发散式体外冲击波结合常规康复训练对老年脑卒中病人下肢痉挛及步行功能的影响  

Effects of radial extracorporeal shock wave combined with routine rehabilitation training on lower limb spasticity and walking function in elderly patients with stroke

作　　者：王瑞平[1] 陈卓[1] 冯晓东[1] WANG Rui-ping;CHEN Zhuo;FENG Xiao-dong(Rehabilitation Centre,the First Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou 450000,China)

机构地区：[1]河南中医药大学第一附属医院康复中心

出　　处：《实用老年医学》2019年第11期1113-1116,共4页Practical Geriatrics

摘　　要：目的观察发散式体外冲击波(rESW)结合常规康复训练对老年脑卒中病人下肢痉挛及步行功能的影响。方法采用随机数字表法将50例老年脑卒中病人分为对照组和观察组,每组25例。2组均采用常规康复训练,包括物理因子疗法和运动康复训练,在此基础上观察组给予患侧下肢rESW治疗,每周1次,连续6周。治疗前后分别采用改良Ashworth分级法(MAS)、简化Fugl-Meyer评定(FMA)、三维步态分析仪评估病人步行功能的改善情况。结果治疗前,2组病人的各项指标差异均无统计学意义(P>0.05),经过6周治疗,2组的MAS、FMA及三维步态参数各项指标均明显改善(P<0.05),且治疗后观察组的MAS、FMA及三维步态参数(除摆动相及髋屈曲最大角外)各项指标均明显优于对照组,差异有统计学意义(P<0.05)。结论常规康复训练结合rESW治疗能更有效地改善早期老年脑卒中病人步行功能,其效果优于单纯常规康复治疗。Objective To observe the effects of radial extracorporeal shock wave(rESW)combined with routine rehabilitation training on lower limb spasticity and walking function in the elderly patients with stroke.Methods Fifty elderly patients with stroke were randomly divided into control group and observation group,with 25 cases in each group.The two groups were treated with routine rehabilitation training,including physical factor therapy and exercise rehabilitation training.On this basis,the observation group was treated with rESW additionally,1 time a week for 6 weeks.The modified Ashworth classification(MAS),simplified Fugl-Meyer assessment(FMA)and three dimensional gait analyzer were used to evaluate the improvement of the patients'walking function.Results There were no significant differences in all the indexes between the two groups before treatment(P>0.05).After 6 weeks of treatment,the indexes of MAS,FMA and three dimensional gait parameters of the two groups were obviously improved(P<0.05),especially in the observation group(P<0.05)except for the swing phase and the maximum hip flexion angle.Conclusions Routine rehabilitation training combined with rESW therapy can improve the walking function of the patients with early stroke more effectively.

关 键 词：发散式体外冲击波 脑卒中 步行功能 

分 类 号：R743[医药卫生—神经病学与精神病学]