临床偏瘫病人早期上肢功能性电刺激屈肌和伸肌与伸肌功能性电刺激的比较

摘要

objective to patients with hemiplegia early upper limb functional electrical stimulation fiexor and extensor was compared with the extensor functional electrical stimulation.Methods acute onset in patients with hemiplegia, hemiplegic side body let in phase delay of 20 patients with hemiplegia patients at random points in the control group (n = 10) and observation group (n = 10), the control group to maintain nerve functional electrical stimulation upper limb muscle of wrist and the reach anconeus and function of routine rehabilitation training, observation group nerve functional electrical stimulation upper limbfiexor muscle of wrist and elbow fiexion with fiexor muscle tension change stimulation wrist, elbow muscle group.Before and 3 weeks after treatment with modified ashworth (Mas), concise fugl - Meyer evaluation form, out of assessment.results after treatment, no obvious difference was found between two groups of Mas, concise fugl - Meyer exercise evaluation form, out the assessment, the observation group statistically significant meaningful (P < 0.05).conclusion early fiexor functional electrical stimulation out instead of extensor muscle tension stimulation, for upper hand function in patients with hemiplegia rehabilitation and separatist movements appear faster.%目的：早期偏瘫病人上肢功能性电刺激屈肌和伸肌与伸肌功能性电刺激的比较。方法急性期发病偏瘫患者，偏瘫侧肢体任处于迟缓期的偏瘫病人20例，随机分对照组(n=10)和观察组(n=10)，对照组维持神经功能性电刺激上肢伸腕肌及伸肘肌和常规康复功能训练，观察组神经功能电刺激上肢屈腕肌及屈肘肌随着屈肌张力改变刺激伸腕、伸肘肌群。治疗前及治疗3周后采用改良ashworth(Mas)、简明fugl-Meyer运动评定表、Brunnstrom进行评定。结果治疗后，两组Mas无明显差异，简明fugl-Meyer运动评定表、Brunnstrom运动评定观察组有统计学差异，有意义(P<0.05)。结论早期屈肌功能性电刺激肌张力出来后改为伸肌刺激，对于偏瘫患者上肢手功能恢复和分离运动出现较快。