疏经通督推拿联合背屈踝足矫形器对偏瘫患者步行能力影响的临床研究  

Clinical Research of Du Meridian-dredging Method Combined with Dorsiflexion Ankle Foot Orthotics on Walking Ability in Patients with Hemiplegia

作　　者：冯慧[1] 陈攻[1] 潘化平[1] 吴云川[2] 

机构地区：[1]南京市江宁医院康复医学科,江苏南京211100 [2]南京中医药大学第二临床医学院,江苏南京210023

出　　处：《南京中医药大学学报》2016年第6期532-536,共5页Journal of Nanjing University of Traditional Chinese Medicine

基　　金：南京市科技发展计划项目(2015sc516010);南京医科大学科技发展计划项目(南医大科2015(20)号);南京市医学科技发展计划项目(YKK15145)

摘　　要：目的观察疏经通督推拿治疗联合背屈踝足矫形器对偏瘫患者步行能力的影响。方法 121例缺血性脑卒中偏瘫患者随机分为治疗组（61例）、对照组（60例）,对照组采用Bobath技术为主的治疗,佩戴踝足矫形器;治疗组在常规康复训练的基础上加用疏经通督推拿治疗,佩戴踝足矫形器,2组患者均进行8周治疗。比较2组患者治疗前后的躯干下肢运动功能评分、10m最大步行速度（MWS）、步态时间-空间参数及时相参数,以及步行过程中膝关节屈伸角度的变化。结果 2组患者治疗前后2组患者观察指标的变化,治疗组明显优于对照组,差异有显著性意义（P〈0.05-0.01）。结论疏经通督推拿联合背屈踝足矫形器可以纠正膝过伸,改善偏瘫患者肢体运动功能和步行能力。OBJECTIVE To observe the influence of Du meridian-dredging method combined with dorsiflexion ankle foot orthotics on walking ability in patients with hemiplegia.METHODS 121 ischemic stroke patients with hemiplegia were divided into the treatment group（n=61）and the control group（n=60）using random single blind control method.Conventional rehabilitation trainings including Bobath technology and ankle-foot orthoses were given to patients in the control group,while those in the treatment group were further given meridian dredging massage.The treatment lasted for 8weeks in total.Variation of parameters before and after treatment were compared including lower limb movement function score,the fastest walking velocity measured over 10 meters,gait space,time parameters,as well as angle of knee flexion and extension during walk in two groups were compared.RESULTS Before the treatment,all parameters had no significant difference between two groups（P〈0.05）.After 8weeks,there was a significant difference on all parameters of both groups（P〈0.01）,but the treatment group improved much more than the control group（P〈0.05）.CONCLUSION The meridian dredging massage with dorsiflexion ankle foot orthotics can improve movement function and walking ability in patients with hemiplegia.

关 键 词：脑卒中 疏经通督 推拿 运动 步态 康复 

分 类 号：R255.2[医药卫生—中医内科学]