神经肌肉本体感觉促进技术联合中频电刺激治疗卒中后踝关节功能障碍患者的效果  

Effects of PNF technique combined with medium frequency electric stimulation in treatment of patients with ankle joint dysfunction after stroke

作　　者：熊云 胡灯峰 XIONG Yun;HU Dengfeng(Department of Rehabilitation Medicine of Yifeng County People’s Hospital,Yichun 336300 Jiangxi,China)

机构地区：[1]宜丰县人民医院康复医学科,江西宜春336300

出　　处：《中国民康医学》2023年第18期98-100,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察神经肌肉本体感觉促进(PNF)技术联合中频电刺激治疗卒中后踝关节功能障碍患者的效果。方法:选取2021年1月至2023年1月该院收治的80例卒中后踝关节功能障碍患者进行前瞻性研究,按照随机数字表法分为观察组与对照组各40例。两组均给予常规康复训练,在此基础上,对照组给予中频电刺激治疗,观察组在对照组基础上联合PNF技术治疗。比较两组临床疗效、临床痉挛指数(CSI)评分、Berg平衡量表(BBS)评分、Fugl-Meyer下肢运动功能(FMA-LE)评分和改良Barthel指数(MBI)评分。结果:观察组治疗总有效率为90.00%,明显高于对照组的72.50%,差异有统计学意义(P<0.05);治疗后,两组CSI评分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);治疗后,两组BBS、FMA-LE、MBI评分均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:PNF技术联合中频电刺激治疗卒中后踝关节功能障碍患者可提高治疗总有效率和BBS、FMA-LE、MBI评分,降低CSI评分,效果优于单纯中频电刺激治疗。Objective:To observe effects of proprioceptive neuromuscular facilitation(PNF)technique combined with medium frequency electric stimulation in treatment of patients with ankle joint dysfunction after stroke.Methods:A prospective study was conducted on 80 patients with ankle joint dysfunction after stroke admitted to this hospital from January 2021 to January 2023.They were divided into observation group and control group according to the random number table method,40 cases in each group.Both groups were given routine rehabilitation training.On this basis,the control group was treated with medium frequency electric stimulation,while the observation group was treated with PNF technique on the basis of that of the control group.The clinical efficacy,the clinical spasticity index(CSI)score,the Berg balance scale(BBS)score,the Fugl-Meyer lower limb motor function assessment(FMA-LE)score,and the modified Barthel index(MBI)score were compared between the two groups.Results:The total effective rate of treatment in the observation group was 90.00%,which was significantly higher than 72.50%in the control group,and the difference was statistically significant(P<0.05).After the treatment,the CSI scores of the two groups were lower than those before the treatment,that in the observation group was lower than that in the control group,and the differences were statistically significant(P<0.05).Further,after the treatment,the scores of BBS,FMA-LE and MBI in the two groups were higher than those before the treatment,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:PNF technique combined with medium frequency electric stimulation in the treatment of the patients with ankle joint dysfunction after stroke can improve the total effective rate of treatment and the BBS,FMA-LE,MBI scores,and reduce the CSI scores.Moreover,it is superior to single medium frequency electric stimulation.

关 键 词：中频电刺激 PNF技术 踝关节功能 卒中 

分 类 号：R743.3[医药卫生—神经病学与精神病学]