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| 肌腹电针结合等速训练对脑卒中后膝过伸的影响 |
| Effect of muscle belly electroacupuncture combined with isokinetic training on knee hyperextension after stroke |
| 投稿时间：2025-06-16 修订日期：2025-06-16 |
| DOI： |
| 中文关键词: 脑卒中 膝过伸 等速肌力训练 肌腹电针 |
| 英文关键词: stroke hyperextension of knee isokinetic muscle strength training muscle belly electroacupuncture |
| 基金项目:深圳市龙华区医疗卫生机构区级科研项目（2022082） |
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| 中文摘要: |
| 目的：观察肌腹电针结合等速肌力训练对脑卒中后膝过伸的疗效。方法：脑卒中后膝过伸的患者81例随机分成电针组、等速组、结合组，三组患者均予脑卒中后基础治疗，电针组另予肌腹电针治疗，等速组另予等速肌力训练治疗，结合组另予肌腹电针结合等速肌力训练治疗，共治疗28天，于治疗前、治疗14天、治疗28天予以评定，评定方法包括：①步行50m测试：以舒适速度在数字化跑台上步行50m，进行三维步态分析，同时记录膝过伸次数；②采用Fugl-Meyer下肢运动功能评分（FMA-LE）：评定下肢运动功能；③“起立-行走”计时测试(TUGT)：记录受试者从椅子靠背起身，步行越过3米的警示线后折返再次坐下背靠椅子靠背所用时间。结果：治疗28天后，3组患者步行50m测试步态分析结果、膝过伸次数、FMA-LE评分、TUGT测试均较治疗前进步（P＜0.05）；且结合组治疗效果明显优于其余两组（P＜0.05），电针组和等速组比较差异无统计学意义（P＞0.05）。结论：肌腹电针和等速肌力训练均可在一定程度上改善脑卒中偏瘫患者膝过伸，二者结合治疗脑卒中偏瘫患者膝过伸效果更显著，可有效改善患者下肢运动功能，提高膝关节稳定性及整体步行能力。 |
| 英文摘要: |
| Objective: To observe the clinical effect of muscle belly electroacupuncture combined with isokinetic muscle strength training on knee hyperextension after stroke. Methods: The 80 patients with knee hyperextension after stroke were randomly divided into electroacupuncture group, isokinetic training group and combined group. All the patients in the three groups received basic post-stroke treatment; the electroacupuncture group received additional muscle belly electroacupuncture treatment; the isokinetic training group received isokinetic muscle strength training treatment; the combined group received additional muscle belly electroacupuncture combined with isokinetic muscle strength training treatment. Treatment lasted for 28 days, and evaluations were conducted at baseline, 14 days, and 28 days after treatment.The evaluation methods included: (1) Walking 50m test: walking 50m on a digital treadmill at a comfortable speed, conducting 3D gait analysis, and recording the number of knee hyperextension; (2) Lower limb motor function was evaluated using the Fugl - Meyer Lower Limb Motor Function Score (FMA - LE); (3) The timed up and go test (TUGT) records the time taken for the patient to walk away from the chair back for more than 3 m to return to sitting back again.Results: After 4 weeks of treatment, gait analysis results of 50m walking test, number of knee hyperextension, FMA-LE score and TUGT test of patients in 3 groups were improved compared with those before treatment (P < 0.05). The treatment effect of combination group was significantly better than the other two groups (P < 0.05), and there was no statistical significance between electroacupuncture group and isokinetic training group (P > 0.05). Conclusion: Knee hyperextension in stroke patients with hemiplegia can be improved to a certain extent by both muscle belly electroacupuncture and isokinetic muscle strength training.The combined treatment of knee hyperextension in stroke patients with hemiplegia is more effective, which can effectively improve the lower limb motor function of patients, improve the stability of knee joint and the overall walking ability. |
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