全身垂直律动联合反复促通疗法对脑卒中患者下肢运动功能的影响  

Effect of whole body vertical rhythm combined with repetitive facilitative exercise on lower limb motor function in cerebral stroke patients

作　　者：李鹏 窦丽辉 窦静敏 李秀丽 宋香全 LI Peng;DOU Lihui;DOU Jingmin;LI Xiuli;SONG Xiangquan(Xingtai Central Hospital,Xingtai 054000,China;Xingtai Medical College,Xingtai 054000,China)

机构地区：[1]邢台市中心医院,河北邢台054000 [2]邢台医学院,河北邢台054000

出　　处：《中国实用神经疾病杂志》2025年第2期218-222,共5页Chinese Journal of Practical Nervous Diseases

基　　金：邢台市重点研发计划项目(编号:2020ZC315)。

摘　　要：目的探讨全身垂直律动联合反复促通疗法对脑卒中患者下肢运动功能的影响。方法选取邢台市中心医院2022-03—2023-02收治的94例住院康复脑卒中患者。对照1组采取常规康复(50 min)+全身垂直律动治疗,对照2组采取常规康复(50 min)+反复促通疗法治疗,研究组采取常规康复(50 min)+全身垂直律动+反复促通疗法。比较3组临床疗效及治疗前、治疗4周后Berg平衡量表评分(BBS)、改良Barthel指数(MBI)、10 m步行时间、步行功能量表评分(FAC)。结果研究组总有效率优于对照2组和对照1组(χ^(2)=5.192、4.043,P<0.05)。治疗前,3组BBS评分、MBI水平、10 m步行时间、FAC评分比较无统计学差异(P>0.05);治疗4周后,3组BBS评分、MBI评分、FAC评分均高于治疗前,研究组高于对照2组和对照1组(F=11.707、11.414、29.745,P<0.05),而3组10 m步行时间均短于治疗前,研究组短于对照2组和对照1组(F=165.513,P<0.05)。结论全身垂直律动联合反复促通疗法可明显改善脑卒中患者下肢运动功能,值得临床应用。Objective To investigate the effect of whole body vertical rhythm combined with repetitive facilitative exercise on lower limb motor function in cerebral stroke patients.Methods A total of 90 stroke patients admitted to the Xingtai Central Hospital from March 2022 to February 2023 were randomly divided into study group,control groupⅡand control groupⅠby number table method,with 30 cases in each group.The control groupⅠwas treated by conventional rehabilitation(50 min)+whole body vertical rhythm,the control groupⅡwas treated by conventional rehabilitation(50 min)+repetitive facilitative exercise,and the study group was treated by conventional rehabilitation(50 min)+whole body vertical rhythm+repetitive facilitative exercise.The clinical efficacy,and Berg balance scale(BBS)score,modified Barthel index(MBI),10 m walking time,functional ambulation category scale(FAC)score before treatment and 4 weeks after treatment were compared among the three groups.Results The total effective rate of the study group was better than that of the control groupⅡand control groupⅠ(χ^(2)=5.192,4.043,respectively,P<0.05).Before treatment,there were no differences in BBS score,MBI,10 m walking time and FAC score among the three groups(P>0.05).After 4 weeks of treatment,the BBS,MBI and FAC scores of the three groups were higher than those before treatment,and the study group was higher than the control groupⅡand control groupⅠ(F=11.707,11.414,29.745,6.190,respectively,P<0.05),while the 10 m walking time of three groups was shorter than that before treatment,and the study group was shorter than the control groupⅡand control groupⅠ(F=165.513,P<0.05).Conclusion The whole body vertical rhythm combined with repetitive facilitative exercise can significantly improve the lower limb motor function of stroke patients,which is worthy of clinical application.

关 键 词：脑卒中 全身垂直律动 反复促通疗法 下肢运动功能 神经康复 

分 类 号：R743[医药卫生—神经病学与精神病学]