Influence of rehabilitation exercise combined low frequency electrical stimulation on lower extremity muscle strength and neurological motor function in patients with lower extremity dysfunction after is‐
10.3969/j.issn.1008-0074.2019.04.01
- VernacularTitle:康复运动联合低频电刺激对缺血性脑卒中后下肢功能障碍患者下肢肌力及神经运动功能的影响
- Author:
Li‐juan SHUI
1
Author Information
1. 达州市中心医院神经内科
- Keywords:
Stroke;
Exercise therapy;
Electric stimulation therapy
- From:
Chinese Journal of cardiovascular Rehabilitation Medicine
2019;28(4):389-393
- CountryChina
- Language:Chinese
-
Abstract:
To observe therapeutic effect of continuous rehabilitation exercise combined low‐frequency e‐lectrical stimulation on patients with low extremity dysfunction after ischemic stroke and its influence on patients'lower extremity muscle strength and neurological motor function .Methods : A total of 94 patients with lower ex‐tremity dysfunction after ischemic stroke were randomly and equally divided into electrical stimulation group (re‐ceived low frequency electrical stimulation ) and combined treatment group (received continuous rehabilitation exer‐cise based on electrical stimulation group ).Therapeutic effect after three‐month treatment , lower extremity muscle strength and neurological motor function before and after treatment were evaluated , compared and analyzed be‐tween two groups .Results : After treatment , total effective rate of combined treatment group was significantly higher than that of electrical stimulation group (87. 23% vs.68.09%, P=0.026).Compared with electrical stimu‐lation group after treatment , there was significant reduction in lower extremity muscle strength score [ (1.96 ± 0.45) scores vs .(1. 43 ± 0. 41) scores] , significant rise in scores of Fugl‐Meyer movement scale [FMMS , (24. 54 ± 3.76) scores vs.(29. 98 ± 3. 82) scores] , Barthel index of activities of daily living (ADL ) [BI , (69. 02 ± 6.29 ) scores vs .(79. 46 ± 6. 35 ) scores] , Berg balance scale [BBS , (44.56 ± 5.71 ) scores vs .(52.14 ± 5.79 ) scores] , Holden walking function [ (3.92 ± 0. 46) scores vs .(4.61 ± 0.49) scores] and Tinetti gait analysis [ (6. 57 ± 1.13) scores vs .(8. 06 ± 1. 24) scores] in combined treatment group , P=0.001 all.Conclusion : Continuous rehabilitation exercise combined low frequency electrical stimulation can significantly enhance lower extremity muscle strength , improve neurological motor function , improve ADL in patients with lower extremity dysfunction after ischemic stroke , which is worth extending .