Thera-band弹力带结合神经肌肉促通技术对偏瘫患者的影响  

Effects of Proprioceptive Neuromuscular Facilitation Combined with Thera-band on Hemiplegic Patients

作　　者：刘蓓蓓[1] 丁志清[1] 丁勤能[1] 常辰[1] 刘燕[1] 

机构地区：[1]南京军区南京总医院康复医学科,南京210002

出　　处：《神经损伤与功能重建》2016年第2期145-147,共3页Neural Injury and Functional Reconstruction

基　　金：南京军区南京总医院院管课题(2015060)

摘　　要：目的:观察偏瘫患者使用Thera-band弹力带进行两种上肢神经肌肉促通技术(PNF)短时训练时的疗效。方法:脑卒中偏瘫患者28例,测试其训练前安静站立、健手带动患手(方法一)和仅健手(方法二)使用Thera-band弹力带进行PNF D2伸模式训练后足底压力及站位平衡的变化。结果:方法二的患足前半足、整足平均压力低于方法一(P<0.05),压力中心偏移的椭圆轨迹长度、椭圆轨迹包络面积高于方法一(P<0.05)。结论:方法一较方法二对提高患者患侧前足的受力、增加患侧的整体足底压力、调整身体平衡的改善效果更好。Objective： To investigate the hemiplegic patient＇s variation of stance balance by upper limb＇s proprioceptive neuromuscular facilitation（PNF） exercises with Thera-band. Methods： The plantar pressure and variation of stance balance of 28 stroke hemiplegicpatientswere tested before and after exercised with PNFD2 extension by using unaffected hand mobilizing affected hand with Thera-band（method 1） and using unaffected hand only（method 2）.Results： The forefoot pressure and whole foot pressure of affected foot inthe patients exercised with method 2 were lower than that in the patients exercised with method 1（P〈0.05）. The length and area of ellipse trace were higher in the patients exercised with method 2 than that in the patients exercised with method 1（P〈0.05）.Conclusion： Method 1 showed better effect than method 2 on the improvement on forces on forefoot of affected side, whole plantar pressure of the affected foot and adjustment of body balance.

关 键 词：Thera-band弹力带 神经肌肉促通技术 短时训练 足底压力 站位平衡 

分 类 号：R741[医药卫生—神经病学与精神病学] R741.05[医药卫生—临床医学]