Effects of Early Rehabilitation Training Combined with Low-Frequency Pulsed Electrical Stimulation on Limb Motor Function and Neurological Function in Stroke Patients with Hemiplegia
SUN Lin
Department of Rehabilitation, Community Health Service Center of Pengpu Xincun Street, Jing'an District, Shanghai 200435
Abstract:【Objective】To explore the effects of early rehabilitation training combined with low-frequency pulsed electrical stimulation on limb motor function and neurological function in stroke patients with hemiplegia.【Methods】 A total of 108 stroke patients with hemiplegia were randomly divided into two groups, with 54 patients in each group. The control group received early rehabilitation training alone, while the observation group received early rehabilitation training combined with low-frequency pulsed electrical stimulation. After 12 weeks of intervention, therapeutic efficacy, surface electromyography (EMG) indicators of the hemiplegic lower limb, limb motor function [Stroke Rehabilitation Assessment of Movement (STREAM) score], neurological recovery [National Institutes of Health Stroke Scale (NIHSS) score], balance function [Berg Balance Scale (BBS) score], and quality of life [Stroke-Specific Quality of Life Scale (SS-QOL) score] were compared between the two groups before and after intervention.【Results】 The total effective treatment rate in the observation group was significantly higher than that in the control group (P<0.05). After the intervention, BBS, SS-QOL, and STREAM scores were significantly higher in the observation group compared to the control group (P<0.05), while NIHSS scores, maximal M-wave amplitude (Mmax), maximal H-wave amplitude (Hmax), and the Hmax/Mmax ratio in the hemiplegic lower limb were significantly lower than those in the control group (P<0.05).【Conclusion】 Early rehabilitation training combined with low-frequency pulsed electrical stimulation can significantly promote the recovery of limb motor and neurological functions in stroke patients with hemiplegia and effectively improve their quality of life.
孙琳. 早期康复训练联合低频脉冲电刺激治疗对脑卒中偏瘫患者肢体运动及神经功能的影响[J]. 医学临床研究, 2025, 42(8): 1328-1331.
SUN Lin. Effects of Early Rehabilitation Training Combined with Low-Frequency Pulsed Electrical Stimulation on Limb Motor Function and Neurological Function in Stroke Patients with Hemiplegia. JOURNAL OF CLINICAL RESEARCH, 2025, 42(8): 1328-1331.
[1] 单艳华,王靖茹. 脑卒中偏瘫患者社交回避、苦恼现状及其影响因素的调查分析[J].护理实践与研究,2022,19(22):3348-3352. [2] 朱风俊,樊书领,刘冠雄,等. 早期康复训练对脑干出血患者立体定向个体化手术后运动功能和神经功能的影响[J].中华医学杂志,2023,103(45):3670-3675. [3] 刘华,徐冬梅,邓小渝,等. 低频脉冲电刺激辅助治疗老年脑卒中后偏瘫肌痉挛对肌张力恢复的影响[J].中国老年学杂志,2023,43(5):1114-1117. [4] 中华医学会神经病学分会,中华医学会神经病学分会脑血管病学组. 中国各类主要脑血管病诊断要点2019[J].中华神经科杂志,2019,52(9):710-715. [5] 李平,吴钟璇,张云如,等. 中风病诊断与疗效评定标准(试行)[J].北京中医药大学学报,1996,19(1):55-56. [6] 陈君,李泽兵. 脑卒中康复运动功能评定量表的临床应用分析[J].中华物理医学与康复杂志,2002,24(11):667-670. [7] 侯东哲,张颖,巫嘉陵,等. 中文版美国国立卫生院脑卒中量表的信度与效度研究[J].中华物理医学与康复杂志,2012,34(5):372-374. [8] 金冬梅,燕铁斌,曾海辉. Berg平衡量表的效度和信度研究[J].中国康复医学杂志,2003,18(1):25-27. [9] LO S H S, CHANG A M, CHAU J P C. Establishing equivalence of a Chinese version of the stroke specific quality of life measure for stroke survivors[J].Disabil Rehabil,2017, 39(11): 1079-1086. [10] 卫恒,姚晓东. 脑卒中偏瘫病人生活质量影响因素的研究进展[J].中西医结合心脑血管病杂志,2020,18(14):2268-2273. [11] 王欣,孙美玲,路伟,等. 智能运动功能训练联合常规综合治疗对脑卒中偏瘫患者生活质量的影响[J].医学临床研究,2023,40(6):924-926. [12] 满慧静,孙明君,刘亚静,等. 超早期康复训练联合穴位按摩后电针刺激对老年脑卒中偏瘫患者肢体功能及神经功能的影响[J].现代中西医结合杂志,2024,33(8):1128-1132. [13] 李彤,刘永瑞,张芬,等. 基于纽曼系统模式的Nustep-t4运动训练在脑卒中偏瘫病人康复中的应用[J].护理研究,2023,37(24):4458-4464. [14] 徐玉方,宋静,王章钰. 奥塔戈运动训练联合系统化康复护理对脑梗死偏瘫患者日常生活能力及肢体功能的影响[J].国际护理学杂志,2024,43(2):373-376. [15] 谢永权,郭书玲,谢桂芬. 早期康复训练对脑梗死偏瘫患者神经功能及PI3K/AKT信号通路的影响[J].分子诊断与治疗杂志,2023,15(3):454-458. [16] 王鸿滨,郝习君,郭全荣,等. 站立平衡动态提升训练对脑卒中后偏瘫患者平衡、运动功能及生活质量的影响[J].中华物理医学与康复杂志,2024,46(5):417-422.