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| Therapeutic Effect of Low-Frequency Neuromuscular Electrical Stimulation Combined with Robot-Assisted Rehabilitation Training in Patients with Post-Stroke Hemiplegia |
| REN Xiaoru, PAN Yungao, MA Yanna |
| Department of Neurology, Nanle Zhongxing Hospital, Puyang Henan 457400 |
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Abstract 【Objective】 To investigate the therapeutic effect of low-frequency neuromuscular electrical stimulation(NMES) combined with robot-assisted rehabilitation training in patients with post-stroke hemiplegia.【Methods】 A total of 118 patients with post-stroke hemiplegia were divided into a control group(n=62, treated with robot-assisted rehabilitation training alone) and an observation group(n=56, treated with low-frequency NMES combined with robot-assisted rehabilitation training) according to different treatment methods. The efficacy, changes in muscle tone [Modified Ashworth Scale(MAS)], neuro-electrophysiological parameters, neurological function, motor function, and quality of life before and after treatment were compared between the two groups.【Results】 The total effective rate was 94.64%(53/56) in the observation group, which was significantly higher than 83.87%(52/62) in the control group(P<0.05). After treatment, MAS scores and levels of central nervous system-specific protein S-100β in both groups were significantly lower than those before treatment, with even lower values in the observation group compared to the control group(P<0.05). Fugl-Meyer Assessment(FMA) scores, Berg Balance Scale(BBS) scores, Modified Barthel Index(MBI), sensory and motor nerve conduction velocities of the peroneal and tibial nerves, as well as levels of brain-derived neurotrophic factor and nerve growth factor, were significantly increased in both groups after treatment(P<0.05). After treatment, the above indicators in the observation group were higher than those in the observation group(P<0.05).【Conclusion】 Low-frequency NMES combined with robot-assisted rehabilitation training can effectively improve muscle tone, neuro-electrophysiological parameters, neurological and motor functions in patients with post-stroke hemiplegia, thereby enhancing treatment efficacy and improving quality of life.
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Received: 23 April 2025
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2025, Vol. 42 
