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目的研究步态诱发功能性电刺激与减重平板训练同步治疗及两者分离治疗对脑卒中患者步行功能的影响。方法 60例脑卒中患者随机分为观察组和对照组,各30例。两组均采用规范的常规治疗,在此基础上,观察组采用步态诱发功能性电刺激与减重平板训练同步治疗,对照组采用步态诱发功能性电刺激与减重平板训练分离治疗。治疗前后进行步速、左右步幅差、踝关节活动度(AROM)、Fugl-Meyer运动功能量表(FMA)下肢部分、日常生活活动评分(ADL)比较。结果治疗后两组上述指标均明显优于治疗前,且观察组优于对照组,差异均有统计学意义(P<0.05)。结论诱发功能性电刺激与减重平板训练同步治疗是可行的,其治疗效果明显优于两者分离治疗。
Objective To study the effect of synchronized gait-induced electrical stimulation and weight-loss plate training and their separate treatment on stroke function in patients with stroke. Methods Sixty stroke patients were randomly divided into observation group and control group, with 30 cases in each group. Both groups were treated by standard routine treatment. On this basis, the observation group was treated with gait-induced functional electrical stimulation and weight-loss plate training simultaneously, while the control group was treated with gait-induced functional electrical stimulation and weight-loss plate training. Before and after treatment, the pace, left and right stride difference, ankle mobility (AROM), Fugl-Meyer Motor Function Scale (FMA) lower extremity, daily life activity score (ADL) comparison. Results After treatment, the above indexes in both groups were significantly better than those before treatment, and the observation group was better than the control group, the differences were statistically significant (P <0.05). Conclusions Simultaneous treatment of functional electrical stimulation and weight-loss plate training is feasible, and its therapeutic effect is obviously better than that of two separate treatments.