Rehabilitation Effect Of Mirror Therapy Combined With Neuromuscular Electrical Stimulation On Lower Limb Function In Stroke With Hemiplegia

Aim:To observe the effect of neuromuscular electrical stimulation combined with mirror therapy on lower limb function in stroke patients with hemiplegia.Methods:Sixty-five stroke patients with hemiplegia were divided into NMES group(n=32)and combined group(n=33).The NMES group was treated with neuromuscular electrical stimulation on the basis of routine treatment,and the combined group was treated with mirror image therapy on the basis of NMES group.The Fugl-Meyer Lower Extremity Scale(FMA-LE)and Berg Balance Scale(BBS)were evaluated and analyzed before and after treatment for 4weeks.Results:There was no significant difference in general data and pre-treatment evaluation indexes among the two groups(p > 0.05).4 weeks after treatment,the score of FMA-LE increased from 11.67 ±4.33 to 18.52±3.39(t=-7.147,P<0.001),in the combined group and from 10.97±3.82 to 16.59 ±2.94 in the nmes group(t=-6.452,P<0.001).The scores of BBS increased from 17.15 ±7.01 to 30.81±6.02 in the combined group(t=-8.501,P<0.001)and from 15.88 ±5.53 to 26.84 ±5.21 inthe nmes group(t=-8.166,P<0.001).Compared with pre-treatment,the score of FMA-LE and BBS in both groups were significantly improved(p < 0.05).After 4 weeks of treatment,the score of FMA-LE(t=2.596,P < 0.05)and BBS(t=2.844,P < 0.05)in the combined group was significantly higher than that in the nmes group.Conclusion:Neuromuscular electrical stimulation can improve the lower limb function of cerebral apoplexy hemiplegia,and neuromuscular electrical stimulation combined with mirror image therapy can improve the lower limb function of stroke hemiplegia.