| Objective: The spasticity of paralyzed limbs of stroke patients,especially the upper limbs spasticity,will affect the recovery of motor function of patients,and futher affect the activities of daily living of patients to a great extent,and ultimately fail to achieve the goal of high quality of life and return to society.The purpose of this study was to investigate the effects of repetitive peripheral magnetic stimulation(r PMS)on upper limb flexor elbow spasm in patients with paralysis in stroke,and to find a new method to reduce limb spasm,improve motor function,self-care ability and activities of daily living.Methods:From September 2019 to September 2020,a total of 60 patients with elbow flexion spasm of paralyzed upper limb after stroke who received rehabilitation treatment in Rehabilitation Department of Taizhou People’s Hospital were selected and divided into experimental group and control group by random number table method,with a sample size of 30 in each group.Both groups were given conventional drug treatment,including monitoring blood pressure and blood glucose,anti platelet aggregation,lipid regulating and stabilizing plaque,brain protection;And rehabilitation training,including good limb position(antispasmodic position),muscle stretch training,joint active and passive motion,trunk control and turning over,sitting balance training,transfer training,standing balance training,walking training,activities of daily living(ADL)training,etc.The above routine treatment was performed twice a day,40 minutes each time,6 days a week,for 4 weeks.The patients in the experimental group were given repetitive peripheral magnetic stimulation after the above treatment intervention,while the patients in the control group were given sham magnetic stimulation,once a day.Before treatment and after treatment of 4weeks to choose Ashworth scale(MAS)to evaluate the muscle tension,and choose surface electromyography to detect the i EMG of biceps brachii to judge the spasm,choose Fugl-meyer scale upper part(FMA-UE)to assess patients with upper limb movement function,choose modified Barthel index(MBI)to evaluate patient’s activities of daily living.Results: After data collection,the age,gender,course of disease,stroke type and hemiplegic side of the two groups were summarized,and then the general data were statistically analyzed.The results showed that the difference was not statistically significant(P > 0.05),so the two groups were comparable.Before treatment,there was no significant difference in Ashworth grading between the two groups(P = 0.829 > 0.05),and there was no statistically significant difference in biceps IEMG,FMA upper limb(FMA-UE)score and MBI score between the two groups(P= 0.203,0.125 and 0.290,respectively,P > 0.05),indicating comparability.After 4 weeks of treatment,the FMA-UE score of the experimental group and the control group were(32.70 ± 2.82)and(15.50 ± 13.00)respectively,and MBI score of the two groups were(58.67 ± 3.91)and(42.50 ± 26.25)respectively,which were higher than those before treatment.The i EMG of biceps brachii in the two groups were(7.60 ± 6.35)μ v.s and(11.50±5.70)μV.s respectively,which were lower than those before treatment.Ashworth grade of the two groups was also lower than that before treatment.That is to say,after treatment,the spasticity,upper limb motor function and activities of daily living of the two groups were significantly improved(P < 0.05),and the curative effect of the experimental group was more significant than that of the control group,and the differences between the two groups were statistically significant(P <0.05).Conclusion: Repetitive peripheral magnetic stimulation treatment can reduce the paralysis after stroke in a certain extent,lateral arm elbow flexion muscle spasms,and improve the patient’s upper limb movement function and daily life activities ability.This treatment method has important application value in the clinical rehabilitation of hemiplegic patients with limb spasm after stroke. |
PDF Full Text Request