姿势解密技术联合悬吊治疗对脑卒中偏瘫下肢功能恢复的影响  

Impact of discovery of posture secret combined with suspension therapy on lower limb functional recovery after stroke hemiplegia

作　　者：刘学 胡川 王欣 Liu Xue;Hu Chuan;Wang Xin(Rehabilitation Treatment Center,Shandong Provincial Third Hospital,Jinan 250031,China)

机构地区：[1]山东省立第三医院康复治疗中心,济南250031 [2]山东省立第三医院中医康复科,济南250031

出　　处：《中国康复》2023年第8期451-454,共4页Chinese Journal of Rehabilitation

基　　金：山东省基层卫生协会2022年基层卫生科技创新计划项目(JCK22005)。

摘　　要：目的:探究姿势解密技术联合悬吊治疗对脑卒中偏瘫患者下肢肢体功能恢复的影响。方法:选取本院收治的符合纳入标准的80例脑卒中偏瘫患者,采用随机数字表法分为悬吊组和联合组各40例。其中悬吊组在对症治疗的基础上给予悬吊运动治疗,联合组在悬吊组基础上给予姿势解密技术治疗。比较2组Holden步行功能分级(FAC)、下肢Fugl-Meyer运动功能量表(FMA)、“起立-行走”计时测试(TUGT),平衡功能(Berg)平衡量表(BBS)及步行功能。结果:与治疗前比较,2组治疗后FAC、FMA、BBS评分均明显升高(P<0.05),且联合组明显高于悬吊组(P<0.05);治疗后,2组TUGT均较治疗前明显降低(P<0.05),且联合组明显低于悬吊组(P<0.05);2组治疗后步长、步频、步速、步幅均较治疗前明显升高(P<0.05),联合组明显高于悬吊组(P<0.05)。结论:脑卒中偏瘫患者使用姿势解密技术联合悬吊运动治疗,可有效提高下肢运动功能,效果较好。Objective:To explore the influence of discovery of posture secret combined with suspension exercise therapy on the recovery of lower limb function in patients with hemiplegia after stroke.Methods:A total of 80 stroke patients with hemiplegia who met the inclusion criteria in our hospital were selected and randomly grouped into a suspension group(40 cases)and a combined group(40 cases)by the random number table.Among them,the suspension group was given suspension exercise therapy on the basis of symptomatic treatment,and the combined group was given discovery of posture secret therapy on the basis of suspension group.The lower limb function[functional ambulation classification(FAC),lower limb Fugl-Meyer assessment(FMA),time up and go test(TUGT)],balance function[Berg balance scale(BBS)]and walking function were compared between the two groups.Results:Compared with before treatment,the scores of FAC,FMA and BBS in both groups were obviously increased after treatment(P<0.05),and those in the combined group were significantly higher than those in the suspension group(P<0.05).The TUGT in both groups was obviously decreased(P<0.05),and that in the combined group was significantly lower than in the suspension group(P<0.05).After treatment,the stride length,stride frequency,stride speed and stride length of the two groups were obviously increased(P<0.05),and compared with the suspension group,the stride length,stride frequency,stride speed and stride length in the combined group were obviously increased(P<0.05).Conclusion:Treatment of stroke patients with hemiplegia using discovery of posture secret combined with suspension exercise can effectively improve the motor function of lower limbs in treating patients with hemiplegia after stroke,and the effect is good.

关 键 词：脑卒中偏瘫 悬吊 姿势解密技术 肢体功能 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]