Preliminary Study on Effect of Motor Imagery Combined With Low-Frequency Pulsed Electrical Stimulation Therapy on Upper Limb Function of Young Stroke Patients

Yufeng Wang, Nacima Chen, Jun Chen, Xiang Li, Li Sun, Yi Bao
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Abstract

Background: To observe and explore the clinical effect of motor imagery therapy (MIT) combined with low-frequency pulsed electrical stimulation therapy (LFPEST) on improving upper limb function in young stroke patients. Methods: Eighty-one young stroke patients with hemiplegia were divided into MIT group, LFPEST group and combined treatment group. Fugl-Meyer assessment (FMA), functional test hemiplegic upper extremity (FTHUE) and modified Barthel Index (MBI) were used to evaluate the upper limb function and activities of daily living before and 6 weeks after treatment. Results: After treatment, the FMA score, FTHUE grading and MBI score of the combined treatment group and the MIT group were significantly higher than those of the LFPEST group (P < 0.05), and the curative effect of the combined treatment group was significantly higher than that of the MIT group (P < 0.05). Conclusions: MIT combined with LFPEST has more obvious curative effect than LFPEST and MIT, which can significantly improve the upper limb function, hand function and daily living ability of young stroke patients with hemiplegia. J Neurol Res. 2021;000(000):000-000 doi: https://doi.org/10.14740/jnr661
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运动想象联合低频脉冲电刺激治疗对青年脑卒中患者上肢功能影响的初步研究
背景:观察和探讨运动意象疗法(MIT)联合低频脉冲电刺激疗法(LFPEST)改善青年脑卒中患者上肢功能的临床效果。方法:81例青年脑卒中偏瘫患者分为MIT组、LFPEST组和联合治疗组。采用Fugl-Meyer评分(FMA)、功能性测试上肢偏瘫(FTHUE)和改良Barthel指数(MBI)评价治疗前和治疗后6周上肢功能和日常生活活动能力。结果:治疗后,联合治疗组和MIT组的FMA评分、FTHUE评分、MBI评分均显著高于LFPEST组(P < 0.05),联合治疗组的疗效显著高于MIT组(P < 0.05)。结论:MIT联合LFPEST比LFPEST联合MIT疗效更明显,可显著改善青年脑卒中偏瘫患者的上肢功能、手部功能和日常生活能力。J Neurol Res. 2021;000(000):000-000 doi: https://doi.org/10.14740/jnr661
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