高强度电磁刺激治疗痉挛性脑卒中的疗效

Muslim Khan, Aftab Ali, Zakir Khan, Abid Jan, S. Fahad, Samiullah Khan, Mansoor Ahmad, Rakan Abdullah Alwabel
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引用次数: 1

摘要

在脑卒中患者中,痉挛水平可以预测患者的康复结果。目的:评价高强度电磁刺激(HIES)对脑卒中患者的抗痉挛效果。方法:20例痉挛性脑卒中患者随机分为两组;向研究参与者简要介绍了研究的目的和方法,并取得了书面同意。治疗组(TG)采用HIES对中风患者痉挛肌肉进行10次治疗,对照组(CG)进行10次电疗和运动疗法。研究结果采用MAS(改良Ashworth量表)和Barthel指数(BI)分别作为痉挛和患者质量生活的评价指标。1个月治疗计划结束后,根据上述指标的治疗前评分和治疗后评分进行比较。结果:数据分析显示,治疗组的评分明显提高,达到68%,同样,痉挛从开始时的2.86±0.075分下降到MAS的0.58±0.86分,而对照组的评分达到31%,痉挛从开始时的2.45±0.57分下降到MAS的1.49±0.87分。根据Barthel指数,CG和TG分别改善了72%和80%。结论:本研究结果表明,高强度电磁刺激(EMS)在减少脑卒中特异性痉挛方面非常有效。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Effectiveness of High Intensity Electromagnetic Stimulation in Spastic Stroke Patients
In stroke patients, spasticity level allows to predict the patient’s rehabilitation outcome. Objective: To evaluate the anti-spastic effectiveness of high intensity electromagnetic stimulation (HIES) in stroke patients. Methods: Twenty (n=20) spastic stroke patients were assigned randomly into two groups; the study participants were briefed about the aim & methodology of the study & written consent were taken. Ten therapy sessions were given to the stroke’s patient spastic muscles in the treatment group (TG) with HIES, while in the controlled group (CG) 10 electrotherapy session along with kinesiotherapy was delivered. The outcome measures of the study were MAS (Modified Ashworth scale) & Barthel index (BI) was used as, for spasticity and for the patient’s quality life evaluation, respectively. After the one-month therapeutic plan results were obtained & compared based on the pre-treatment score & post-treatment score on the afore-mentioned specified outcome measures. Results: The analysis of data shows that treatment group score improved significantly, up to 68% & similarly, spasticity decreased from 2.86±0.075 in the beginning to 0.58±0.86 points on MAS, while on the other hand, control group score up to 31% enhanced & on the MAS scale, spasticity diminished from 2.45±0.57 in the start to 1.49±0.87 points. As per Barthel index, improvement for CG & TG was 72% & 80% respectively. Conclusions: This study results shows that high intensity electromagnetic stimulation (EMS) is highly effective in the reduction of stroke-specific spasticity.
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