全身垂直律动训练联合反复促通疗法对缺血性脑卒中后偏瘫患者下肢运动功能的康复效果  

Rehabilitation Effect of Whole-Body Vertical Rhythm Training Combined with Repeated Facilitation Therapy on Lower Limb Motor Function in Patients with Hemiplegia after Ischemic Stroke

作　　者：赵娜 李宁 张立帅 王营 孙飞阳 张明 ZHAO Na;LI Ning;ZHANG Lishuai;WANG Ying;SUN Feiyang;ZHANG Ming(Rehabilitation Treatment Room,Xuzhou Rehabilitation Hospital Affiliated to Xuzhou Medical University/Xuzhou Rehabilitation Hospital,Xuzhou 221003,China;Department of Rehabilitation Medicine,Xuzhou Clinical College of Xuzhou Medical University/Xuzhou Central Hospital,Xuzhou 221009,China)

机构地区：[1]徐州医科大学附属徐州康复医院、徐州市康复医院康复治疗部,江苏省徐州市221003 [2]徐州医科大学徐州临床学院徐州市中心医院康复医学科,江苏省徐州市221009

出　　处：《实用心脑肺血管病杂志》2025年第4期69-74,共6页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

基　　金：江苏省自然科学基金资助项目(BK20200358);徐州市国家临床重点专科培育项目(2018ZK002);徐州市医学重点人才项目(XWRCHT20220045)。

摘　　要：目的 探讨全身垂直律动训练联合反复促通疗法对缺血性脑卒中后偏瘫患者下肢运动功能的康复效果。方法 选取2022年11月—2024年3月在徐州医科大学附属徐州康复医院接受康复治疗的缺血性脑卒中后偏瘫患者98例为研究对象,采用随机数字表法将患者分为对照组和观察组,每组49例。对照组患者接受全身垂直律动训练,观察组患者在对照组基础上联合反复促通疗法,均持续训练3周。比较两组干预前后下肢运动功能[采用Fugl-Meyer运动功能评估量表下肢部分(FMA-LE)评估]、下肢平衡功能[采用Berg平衡量表(BBS)评估]、下肢关节活动度(包括踝关节活动度及膝关节活动度)、步行能力[采用10 m最大步行能力测试(10MWT)评估]、姿势稳定性(重心运动长度、重心运动面积、平均轨迹误差、完成测试所用时间)、日常生活活动能力[采用改良Barthel指数(mBI)评估]、生存质量[采用生存质量测定量表简表(QOL-BREF)评估]。结果 干预后,两组FMA-LE评分、BBS评分分别高于本组干预前,踝关节活动度、膝关节活动度分别大于本组干预前,且观察组FMA-LE评分、BBS评分高于对照组,踝关节活动度、膝关节活动度大于对照组(P<0.05)。干预后,两组10MWT分别快于本组干预前,重心运动长度分别短于本组干预前,重心运动面积、平均轨迹误差分别小于本组干预前,完成测试所用时间分别短于本组干预前,且观察组10MWT快于对照组,重心运动长度短于对照组,平均轨迹误差小于对照组,完成测试所用时间短于对照组(P<0.05)。干预后,两组mBI评分及生活能力、生活质量、生活满意度维度得分分别高于本组干预前,且观察组mBI评分及生活能力、生活质量、生活满意度维度得分高于对照组(P<0.05)。结论 全身垂直律动训练联合反复促通疗法可改善缺血性脑卒中后偏瘫患者的下肢运动、平衡功能,增大下肢关节活动度,提高�Objective To explore the rehabilitation effect of whole-body vertical rhythm training combined with repeated facilitation therapy on lower limb motor function in patients with hemiplegia after ischemic stroke.Methods A total of 98 patients with hemiplegia after ischemic stroke who received rehabilitation treatment at Xuzhou Rehabilitation Hospital Affiliated to Xuzhou Medical University from November 2022 to March 2024 were selected as the research subjects.The patients were divided into control group and observation group by random number table method,with 49 cases in each group.The patients in the control group received whole-body vertical rhythm training,while the patients in the observation group received repeated facilitation therapy on the base of control group.The intervention time was 3 weeks for both groups.The lower limb motor function[evaluated by the Fugl-Meyer Assessment of Lower Extremity(FMA-LE)],lower limb balance function[evaluated by Berg Balance Scale(BBS)],lower limb joint range of motion(including ankle joint range of motion and knee joint range of motion),walking ability[evaluated by 10 meters walking test(10MWT)],postural stability(length of center of gravity movement,area of center of gravity movement,average trajectory error,time taken to complete tests),activities of daily living[evaluated by the modified Barthel Index(mBI)],quality of life[evaluated by the Quality of Life-Brief(QOL-BREF)]before and after intervention were compared between the two groups.Results After intervention,the FMA-LE score and BBS score of both groups were higher than those before intervention,ankle joint range of motion and knee joint range of motion of both groups were greater than those before intervention,and the FMA-LE score and BBS score in observation group were higher than those in control group,ankle joint range of motion and knee joint range of motion were greater than those in control group(P<0.05).After intervention,the 10MWT of both groups was faster than that before intervention,the length of center

关 键 词：缺血性卒中 偏瘫 康复 全身垂直律动 反复促通疗法 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R682.22[医药卫生—临床医学]