水中运动疗法联合陆地物理疗法治疗62例腓总神经损伤的疗效分析  

Therapeutic Effect of Water Exercise Therapy Combined with Land Physiotherapy on 62 Cases of Common Peroneal Nerve Injury

作　　者：范慧 卓燕玲 田德宽 孙莉 FAN Hui;ZHUO Yanling;TIAN Dekuan;SUN Li(Department of Neurological Rehabilitation,Beijing Hemujia Rehabilitation Hospital,Beijing,100016 China)

机构地区：[1]北京和睦家康复医院神经康复科,北京100016

出　　处：《中外医疗》2024年第4期37-41,共5页China & Foreign Medical Treatment

摘　　要：目的探讨水中运动疗法配合陆地物理疗法治疗腓总神经损伤的疗效。方法方便选取2021年2月-2023年2月北京和睦家康复医院收治的62例腓总神经损伤的患者为研究对象,按照随机数表法分为对照组和水疗组,每组31例。两组在神经营养药物治疗的同时,对照组给予传统的陆地物理疗法,水疗组通过水中运动疗法及陆地物理疗法相结合的方法治疗,共治疗8周。治疗前后用康复评定及神经电生理标准评定疗效。结果治疗后,水疗组踝关节背屈主动活动度为(7.28±3.06)°、10 m步行速度为(1.27±0.44)m/s,均优于对照组,差异有统计学意义(t=2.155、2.205,P均<0.05)。水疗组步长优于对照组,差异有统计学意义(P<0.05)。水疗组受损神经传导速度增加百分比与对照组比较,差异无统计学意义(P>0.05)。水疗组重用力运动单位电位募集频率百分比、受损神经复合肌肉动作电位波幅增加百分比,均优于对照组,差异有统计学意义(P均<0.05)。结论采用水中运动疗法联合陆地物理疗法治疗腓总神经的损伤的方法,比单独陆地物理疗法更有效。Objective To investigate the effect of water exercise therapy combined with land physiotherapy on common peroneal nerve injury.Methods A total of 62 patients with common peroneal nerve injury admitted to Beijing Hemujia Rehabilitation Hospital from February 2021 to February 2023 were selected conveniently as the research objects.According to the random number table method,they were divided into control group and hydrotherapy group,with 31 cases in each group.The two groups were treated with neurotrophic drugs,while the control group was given traditional terrestrial physiotherapy,and the hydrotherapy group was treated with a combination of water exercise therapy and terrestrial physiotherapy for 8 weeks.The curative effect was evaluated by rehabilitation assessment and neuroelectrophysiological criteria before and after treatment.Results After treatment,the active joint range of motion for ankle dorsiflexion in the hydrotherapy group was(7.28±3.06)°,the walking speed of 10 meters was(1.27±0.44)m/s,which were better than those in the control group,and the differences were statistically significant(t=2.155,2.205,both P<0.05).The step size of the hydrotherapy group was better than that of the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in the percentage increase of damaged nerve conduction velocity between the hydrotherapy group and the control group(P>0.05).The percentage of recruitment frequency of heavy force motor unit potential and the percentage of increase in amplitude of action potential of damaged nerve complex muscles in the hydrotherapy group were all better than those in the control group,and the differences were statistically significant(both P<0.05).Conclusion The treatment of common peroneal nerve injury by water exercise therapy combined with land physical therapy is more effective than land physical therapy alone and has higher clinical application value,which is worthy of further research and promotion.

关 键 词：水中运动 腓总神经损伤 康复评定 电生理 

分 类 号：R454.5[医药卫生—治疗学]