神经松动结合康复训练对脑卒中踝关节运动功能障碍的临床疗效观察  

Clinical effect observation of nerve mobilization combined with rehabilitation exercises in the treatment of ankle dyskinesia of stroke patients

作　　者：李鹏程[1] 陈小霞[1] 陈奇刚[1] 赵亚丽[1] 和智娟 陈红波[1] 崔婷[1] 顾力华[1] 

机构地区：[1]昆明市中医医院康复科,650011

出　　处：《中国疗养医学》2018年第12期1239-1241,共3页Chinese Journal of Convalescent Medicine

基　　金：昆明市科技计划项目(昆科计字2017-1-S-15970);昆明市卫生科技人才培养项目[SW(技)-43]

摘　　要：目的观察神经松动结合康复训练对脑卒中后患者踝关节运动功能障碍的临床疗效。方法选取某院康复科于2018年1月至6月收治的60例脑卒中后伴有踝关节运动功能障碍的患者作为研究对象,采用随机数表法分为实验组和对照组,其中实验组30例,对照组30例。对照组采用常规的踝关节康复训练,实验组在对照组治疗基础上配合踝关节神经松动治疗,两组均治疗4周。治疗前及治疗4周后分别采用综合痉挛量表(CSS)、简式Fugl-Meyer下肢运动功能评分量表(FMA)、改良Barthel指数评定量表(MBI)及踝关节关节活动度测量来评定踝关节的痉挛程度、下肢运动功能、日常生活活动能力及踝关节的关节活动度(A-ROM,P-ROM)。结果治疗4周后两组患者踝关节的痉挛程度、下肢运动功能及日常生活活动能力均较治疗前有所改善(P<0.05),且实验组显著优于对照组(P<0.05)。治疗4周后实验组踝关节主动关节活动度较对照组有所改善(P<0.05)。结论神经松动结合康复训练在脑卒中后踝关节运动功能障碍的治疗中具有一定的临床疗效,能有效改善患者踝关节运动功能。Objective To observe the clinical effect of nerve mobilization combined with rehabilitation exercises inthe treatment of ankle dyskinesia of stroke patients.Methods 60 cases of patients with ankle dyskinesia after strokeadmitted in the rehabilitation department of a hospital from January to June, 2018 were selected as the research sub-jects and randomly divided into the experimental group and the control group in accordance with the random numbertable, with 30 cases in each goup.The control group was given routine ankle rehabilitation exercises while the experi-mental group was given ankle nerve mobilization treatment and rehabilitation exercises.The two groups were both giv-ena four-course treatment.Before the treatment and4 weeks after the treatment, composite spasticity scale（CSS）, sim-plified Fugl-Meyer lower limb motor function rating scale（FMA）, modified Barthel Index（MBI） and ankle joint move-ment were used to evaluate the ashworth of ankle joints, lower limb motor function, activities of daily living and mo-tion of ankle joints （A-ROM, P-ROM）.Results 4 weeks after the treatment, the ashworth of ankle joints, lower limbmotor function, activities of daily living were improvement compared with those before the treatment and the differ-ence was of statistical significance（ P〈0.05）.The improvement of the experimental group was significantly better thanthat of the control group and the difference showed statistical significance（P 〈0.05）.4 weeks after the treatment, themotion of ankle joints of the experimental group was improved compared with that of the control group and differ-ence showed statistical significance（P 〈0.05）.Conclusion Nerve mobilization combined with rehabilitation exerciseshada certain clinical effect on stroke patients with ankle dyskinesia and could effectively improve motor function ofankle joints of patients.

关 键 词：神经松动 脑卒中 踝关节 

分 类 号：R743.3[医药卫生—神经病学与精神病学]