电针联合肌力训练治疗卒中后足内翻的疗效观察及对肌肉形态和踝关节肌力的影响  

Efficacy observation of electroacupuncture combined with muscle strength training for post-stroke strephenopodia and its effects on muscle morphology and ankle muscle force

作　　者：孟海超[1] 王正田 曲淑婕 常永霞[1] 郝丽莎 MENG Haichao;WANG Zhengtian;QU Shujie;CHANG Yongxia;HAO Lisha(The First Affiliated Hospital of Hebei North University,Zhangjiakou 075000,China)

机构地区：[1]河北北方学院附属第一医院,张家口075000

出　　处：《上海针灸杂志》2023年第2期116-120,共5页Shanghai Journal of Acupuncture and Moxibustion

基　　金：河北省医学科学研究项目(20200540)。

摘　　要：目的观察电针拮抗疗法联合被动模式下等速肌力训练治疗卒中后足内翻的临床疗效及对患者肌肉形态和踝关节肌力的影响。方法纳入120例卒中后足内翻患者,随机分为对照组(60例)和观察组(60例)。两组均予常规康复训练,对照组另予被动模式下等速持续向心和离心肌力训练,观察组在对照组治疗基础上联合电针拮抗疗法。比较两组临床疗效。观察两组治疗前后胫骨前肌和后肌的厚度、踝关节跖屈肌张力评分、踝背屈肌群肌力及下肢Fugl-Meyer量表(Fugl-Meyer assessment,FMA)评分的变化。结果观察组总有效率高于对照组(P<0.05)。两组治疗后踝关节跖屈肌张力评分均较同组治疗前降低(P<0.05),且观察组低于对照组(P<0.05)。两组治疗后踝背屈肌群肌力高于同组治疗前(P<0.05),且观察组高于对照组(P<0.05)。两组治疗后胫骨前肌和后肌均明显增厚(P<0.05),且观察组厚于对照组(P<0.05)。两组治疗后下肢FMA评分均高于同组治疗前(P<0.05),且观察组高于对照组(P<0.05)。结论电针拮抗疗法联合被动模式下等速肌力训练可改善卒中后足内翻患者胫骨前肌和后肌的厚度,促进肌张力和肌力恢复,提高患者运动能力,疗效优于单纯肌力训练。Objective To observe the clinical efficacy of electroacupuncture antagonistic therapy plus passive-mode isokinetic muscle strength training for post-stroke strephenopodia and its effects on the patient’s muscle morphology and ankle joint muscle force.Method A total of 120 patients with post-stroke strephenopodia were recruited and randomly divided into a control group(60 cases)and an observation group(60 cases).Conventional rehabilitation training was offered to both groups.In addition,the control group received continuous passive-mode isokinetic centripetal centrifugal muscle strength training,and the observation group received the same muscle strength training combined with electroacupuncture antagonistic therapy.Clinical efficacy was compared between the two groups.The thickness of the anterior and posterior tibialis,ankle plantar flexor tension score,ankle dorsal flexor strength,and Fugl-Meyer assessment(FMA)scale for lower extremities were observed before and after treatment.Result The total effective rate was higher in the observation group than in the control group(P<0.05).The ankle plantar flexor tension score dropped after treatment in both groups(P<0.05)and was lower in the observation group than in the control group(P<0.05).After treatment,the ankle dorsal flexor strength increased in both groups(P<0.05)and was greater in the observation group than in the control group(P<0.05).The anterior and posterior tibialis became thicker after treatment in the two groups(P<0.05),and the muscles in the observation group were thicker than those in the control group(P<0.05).The lower-extremity FMA score increased after treatment in both groups(P<0.05)and was higher in the observation group than in the control group(P<0.05).Conclusion Electroacupuncture antagonistic therapy plus passive-mode isokinetic muscle strength training can improve the thickness of the anterior and posterior tibialis,boost the recovery of muscle tension and force,and enhance the movement of patients with post-stroke strephenopodia;the effica

关 键 词：针刺疗法 电针 肌力训练 中风后遗症 足内翻 肌力 肌张力 

分 类 号：R246.6[医药卫生—针灸推拿学]