| 王小辉,谢添,郑志佳,祝佳琪,申润峰,韦海燕.功能性电刺激联合站立位数字作业治疗对脑卒中偏瘫患者上肢运动功能的影响[J].中国康复,2026,41(7):400-404 |
| 功能性电刺激联合站立位数字作业治疗对脑卒中偏瘫患者上肢运动功能的影响 |
| Influence of functional electrical stimulation combined with standing digital occupational therapy training on the upper limb motor function of patients with stroke hemiplegia |
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| DOI：10.3870/zgkf.2026.07.003 |
| 中文关键词: 脑卒中 偏瘫 功能性电刺激 作业治疗 |
| 英文关键词: stroke hemiplegia functional electrical stimulation occupational therapy |
| 基金项目:2023年承德市科技计划自筹经费项目（202301A017） |
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| 中文摘要: |
| 目的：探讨功能性电刺激（FES）联合站立位数字作业疗法训练对脑卒中偏瘫治疗的效果。方法：选取脑卒中偏瘫患者118例，通过随机数字表法分为对照组、联合组各59例。2组患者均接受常规康复训练，在此基础上，对照组给予FES疗法，联合组采用FES与站立位数字作业治疗。干预8周后，比较2组上肢运动功能、肩关节活动度、上肢肌肉肌电值、日常活动能力及生活质量。结果：干预8周后，2组上肢Fugl-Meyer运功功能量表（FMA-UE）评分、Wolf上肢运动功能评价量表（WMFT）评分、肩关节前屈、外展、内旋、外旋角度、斜方肌上束、三角肌前束表面肌电值、脑卒中专用生活质量量表（SS-QOL）评分、改良Barthel指数（MBI）评分均较治疗前升高（P＜0.05），且联合组上述各项均高于对照组（均P＜0.05）；2组美国国立卫生研究院卒中量表（NIHSS）评分均较治疗前降低（P＜0.05），且联合组低于对照组（P＜0.05）。结论：脑卒中偏瘫患者予以FES联合站立位数字作业治疗，能够有效增强上肢运动功能，减轻肩关节活动障碍，提升患者生活活动能力，生活质量改善效果较为理想。 |
| 英文摘要: |
| Objective: To explore the influence of functional electrical stimulation (FES) combined with standing digital occupational therapy (OT) training on stroke hemiplegia. Methods: From February 2023 to February 2025, 118 patients with stroke hemiplegia were selected and divided into the control group and the combined group by the random number table method. All the enrolled patients received the conventional treatment plan, and on this basis, the control group was treated with FES therapy, while the combined group was treated with FES and standing digital OT training. After 8 weeks of intervention, the upper limb motor function and exercise completion volume, shoulder joint range of motion, neurological function, upper limb muscle electromyography values, daily activity ability and quality of life were compared between the two groups. Results: After 8 weeks of intervention, the scores of upper limb Fugl-Meyer assessment (FMA-UE), the angles of flexion, abduction, internal rotation, external rotation, the stroke-specific quality of life scale (SS-QOL) scores, Wolf motor function test (WMFT) scores, surface electromyography values of the upper trapezius muscle bundle, anterior deltoid muscle bundle, and modified Barthel index (MBI) of the two groups were significantly higher than those before treatment, and those in the combined group were higher than those in the control group (all P<0.05). The National Institutes of Health Stroke Scale (NIHSS) scores of the two groups after treatment were significantly lower than those before treatment, and those in the combined group were lower than those in the control group (P<0.05). Conclusion: The combined intervention of FES and standing digital OT training for patients with stroke hemiplegia can effectively enhance the upper limb motor function, alleviate shoulder joint motor disorders, ameliorate the patients’ living activity ability, and achieve a relatively ideal effect in improving the quality of life. |
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