针刺结合患侧下肢单腿支撑膝关节运动角度调整训练治疗中风后膝过伸  

Acupuncture Combined with Single Leg Supporting Knee Joint Movement Angle Adjustment Training on Affected Side of Lower Limb for Treatment of Post Stroke Knee Hyperextension

作　　者：王身芳[1] 林宇煌 王身林[1] 刘道龙[1] WANG Shenfang;LIN Yuhuang;WANG Shenlin;LIU Daolong(Sanya Hospital of Traditional Chinese Medicine,Sanya Hainan China 572000)

机构地区：[1]三亚市中医院,海南三亚572000

出　　处：《中医学报》2023年第11期2467-2471,共5页Acta Chinese Medicine

基　　金：海南省卫生健康行业科研项目(21A200403)。

摘　　要：目的:观察针刺结合患侧下肢单腿支撑膝关节运动角度调整训练治疗中风后膝过伸患者的临床疗效。方法:100例中风后膝过伸患者按照随机数字表法平均分为对照组和观察组。对照组给予针刺方法,观察组在对照组治疗基础上给予患侧下肢单腿支撑膝关节运动角度调整训练。两组均完成3个月的康复干预,比较两组患者屈肌、伸肌峰力矩(peak torque,PT),视觉模拟量表(visual analogue scale,VAS)评分,平衡功能,运动能力功能评分量表(motor function score scale,FMA)评分,膝过伸次数,依从性及满意度。结果:干预后,两组患者力矩、平衡功能评分显著升高,观察组高于同期对照组(P<0.05);两组患者VAS评分显著降低,且观察组低于同期对照组(P<0.05)。干预后,两组患者FMA评分均显著升高,观察组高于同期对照组(P<0.05);两组患者膝过伸次数显著较少,观察组少于同期对照组(P<0.05)。观察组康复锻炼、定期复查及日常指导依从性和康复效果、服务态度及专业技能满意度均高于对照组(P<0.05)。结论:针刺结合患侧下肢单腿支撑膝关节运动角度调整训练能显著提高患者屈肌和伸肌PT,减轻患者疼痛,改善患者平衡功能,提高患者运动能力,降低患者膝过伸次数。Objective:To observe the clinical efficacy of acupuncture combined with single leg support knee joint movement angle adjustment training on the affected side of the lower limb for the treatment of post stroke knee hyper-extension patients.Method:100 patients with knee hyper-extension after stroke were evenly divided into a control group and an observation group according to a random number table method.The control group was given acupuncture methods,while the observation group was given single leg support knee joint movement angle adjustment training on the affected side based on the treatment of the control group.Both groups completed a 3-month rehabilitation intervention,comparing the peak torque(PT)of flexor and extensor muscles,visual analog scale(VAS)scores,balance function,motor function score(FMA)scores,knee hyper-extension frequency,compliance,and satisfaction between the two groups of patients.Result:After intervention,the torque and balance function scores of the two groups of patients significantly increased,and the observation group was higher than the control group at the same time(P<0.05);The VAS scores of the two groups of patients significantly decreased,and the observation group was lower than the control group during the same period(P<0.05).After intervention,the FMA scores of both groups of patients significantly increased,and the observation group was higher than the control group at the same time(P<0.05);The number of knee hyper-extension in the two groups of patients was significantly less,and the observation group was less than the control group during the same period(P<0.05).The observation group′s compliance with rehabilitation exercise,regular reexamination,and daily guidance,as well as their satisfaction with rehabilitation effectiveness,service attitude,and professional skills,were higher than those of the control group(P<0.05).Conclusion:Acupuncture combined with single leg support knee joint movement angle adjustment training on the affected side of the lower limb can significantly

关 键 词：中风后膝过伸 针刺 患侧下肢单腿支撑膝关节运动角度调整训练 

分 类 号：R246.2[医药卫生—针灸推拿学]