MOTOmed智能训练联合痉挛肌电刺激对脑卒中病人下肢肌痉挛的临床疗效

目的观察MOTOmed智能训练联合痉挛肌电刺激对脑卒中病人下肢肌痉挛的临床疗效。方法将93例脑卒中后下肢痉挛病人按电脑抽取随机分为常规组、电刺激组、MOTOmed组，常规组采用常规康复训练，电刺激组采用常规康复及痉挛肌电刺激疗法，MOTOmed组在常规康复上增加痉挛肌电刺激及MOTOmed智能训练，每组各31例。采用改良Ashworth评定量表（MAS）、Fugl-Meyer运动功能评定量表（FMA）及改良Barthel指数评定量表（MBI）在治疗前、治疗8周后分别对病人下肢肌张力、运动功能及日常生活活动能力进行评定比较。结果3组病人治疗后与各自治疗前MAS、FMA及MBI评分比较差异均有统计学意义（P < 0.01）。治疗后MOTOmed组与常规组及电刺激组MAS、FMA及MBI评分比较差异有统计学意义（P < 0.01），且MOTOmed组病人疗效明显优于常规组及电刺激组（P < 0.01）。结论MOTOmed智能训练联合痉挛肌电刺激可明显降低卒中后痉挛病人下肢肌张力，改善病人运动功能及日常生活活动能力。

Clinical effect of MOTOmed intelligent training combined with spastic myoelectric stimulation in the treatment of lower limb muscle spasticity in stroke patients

ObjectiveTo investigate the clinical effects of MOTOmed intelligent training combined with spastic myoelectric stimulation in the treatment of lower limb muscle spasticity in stroke patients.MethodsNinety-three stroke patients with posterior lower limb spasm were randomly divided into the conventional group (treated with conventional rehabilitation), electrical stimulation group (treated with conventional rehabilitation combined with spastic myoelectric stimulation) and MOTOmed group (treated with conventional rehabilitation, spastic myoelectric stimulation combined with MOTOmed intelligent training) (31 cases each group).The lower limb muscle tension, motor function and activities of daily living in three groups were evaluated using the modified Ashworth scale (MAS), Fugl-Meyer assessment (FMA) and modified Barthel index (MBI) before treatment and after 8 weeks of treatment, and which among three groups was compared.ResultsThe differences of the MAS, FMA and MBI scores in three groups between before and after treatment were statistically significant (P < 0.01).After treatment, the differences of the scores of MAS, FMA and MBI between MOTOmed group, and conventional and electrical stimulation groups were statistically significant (P < 0.01), and the treatment effect in MOTOmed group was significantly better than that in conventional and electrical stimulation groups (P < 0.01).ConclusionsThe application of MOTOmed intelligent training combined with spastic myoelectric stimulation can significantly decrease the lower limb muscle tension, improve motor function and activities of daily living in stroke patients with muscle spasticity.