fugl-Meyer评分比较均有显著差异(P＜0.05);治疗后两组间对比,试验组捏力和两点辨别觉较对照有显著性差异(P＜0.05).结论:感觉电刺激可改善慢性期脑卒中患者的手部肌力无感觉,其疗效优于常规康复治疗.