爬行训练结合双侧电刺激对脑卒中偏瘫上肢功能的影响

目的探讨爬行训练结合双侧电刺激对脑卒中偏瘫上肢功能的影响。方法60 例脑卒中患者分为治疗组和对照组，均接受基础药物治疗、常规康复，对照组加用单侧电刺激，治疗组加爬行训练和双侧电刺激，共2 个月。治疗前后分别采用改良Ashworth 量表(MAS)、Fugl-Meyer 评定(FMA)及改良Barthel 指数(MBI)进行测评。结果治疗后，两组上肢MAS 评分、FMA评分及改良MBI 评分均较治疗前改善(P<0.05)，治疗组较对照组改善更优(P<0.05)。结论爬行训练结合双侧电刺激能比传统的患侧刺激更好地改善脑卒中偏瘫上肢功能，提高日常生活活动能力。

Effect of Crawling Exercise and Bilateral Electrical Stimulation on Upper Limbs Motor after Stroke

Objective To observe the effect of crawling exercise and bilateral electrical stimulation on the upper limb motor after stroke.Methods 60 stroke patients were divided into experimental group(n=30) and control group(n=30).Both groups received routine therapy.The control group received unilateral electrical stimulation on the upper limbs,and the experimental group received electrical stimulation on bilateral upper limbs and crawling exercise.All the patients were assessed with the modified Ashworth scale(MAS),the Fugl-Meyer assessment(FMA) and the modified Barthel index(MBI) before and after treatment.Results After 8 weeks of treatment,the scores of MAS,FMA and MBI improved in both groups(P<0.05),and improved more in the experimental group than in the control group(P<0.05).Conclusion The crawling exercise and bilateral electrical stimulation can improve the motor of upper limbs and activities of daily living more effectively than the unilateral electrical stimulation after stroke.