功能性电刺激联合镜像疗法对脑卒中偏瘫患者下肢功能、平衡功能和血清鸢尾素水平的影响

Abstract
Figure/Table
References (20)
Related Citation (15)

Download: PDF (436 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To investigate the effects of functional electrical stimulation (FES)combined with mirror therapy on lower limb function,balance function and serum irisin level in stroke patients with hemiplegia.Methods A total of 84 stroke patients with hemiplegia admitted to Foresea Life Insurance Nanning Hospital from January 2022 to June 2023 were selected as the research objects.They were divided into control group (42 cases)and FES group (42 cases)by random number table method.On the basis of routine rehabilitation,the control group was given mirror therapy,and the FES group was given FES combined with mirror therapy.Both groups were intervened for 4 weeks.The lower limb motor function (Fugl-Meyer assessment lower limb part[FMA-L]),balance function (berg balance scale [BBS]),walking ability (10 m walking time test[10MWT],functional walking ability classification [FAC]),daily living ability ([modified Barthel index MBI]) and serum irisin levels were compared between the two groups before and after treatment.Results After 4 weeks of treatment,the FMA score,BBS score and MBI score of the lower limbs in the FES group were higher than those in the control group,and the 10MWT and FAC were better than those in the control group,the differences were statistically significant(P＜0.05).After 4 weeks of treatment,the serum irisin level in the FES group was higher than that in the control group,and the difference was statistically significant (P＜0.05).Conclusion FES combined with mirror therapy can better improve lower limb function and balance function,increase serum irisin level and promote walking ability of patients.

Key words： Stroke Lower limb function Balance function Functional electrical stimulation Mirror therapy Irisin

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors

Cite this article:

URL:

https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2024/V31/I13/33

[1]	Ifejika NL，Bhadane M，Cai CC，et al.Characteristics of Acute Stroke Patients Readmitted to Inpatient Rehabilitation Facilities:A Cohort Study[J].PM&R，2021，13（5）：479-487.
[2]	吴维坤，周文强.脑卒中后下肢运动功能障碍的治疗概况[J].中国医药导刊，2021，23（5）：337-341.
[3]	Madhoun HY，Tan B，Feng Y，et al.Task-based mirror therapy enhances the upper limb motor function in subacute stroke patients:a randomized control trial[J].Eur J Phys Rehabil Med，2020，56（3）：265-271.
[4]	Atkins KD，Bickel CS.Effects of functional electrical stimulation on muscle health after spinal cord injury[J].Curr Opin Pharmacol，2021，60：226-231.
[5]	Kang N，Lee RD，Lee JH，et al.Functional Balance and Postural Control Improvements in Patients With Stroke After Noninvasive Brain Stimulation: A Meta-analysis[J].Arch Phys Med Rehabil，2020，101（1）：141-153.
[6]	中华医学会神经病学分会，中华医学会神经病学分会脑血管病学组.中国各类主要脑血管病诊断要点2019[J].中华神经科杂志，2019，52（9）：710-715.
[7]	Wu F，Meng Z，Yang K，et al.Effects of ankle-foot orthoses on gait parameters in post-stroke patients with different Brunnstorm stages of the lower limb：a single-center crossover trial[J].Eur J Med Res.2024，29（1）：235.
[8]	Huang CY，Lin GH，Huang YJ，et al.Improving the utility of the Brunnstrom recovery stages in patients with stroke：Validation and quantification[J].Medicine（Baltimore），2016，95（31）：e4508.
[9]	陈长香，王云龙，马素，等.慧简易平衡评定系统测试量表的效度与敏感度研究[J].中华物理医学与康复杂志，2015，37（1）：16-19.
[10]	Andrenelli E，Ippoliti E，Coccia M，et al.Features and predictors of activity limitations and participation restriction 2 years after intensive rehabilitation following first-ever stroke[J].Eur J Phys Rehabil Med，2015，51（5）：575-585.
[11]	巫嘉陵，安中平，王世民，等.脑卒中患者日常生活活动能力量表的信度与效度研究[J].中国现代神经疾病杂志，2009，9（5）：464-468.
[12]	时景，李成，李洪艳，等.镜像疗法联合核心肌群训练对脑卒中病人平衡功能及日常生活能力的影响[J].蚌埠医学院学报，2021，46（12）：1782-1784.
[13]	Chen Q，Shen W，Sun H，et al.Effects of mirror therapy on motor aphasia after acute cerebral infarction: A randomized controlled trial[J].Neuro Rehabilitation，2021，49（1）：103-117.
[14]	Broderick P，Horgan F，Blake C，et al.Mirror therapy and treadmill training for a patient with chronic stroke: A case report[J].Physiother Theory Pract，2019，35（5）：478-488.
[15]	刘美快，徐乐义，李海燕，等.镜像疗法对脑卒中患者运动功能和平衡功能以及胫骨前肌形态结构的影响[J].中华物理医学与康复杂志，2020，42（5）：419-423.
[16]	刘文权，徐武华，曾德良，等.对侧控制型功能性电刺激对脑卒中患者下肢运动功能的影响[J].中国康复医学杂志，2021，36（5）：597-599.
[17]	梁成盼，丁文娟，黄桂兰，等.多通道功能性电刺激对脑卒中上肢运动功能的疗效及表面肌电特征研究[J].中国康复医学杂志，2021，15（9）：1127-1130.
[18]	何建华，杨振，张敏燕，等.低频重复经颅磁刺激联合功能性电刺激对脑卒中后恢复期手功能障碍患者手功能的影响[J].中华物理医学与康复杂志，2021，43（9）：30-34.
[19]	顾卫佳，谢鸿宇，鲍春蓉，等.鸢尾素对缺血性脑卒中作用的研究进展[J].中华老年心脑血管病杂志，2021，23（5）：555-557.
[20]	陈勇，杜忠衡，陈海燕，等.分期针刺对缺血性脑卒中患者血清irisin 水平及神经功能康复的影响[J].中国针灸，2022，42（8）：857-863.