Effect of Combined Rehabilitation Training with Intermediate Frequency Electrical Stimulation on Lower Limb Muscle Strength, Urinary Retention and Gait Parameters in Patients with Incomplete Spinal Cord Injury of the Thoracolumbar Segment
GAO Juan, LIANG Junhao, HUANG Ying, et al
Sichuan Orthopaedic Hospital, Sichuan Chengdu 610041, China
Abstract：Objective: To analyze the effects of medium frequency electrical stimulation combined with rehabilitation training on lower limb muscle strength, urinary retention and gait parameters of patients with thoracolumbar incomplete spinal cord injury. Methods: A total of 103 patients with thoracolumbar incomplete spinal cord injury admitted to the hospital between January 2018 and September 2021 were selected as the research subjects. They were divided into combined group (given medium frequency electrical stimulation combined with rehabilitation training, n=52) and conventional group (given conventional rehabilitation training treatment, n=51) according to the simple randomization method. The patients were continuously treated for 12 weeks. The lower limb muscle strength (muscle strengths of quadriceps femoris and tibialis anterior muscle) before and after treatment and improvement status of urinary retention were compared between the two groups of patients. Gait test was conducted to compare the changes in gait parameters such as step length, step frequency and step speed in the two groups before and after treatment. Functional Independence Measure (FIM) was used to compare the independent living ability before and after treatment in the two groups. Results: Generalized estimating equation results showed that muscle strength in both groups was improved, and the improvement of muscle strength in combined group was better than that in conventional group (P<0.05).The clinical effective rate of urinary retention treatment of 94.23% in combined group was higher than 80.39% in conventional group, and the efficacy grading was better in combined group than that in conventional group (P<0.05). There were no significant differences between the two groups of patients in terms of step frequency, step length and step speed before treatment (P>0.05). After treatment, the differences of the above gait parameters before and after treatment in combined group were higher compared with those in conventional group (P<0.05). Before treatment, the differences in scores of dimensions of FIM were not significant between the two groups (P>0.05). The differences of scores of FIM dimensions before and after treatment were higher in combined group compared to conventional group (P<0.05). Conclusion: Medium frequency electrical stimulation combined with rehabilitation training can improve the lower limb muscle strength, help improve the symptoms of urinary retention and gait, and enhance the independent living ability of patients with thoracolumbar incomplete spinal cord injury.
郜娟, 梁俊豪, 黄英, 陈罗西. 中频电刺激联合康复训练对胸腰段不完全性脊髓损伤患者下肢肌力尿潴留及步态参数的影响[J]. 河北医学, 2022, 28(8): 1370-1374.
GAO Juan, LIANG Junhao, HUANG Ying, et al. Effect of Combined Rehabilitation Training with Intermediate Frequency Electrical Stimulation on Lower Limb Muscle Strength, Urinary Retention and Gait Parameters in Patients with Incomplete Spinal Cord Injury of the Thoracolumbar Segment. HeBei Med, 2022, 28(8): 1370-1374.
[1] 曾辉,姚楚亮,杨焱鑫,等.颈椎后路单开门结合椎弓根钉内固定治疗长节段颈脊髓损伤的临床疗效[J].河北医学,2019,25(7):1140-1143. [2] 张俊辉.前后路联合手术治疗颈椎骨折脱位并脊髓损伤的疗效观察[J].医学新知杂志,2019,29(5):506-508. [3] 李彤中,董宿利,董月秋.以葱白为引导中药脐疗伴中频电刺激对脊髓损伤后神经源性膀胱致尿潴留临床疗效的影响[J].河北中医药学报,2021,36(5):22-24. [4] 国际神经修复学会暨中国神经修复学会.脊髓损伤神经修复临床治疗指南(IANR/CANR2019年版)[J].西部医学,2020,32(6):790-802. [5] Kirshblum S,Botticello A,Benedetto J,et al.A comparison of diagnostic stability of the ASIA impairment scale versus frankel classification systems for traumatic spinal cord injury[J].Arch Phys Med Rehabil,2020,101(9):1556-1562. [6] Tsujioka H,Yamashita T.Neural circuit repair after central nervous system injury[J].Int Immunol.2021,33(6):301-309. [7] Lee HL,Yeum CE,Lee H,et al.Peripheral nerve-derived stem cell spheroids induce functional recovery and repair after spinal cord injury in rodents[J].Int Mol Sci,2021,22(8):4141. [8] 彭凯,黄婷,余四海,等.中频电刺激疗法联合康复训练对颈肩腰腿痛患者疼痛、肢体运动功能及预后的影响[J].实用医院临床杂志,2021,18(5):14-17. [9] Enoka RM,Amiridis IG,Duchateau J.Electrical stimulation of muscle:electrophysiology and rehabilitation[J].Physiology(Bethesda),2020,35(1):40-56.
2022, Vol. 28 
冀公网安备13080202000677号