发散式冲击波联合痉挛肌电刺激治疗脑卒中偏瘫患者肱二头肌痉挛的效果

doi:10.3969/j.issn.1006-5725.2025.04.010

Abstract

Abstract:

Objective A study of the therapeutic effect of the treatment of biceps brachii spasticity in hemiplegic patients with stroke by radial extracorporeal shock wave therapy combined with spastic muscle electrical stimulation. Methods Select 98 cases of biceps spasticity hemiplegic patients admitted and intervened in rehabilitation in the Zhongshan Hospital Xiamen University from June 2022 to June 2024， and randomly assign the patients to two different groups， each with 49 cases， using a random method. The controlled group received spastic muscle electrical stimulation treatment for the affected upper limb biceps （the “Controlled Group”）， while the observation group received radial extracorporeal shock wave therapy combined with spastic muscle electrical stimulation treatment （the “Observation Group”）. After two months of intervention， the changes in muscle tone， activities of daily living， quality of life， improvement in motor function performance， as well as rehabilitation satisfaction and compliance were compared between the two groups. Results After the intervention， the modified Barthel index and the upper limb FMA scores of the Controlled Group were lower than those of the Observation Group （P < 0.05）； the muscle tone assessment MAS scale score of the Controlled Group was higher than that of the Observation Group （P < 0.05）； the rehabilitation satisfaction and compliance of the Controlled Group were lower than those of the Observation Group （P < 0.05）； the quality of life scores in all aspects of the Controlled Group were lower than those of the Observation Group （P < 0.05）. Conclusion The application of radial extracorporeal shock wave therapy combined with spastic muscle electrical stimulation treatment in treating biceps spasticity in hemiplegic patients with stroke can reduce the muscle tone of the patient′s biceps， alleviate spasticity， enhance the patient's motor performance and self-care ability， as well as improve their overall quality of life， and there is no concomitant medication， which is highly safe and worth promoting.

Key words: stroke, hemiplegia, biceps brachii spasticity, radial extracorporeal shock wave therapy, spastic muscle electrical simulation, motor function, activities of daily living, quality of life

CLC Number:

R493

Jianhua JIANG,Renze SHEN,Fei QIU,Jianquan. HE. Clinical study on the treatment of biceps brachii spasticity in hemiplegic patients with stroke by radial extracorporeal shock wave therapy combined with spastic muscle electrical stimulation[J]. The Journal of Practical Medicine, 2025, 41(4): 529-535.

Figures/Tables 4

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References 35

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组别	例数	上肢FMA前测	上肢FMA后测	改良Barthel指数前测	改良Barthel指数后测
对照组	49	46.16 ± 3.79	57.27 ± 5.83	43.04 ± 9.06	57.61 ± 4.49
观察组	49	45.31 ± 4.25	62.53 ± 5.03	46.24 ± 8.73	69.27 ± 4.90
t值		1.05	-4.79	-1.78	-12.27
P值		0.295	< 0.001	0.078	< 0.001

时间	对照组（n = 49）	观察组（n = 49）	Z值	P值
干预前	3.00（2.00， 3.00）	3.00（2.00， 3.00）	-0.34	0.734
干预后	2.00（1.00， 2.00）	1.00（1.00， 2.00）	-3.38	< 0.001
Z值	-3.94	-5.17
P值	< 0.001	< 0.001

组别	例数	躯体功能前测	躯体功能后测	社会功能前测	社会功能后测	物质生活状态前测	物质生活状态后测	心里功能前测	心理功能后测
对照组	49	69.49 ± 6.33	81.06 ± 5.97	63.96 ± 6.24	74.51 ± 5.39	66.47 ± 2.97	80.16 ± 3.44	57.94 ± 4.18	70.51 ± 5.12
观察组	49	67.43 ± 4.97	88.80 ± 4.51	65.06 ± 5.30	84.86 ± 7.41	66.00 ± 4.50	88.22 ± 4.57	57.55 ± 5.72	81.39 ± 5.20
t值		1.79	-7.24	-0.94	-7.90	0.61	-9.88	0.38	-10.43
P值		0.076	< 0.001	0.349	< 0.001	0.544	< 0.001	0.702	< 0.001

项目	观察组（n = 49）	对照组（n = 49）	χ2值	P值
遵医治疗			10.73	0.001
无	1（2.04）	12（24.49）
有	48（97.96）	37（75.51）
定期复查			12.03	< 0.001
无	2（4.08）	15（30.61）
有	47（95.92）	34（69.39）
遵医饮食			6.38	0.012
无	3（6.12）	12（24.49）
有	46（93.88）	37（75.51）
治疗方法			13.34	< 0.001
无	2（4.08）	16（32.65）
有	47（95.92）	33（67.35）
治疗效果			8.61	0.003
无	3（6.12）	14（28.57）
有	46（93.88）	35（71.43）
治疗形式			7.47	0.006
无	3（6.12）	13（26.53）
有	46（93.88）	36（73.47）

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Clinical study on the treatment of biceps brachii spasticity in hemiplegic patients with stroke by radial extracorporeal shock wave therapy combined with spastic muscle electrical stimulation

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