FES辅助踏车与MOTOmed智能训练系统对早期脑卒中患者下肢功能的对比研究

目的:探讨功能性电刺激(FES)辅助踏车对脑卒中偏瘫患者早期下肢运动功能以及日常生活活动能力的影响。方法:将早期脑卒中偏瘫患者40例随机分为观察组和对照组各20例。2组均采用常规个体化康复治疗,观察组加用FES踏车进行治疗,对照组给予MOTOmed下肢踏车治疗。治疗前后分别采用功能性步行分级量表(FAC)、Tinetti量表、Berg平衡量表、Fugl-Meyer评分法(FMA)及改良Barthel指数(MBI)进行评估。结果:治疗6周后,2组FAC等级较治疗前均有显著提高(P0.01),2组间比较差异无统计学意义。治疗后,2组Tinetti量表、FMA下肢评分、MBI及BBS评分均较治疗前明显提高(P0.01),且观察组高于对照组(P0.05,0.01)。结论:FES辅助踏车系统和MOTOmed智能训练系统均有助于脑卒中早期下肢功能的恢复,而FES辅助踏车系统对下肢功能的改善效果优于MOTOmed智能训练系统。

Effectiveness of early functional electrical stimulation cycling compared to MOTOmed Intelligent Training System on motor function of lower extremity in patients with stroke

Objective: To investigate the effectiveness of early functional electrical stimulation (FES) cycling on motor function of lower extremity and activities of daily living (ADL) in patients with stroke. Methods: Forty inpatients at early stage of stroke were randomized to MOTOmed training group (control group) and FES cycling group (trial group). The following outcome measurements were assessed before and after treatment: ambulation ability (Functional Ambulation Category Scale, FAC), gait and balance ability (Tinetti Balance and Gait Analysis; Berg Balance Scale, BBS), motor function of lower extremity (Fugl-Meyer assessment, FMA), ADL (Modified Barthel index, MBI). Result: After treatment for 6 weeks, the scores of FAC, Tinetti, BBS, FMA and MBI were significantly higher than the baseline (P<0.001) in both two groups, and the scores of Tinetti, BBS, FMA and MBI in the trial group were significantly higher than in the control group (P<0.05). There was no significant difference in scores of FAC between two groups after treatment (P>0.05). Conclusion: Both FES cycling systrem and MOTOmed Intelligent Training System could improve motor function of lower extremity in patient with early stage of stroke. And the early FES cycling training was more effective in promoting the recovery of the lower extremity motor function than MOTOmed Intelligent Training System in patients with stroke.