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电针联合踝关节训练器对卒中后足下垂的临床疗效观察
作者姓名:王玉良  胡华刚  隋瑞峤  肖敏佳  武亮
作者单位:北京小汤山医院中西医结合康复科;北京小汤山医院中西医结合慢性病康复研究室
基金项目:北京小汤山医院院内课题(基于表面肌电信号电针联合踝关节训练器对脑卒中后足下垂的临床研究,编号:2016-11-15)。
摘    要:目的 观察电针联合踝关节训练器对卒中后足下垂的临床疗效.方法 将符合纳入标准的60例卒中后足下垂患者,根据随机数字表分为对照组和治疗组,各30例.对照组给予常规康复训练以及普通针刺治疗,每天1次,以6天为1个疗程,治疗6天休息1天,共治疗6周;治疗组在常规康复训练基础上增加踝关节训练器以及电针治疗,每天1次,以6天为1...

关 键 词:电针  脑卒中  足下垂  踝关节训练器

Electric needles combined with ankle trainers to observe the clinical efficacy of foot sagging after stroke
Authors:WANG Yuliang  HU Huagang  SUI Ruiqiao  XIAO Minjia  WU Liang
Institution:(Rehabilitation department of integrated traditional Chinese and Western Medicine,Beijing Xiaotangshan Hospital,Beijing 102211,China;Chronic disease rehabilitation Laboratory of integrated traditional Chinese and Western Medicine,Beijing Xiaotangshan Hospital,Beijing 102211,China)
Abstract:Objective To observe the clinical effect of electroacupuncture combined with ankle joint trainer on foot drop after stroke.Methods 60 patients with poststroke foot drop were divided into control group(N=30)and Treatment Group(N=30).The Control Group was given routine rehabilitation training and general acupuncture treatment once a day for 6 days as a course,treatment 6 days rest 1 day,a total of 6 weeks of treatment;In the treatment group,the ankle joint trainer and electro-acupuncture therapy were added on the basis of routine rehabilitation training,once a day,with 6 days as a course of treatment and 6 days rest and 1 day rest for 6 weeks,before and after treatment,the affected side Tibialis anterior muscle,triceps SURAE and ankle dorsiflexion activity were examined.Results There was no significant difference in ankle joint mobility between the two groups before and after treatment(P>0.05).The ankle mobility of the two groups was significantly improved after treatment(P<0.01).There was no significant difference between the two groups before treatment(P>0.05).After treatment,the surface EMG Max of Tibialis anterior and triceps Surae of both groups were significantly higher than that before treatment(P<0.01).The change rate of SEMG in the treatment group was higher than that in the control group(P<0.05).Conclusion Electro-acupuncture combined with ankle joint training device can improve the mobility of foot and ankle joint and improve walking function after stroke.
Keywords:electroacupuncture  stroke  foot drop  Ankle Joint Trainer
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