功能性电刺激对脑卒中偏瘫患者肩关节半脱位及上肢运动功能的作用

目的探讨功能性电刺激对脑卒中偏瘫患者肩关节半脱位及上肢运动功能恢复的影响。方法48例脑卒中偏瘫患患者随机分为功能性电刺激（FES）治疗组和肩托治疗组，治疗后6周测定患者肩关节半脱位与上肢运动功能，比较两种治疗方法的疗效。结果两组肩关节半脱位与上肢运动功能均较治疗前有改善（P〈0．01），且功能性电刺激组改善更明显，与肩托组比较差异有显著意义（P〈0．01）。结论功能性电刺激应用于治疗偏瘫患者的患侧上肢，可改善患侧肩关节半脱位和上肢的运动功能。

Effects of functional electric stimulation on shoulder subluxation and upper limb motor function recovery of patients with hemiplegia resulting from stroke

OBJECTIVE: To observe the effects of functional electric stimulation (FES) on shoulder subluxation and motor function recovery of the upper extremities of patients with hemiplegia resulting from stroke. METHODS: Forty-eight hemiplegic patients were randomly divided into two groups for treatment with FES and shoulder pads, respectively. The recovery of the patient's shoulder subluxation and movement function of upper extremities were evaluated 6 weeks after treatment and the effects of two therapies were compared. RESULTS: The shoulder subluxation and movement function of the upper extremities were improved after treatment with both therapies (P<0.01, and FES showed better effect (P<0.01). CONCLUSIONS: FES can improve shoulder subluxation and motor function of the upper extremities affected by hemiplegia resulting from stroke.