全身振动疗法对脑卒中后偏瘫患者双下肢本体感觉及平衡功能的影响  

Effect of whole body vibration therapy on proprioception and balance function of lower limbs in patients with hemiplegia after stroke

作　　者：魏巍 程凯[2] 杨云 Wei Wei;Cheng Kai;Yang Yun(General Hospital of the Yangtze River Shipping,Wuhan 430010,China)

机构地区：[1]长江航运总医院·武汉脑科医院康复医学科,武汉430010 [2]华中科技大学同济医学院附属梨园医院康复医学科,武汉430000

出　　处：《中国康复》2021年第4期200-203,共4页Chinese Journal of Rehabilitation

基　　金：交通运输部长江航务管理局重点科技项目(201710017)。

摘　　要：目的:观察全身振动疗法对脑卒中后偏瘫患者患侧及健侧下肢本体感觉及平衡功能的影响。方法:将符合纳入标准的60例脑卒中后偏瘫患者按随机数字表法分为全身振动研究组(30例)和对照组(30例)。2组均给予内科疾病药物治疗及常规肢体运动康复训练,每日1次,共持续4周。研究组加用全身振动治疗,设置振动频率为30Hz,振幅2mm,每天1次,每次2min×5组,组间体息2min,4周为1个疗程。于治疗前及治疗4周后运用Pro-Kin 254P型本体感觉定量测试系统采集2组患者患侧及健侧下肢平均轨迹误差(ATE)及测试执行时间(TTE),并比较2组Berg平衡量表(BBS)、简化Fugl-Meyer(FMA)下肢运动功能评分量表评分。结果:经过治疗后,研究组患肢及健肢ATE值、TTE值均较治疗前及对照组治疗后均明显下降(均P<0.05),研究组下肢FMA评分及BBS评分均较治疗前及对照组治疗后明显提高(均P<0.05)。结论:全身振动疗法可改善双侧下肢本体感觉,提高下肢运动控制能力,改善平衡功能,具有便捷、价廉、效优、可量化特点,值得临床推广。Objective:To observe the effects of whole body vibration therapy on proprioceptive and balance ability of the affected and healthy lower limbs of patients with hemiplegia after stroke.Methods:Sixty patients with post-stroke hemiplegia who met the inclusion criteria were divided into the whole body vibration treatment group(30 cases)and the control group(30 cases)according to the random number table method.Both groups were given medical treatment for medical diseases and regular limb movement rehabilitation training once a day for a total of 4 weeks.The treatment group was treated with whole body vibration therapy.The vibration frequency was set to 30 Hz and the amplitude was 2 mm,once a day,2 min each time×5 groups,the body breath between the groups was 2 min,and 4 weeks was a course of treatment.Before and after 4 weeks of treatment,the Pro-Kin 254P proprioceptive quantitative test system was used to collect the average trajectory error(ATE)and test execution time(TTE)of the affected and uninvolved lower limbs of the two groups of patients.The Berg Balance Scale(BBS)and the simplified Fugl-Meyer assessment(FMA)lower extremity motor function scale was compared between the two groups.Results:The ATE value and TTE value in the affected and healthy limbs in the treatment group were significantly lower after treatment than those before treatment.The FMA score and BBS score of the lower limbs in the treatment group were significantly higher than those before treatment and in the control group after treatment(P<0.05).Conclusion:Galileo Delta A vibration therapy instrument can improve proprioception of both lower limbs,increase limb movement ability and inprove balance function in patients with stroke.

关 键 词：振动疗法 脑卒中 偏瘫 本体感觉 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]