低频神经肌肉电刺激联合机器人康复训练对脑梗死后偏瘫患者的疗效
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中图分类号R493 文献标识码A 文章编号2096-7721（2025）06-0983-06
Clinical efficacy of low-frequency neuromuscular electrical stimulation combined with robot-assisted rehabilitation training in hemiplegic patients after cerebral infarction
WANG Gang，ZHANGBihua，HU Xia （DepartmentofRehabilitation，WujinHospitalof TCM，Changzhou，China）
AbstractObjective：Toexploretheclinical effcacyoflow-frequencyneuromuscularelectricalstimulation（NMES）combined with robot-astedrhabiltationtraiinginreatinghemiplegiaaftercerebralifarction.Methods：06hmiplegicpatientshoweereated atWujinHospitalofTCMfromMarch2O21toJanuaryO24wereenroled.Theywererandomlydividedintotheobservationgroup（n53） and the control group n =53） using computer-generated randomization.Thecontrol group received low-frequency NMES alone， while the observationgroupreceivedadditionalrobot-assistedrehablitationtrainingbasedonlow-frequencyNMES.Outcomesincludedmuscle tone，posturalabilityalcfuctioupprorlborctio（ug-eyerssssmtfoUpperowerEresE/ LE），andmaximumM-wave/H-waveamplitudes.Results：Aftertreatment，theModifiedAshworthSale（AS）scoresintetwogoups werebothdecreasedcomparedtothosebeforetreatment，withagreaterreductionintheobservationgroupthanthecontrolgroup（ P <0.05）. Theareaofcnterofgavityovement，lengthofenterofgavityovement，ompetiontieoftesting，ndaveagetrajetoyin both groups decreased，which were smaller in the observation group than the control group （ P <0.05）.After treatment， the scoresof FMAUE，FMA-LE，and walking balancefunction intheobservation group were allhigher than those inthecontrol group（ P <0.05）. Maximum M-wave （Mmax）and H-wave（Hmax）amplitudes inlimbs decreased after treatment，with lower values intheobservation group（ P <0.05）. Conclusion：CombinnglowfrequencyNMESwithbot-assstedreabilitationtrainingcanefectielyeducemuscletonemproeotor coordinationand balance，and enhance limb motor function recovery in hemiplegic patients aftercerebralinfarction.
KeyWordsCeralfarcio;mpleia;LofrqromulaEletcaltua;ehbilaoobot;Rhabilito
脑梗死后偏瘫是由于脑供血中断导致神经组织损伤而引起的并发症，以一侧肢体的运动功能障碍为典型体征。（剩余10888字）