水中运动疗法联合电针对恢复期脑卒中患者下肢肌力和平衡功能的影响  

Effects of Water Exercise Therapy Combined with Electroacupuncture on Lower Limb Muscle Strength and Balance Function in Patients with Convalescent Stroke

作　　者：陈颖 张健 郑广昊 王丛笑[1] 郄淑燕[1] Chen Ying;Zhang Jian;Zheng Guanghao(Beijing Rehabilitation Hospital Affiliated to Capital MedicalUniversity, Beijing 100144, China)

机构地区：[1]首都医科大学附属北京康复医院,北京100144 [2]北京市残疾人康复服务指导中心,北京100144

出　　处：《中国康复》2019年第4期191-194,共4页Chinese Journal of Rehabilitation

摘　　要：目的:观察水中运动疗法对恢复期脑卒中下肢肌肉力量、痉挛程度及平衡功能的影响。方法:选取62例恢复期脑卒中患者,分为治疗组(水中运动疗法+常规康复治疗+电针治疗)、对照组(常规康复治疗+电针治疗),每组31例。治疗前及治疗6周后,分别采用等速肌力评定、改良Ashworth痉挛量表(MAS)、临床痉挛指数(CSI)、10m最大步行速度测定(MWS)、Berg平衡量表(BBS)对2组患者进行评定。结果:治疗后,2组患者下肢肌肉力量、MWS、BBS评分均较治疗前显著增加(均P<0.05),MAS分级评分、临床痉挛指数CSI均较治疗前显著降低(P<0.05);治疗后组间比较,观察组下肢肌肉力量、MWS、BBS评分均明显高于对照组(均P<0.05),观察组MAS分级评分、CSI指数均低于对照组(均P<0.05)。结论:水中运动疗法联合电针疗法可有效提高恢复期脑卒中患者下肢肌力,改善患者平衡功能。Objective: To observe the effect of water exercise therapy on muscle strength, spasticity and balance function of lower extremity in convalescent stroke. Methods: All 62 patients with convalescent stroke in Beijing Rehabilitation Hospital were divided into treatment group (water exercise therapy + routine rehabilitation therapy + electroacupuncture) and control group (routine rehabilitation treatment + electroacupuncture), with 31 cases in each group. The patients in both groups were treated with basic therapy. Before and after 6 weeks of treatment, the muscle strength of lower extremity was evaluated by isokinetic muscle strength assessment, and the maximum walking speed (MWS) of 10 meters was measured by the modified Ashworth spasticity scale (MAS), clinical spasticity index (CSI). The muscle strength of lower extremity was measured by Berg balance scale (BBS). The degree of spasticity and balance function were evaluated. Results: After treatment, the scores of muscle strength of lower limbs in both groups were significantly higher than those before treatment ( P < 0.05 ), and CSI was significantly lower than that before treatment ( P < 0.05 ). The BBS score of lower extremity muscle strength in the observation group was significantly higher than that in the control group ( P < 0.05 ). The MAS score and CSI in the observation group were lower than those in the control group ( P < 0.05 ). Conclusion: Water exercise therapy combined with electroacupuncture therapy can effectively improve lower limb muscle strength and balance function of patients with convalescent stroke.

关 键 词：脑卒中 水中运动疗法 电针 肌肉力量 平衡功能 

分 类 号：R49[医药卫生—康复医学] R743.3[医药卫生—临床医学]