踝三针联合运动想象疗法对脑卒中后踝关节功能的影响  

Effect of ankle three-needle combined with motor imagery therapy on ankle joint function after stroke

作　　者：蒋圆艳 徐亚琴[1] 娄玲娣[1] JIANG Yuanyan;XU Yaqin;LOU Lingdi(Rehabilitation Center/Department of Rehabilitation,Zhejiang Provincial People’s Hospital,Hangzhou,Zhejiang 310014,China)

机构地区：[1]浙江省人民医院康复中心/康复医学科,杭州310014

出　　处：《重庆医学》2022年第14期2445-2448,共4页Chongqing medicine

摘　　要：目的分析踝三针联合运动想象(MI)疗法对脑卒中后踝关节功能的影响。方法收集2018-2019年在该院住院的脑卒中恢复期患者153例,筛选出90例患者,分为踝三针组、MI组和联合组,每组30例。3组患者均在常规康复基础上分别接受了踝三针治疗、MI治疗和踝三针与MI联合治疗。对比分析各组伸膝位踝背伸角度、下肢Fugl-Meyer量表评分、Berg平衡量表评分和综合痉挛(CSS)量表评分的差异。结果治疗后联合组的伸膝位踝背伸角度(12.23±2.22)°明显大于踝三针组(8.22±2.01)°和MI组(7.89±1.98)°,差异有统计学意义(P<0.05)。联合组的下肢Fugl-Meyer量表评分[(26.6±3.7)分]和Berg平衡量表评分[(46.5±1.9)分]明显高于踝三针组[(21.7±3.1)、(42.8±1.2)分]和MI组[(23.2±4.8)分、(41.7±2.7)分],差异有统计学意义(P<0.05)。联合组的CSS量表评分[(9.06±1.49)分]明显低于踝三针组[(12.78±1.98)分]和MI组[(12.49±1.68)分],差异有统计学意义(P<0.05)。结论踝三针联合MI疗法可以有效改善脑卒中后踝关节背伸角度、Fugl-Meyer评分和患者的平衡功能,增加踝关节周围肌群张力。Objective To evaluate the effect of ankle three-needle combined with motor imagery(MI)therapy on ankle joint function after stroke.Methods A total of 153 inpatients with stroke recovery stage in this hospital during 2018-2019 were collected.The screened 90 cases were divided into the ankle three-needle group,MI treatment group and combined treatment group,30 cases in each group.On the basis of routine rehabilitation,the three groups received the ankle three-needle therapy,MI therapy and ankle three-needle combined with MI therapy respectively.The differences in the ankle dorsiflexion angle in knee extension location,lower limb Fugl-Meyer score,Berg balance scale score and comprehensive spasticity scale(CSS)score were comparatively analyzed among the three groups.Results The ankle dorsiflexion angle in knee extension location in the combined treatment group was(12.23±2.22)°,which was significantly greater than(8.22±2.01)°in the three-needle treatment group and(7.89±1.98)°in the MI treatment group,and the differences were statistically significant(P<0.05).The Fugl-Meyer score and Berg Balance Scale Score of lower limbs in the combined treatment group were(26.6±3.7)points and(46.5±1.9)points respectively,which were significantly higher than(21.7±3.1)points and(42.8±1.2)points in the three-needle treatment group and(23.2±4.8)points and(41.7±2.7)points in the MI treatment group respectively,and the differences were statistically significant difference(P<0.05).The CSS score in the combined treatment group was(9.06±1.49)points,which were significantly lower than(12.78±1.98)points in the ankle three-needle group and(12.49±1.68)points in the MI treatment group,and the differences were statistically significant(P<0.05).Conclusion Ankle three-needle combined with MI therapy can effectively improve the ankle dorsiflexion angle,Fugl-Meyer score and balance function of the patients after stroke,and increase the muscle group tension around ankle.

关 键 词：针刺 运动想象 踝关节 

分 类 号：R49[医药卫生—康复医学]