感觉性共济失调型急性格林-巴利综合征康复治疗个案分析  

Rehabilitation of Sensory Ataxic Acute Guillain-Barre Syndrome: A Case Study

作　　者：李鑫[1] 陈颖蓓[1] 李奎[1] 

机构地区：[1]中山大学附属第三医院康复医学科,广东广州市510630

出　　处：《中国康复理论与实践》2013年第10期975-977,共3页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的观察基于运动控制的综合康复治疗对1例共济失调型急性格林-巴利综合征患者的疗效。方法运用本体感觉神经肌肉促进技术、协调性训练、功能训练、平衡训练等基于运动控制的运动疗法以及四肢末端感觉刺激、四肢联动、压力循环治疗等感觉运动治疗对1例共济失调型急性格林-巴利综合征患者进行2个月的综合康复治疗。结果治疗2个月后,患者国际合作共济失调评定量表(ICARS)下降36分,日常生活活动分析评估表提高9分,Berg平衡量表提高9分,改良Barthel指数提高50分。结论基于运动控制的综合康复治疗对该例共济失调型急性格林-巴利综合征患者疗效显著,但尚需进行病例积累和系统化疗效评价。Objective To observe the effect of comprehensive rehabilitation based on motor control on sensory-ataxic acute Guillain-Barre syndrome. Methods A patient with sensory-ataxic acute Guillain-Barre syndrome was treated with kinesitherapy based on motor con-trol, included proprioceptive neuromuscular facilitation, coordination training, functional training, balance training, as well as sensory stimu-lation on the end of arms and legs, recumbent cross trainer therapy and cycle therapy for 2 months. Results After treatment, the score of In-ternational Cooperative Ataxia Rating Scale (ICARS) decreased 36 points, activities of daily living increased 9 points, Berg Balance Scale increased 9 points, and modified Barthel Index increased 50 points. Conclusion The comprehensive rehabilitation based on motor control is effective on this patient, but more cases and systematic curative effect evaluation are needed.

关 键 词：运动控制 感觉性共济失调 格林-巴利综合征 康复治疗 

分 类 号：R744.5[医药卫生—神经病学与精神病学]