NJF技术对脑梗死患者偏瘫肢体功能及ADL的影响  

The Effects of NJF Training on Hemiplegic Limb Function and Activities of Daily Living in Patients with Cerebral Infarction

作　　者：柳学勇[1,2] 冉春风[2] 

机构地区：[1]遵义医学院,贵州遵义563000 [2]广东省深圳市龙岗中心医院

出　　处：《中国医学创新》2013年第12期23-25,共3页Medical Innovation of China

摘　　要：目的:探讨神经肌肉关节促进法对脑梗死后偏瘫患者的偏瘫肢体功能及日常生活活动能力的康复疗效。方法:将67例急性期的脑梗死患者随机分为观察组与对照组。在常规治疗基础上,观察组患者给予神经肌肉关节促进法训练,对照组给予神经肌肉本体感觉促进技术训练。所有入选患者均分别在治疗前、治疗30d后采用简式Fugl-Meyer运动功能量表评定患者偏瘫肢体的运动功能,改良Barthel指数评定患者的日常生活活动能力(ADL)。结果:与治疗前比较,两组患者治疗30d后的FMA和MBI的评分均有所提高,比较差异具有统计学意义(P<0.05);治疗30d后两组患者的FMA和MBI评分的组间比较,观察组的FMA和MBI评分均高于对照组(P<0.05)。结论:NJF能有效提高急性期脑梗死患者偏瘫肢体运动功能及ADL能力,疗效确切,值得临床推广应用。Objective： To explore the effect of neuromuscular joint facilitation on hemiplegic limb motor function and activities of daily living in the Patients with cerebral infarction.Method： The 67 patients with cerebral infarction were randomly divided into observation group and control group. On the basis of conventional drugs and conventional rehabilitation, the control group was given proprioceptive neuromuscular facilitation training and the observation group was given neuromuscular joint facilitation training once a day which sustained 30 minutes for 30 days.Hemiplegic limb function and activities of daily living of all patients were evaluated and compared by Fugl-Meyer Assessment and modofied Barthel index before and after training. Result： Training after 30 days, FMA and MBI scores of two groups improved compared with the former （ P〈0.05 ）, and the observation group made more progress （ P〈0.05 ） .Conclusion： NJF training can obviously improve hemiplegic limb motor function and activities of daily living of the patients with cerebral infarction, should be recommended.

关 键 词：神经发育疗法 神经肌肉关节促进法 脑梗死 偏瘫 

分 类 号：R743.3[医药卫生—神经病学与精神病学]