Background

Acute cerebrovascular accident poses a threat to the health of the nation. Dynamic electric neurostimulation decreases the excitability of the receptor apparatus, optimize microcirculatory processes, analgesic and antispasmodic effects.

Methods

This article discusses the rehabilitation of 96 men and women with post-stroke spasticity, mean age of 60.51 ± 4.9 years, in the early recovery period after ischemic stroke, randomized into 4 equal groups: Group 1 received botulinum toxin therapy in combination with dynamic electric neurostimulation and basic therapy, including massage and therapeutic exercises; Group 2 -botulinum toxin therapy and basic therapy; Group 3 – dynamic electric neurostimulation and basic therapy; Group 4 – basic therapy only. Study methods included the use of the Modified Asworth Scale to assess spasticity, the Rivemead Motor Assessment test, and goniometry to assess the range of joint movements.

Results

During a three-week observation, it was found that the inclusion of botulinum toxin therapy and dynamic electrical neurostimulation in the standard therapy of post-stroke spasticity in patients after ischemic stroke in the early recovery period contributed to patients’ recovery.

Conclusions

Botulinum toxin therapy and dynamic electrical neurostimulation contributed to a more significant decrease in spasticity in the proximal and distal parts of the paretic upper extremity. It is also increased the amplitude of voluntary movements in the affected shoulder, elbow, and wrist joints, compared to the separate use of botulinum toxin therapy and dynamic electric neurostimulation as part of basic rehabilitation.

中文翻译：

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脑卒中后痉挛患者动态神经电刺激和肉毒杆菌毒素疗法的综合使用

背景

急性脑血管意外对国家健康构成威胁。动态电神经刺激会降低受体设备的兴奋性，优化微循环过程，止痛和解痉作用。

方法

本文讨论了96名患有中风后痉挛的男性和女性的康复，平均年龄为60.51±4.9岁，在缺血性中风后的早期恢复期中随机分为4组：第1组接受肉毒杆菌毒素疗法联合动态电疗法神经刺激和基础治疗，包括按摩和治疗性锻炼；第2组-肉毒杆菌毒素疗法和基础疗法；第三组–动态电神经刺激和基础治疗；第4组–仅基础治疗。研究方法包括使用改良的Asworth量表评估痉挛，Rivemead运动评估测试和测角法评估关节运动范围。

结果

在为期三周的观察中，发现在早期恢复期缺血性中风后的患者中风后痉挛的标准疗法中包括肉毒杆菌毒素疗法和动态电神经刺激，有助于患者的康复。

结论

肉毒杆菌毒素治疗和动态电神经刺激有助于显着减少上肢近端和远端的痉挛。与肉毒杆菌毒素疗法和动态电神经刺激分别作为基础康复的一部分相比，它还会增加受影响的肩膀，肘部和腕关节的自发运动幅度。