PNF对脑卒中偏瘫患者下肢运动及自动态平衡功能的影响  

Effect of PNF on Lower Limb Movement and Steady Dynamic Balance Function in Stroke Patients with Hemiplegia

作　　者：张鹏[1] 刘叶[1] 王中智 ZHANG Peng;LIU Ye;WANG Zhongzhi(Department of Rehabilitation,Longyan Hospital of TCM Affiliated to Xiamen University,Longyan 364000,China)

机构地区：[1]厦门大学附属龙岩中医院康复科,福建龙岩364000

出　　处：《中国医学创新》2025年第7期73-76,共4页Medical Innovation of China

基　　金：福建省卫生健康委医学创新课题(2022CXA033)。

摘　　要：目的:观察本体感觉神经肌肉促进(PNF)对脑卒中偏瘫患者下肢运动及自动态平衡功能的影响。方法:选择2021年1月—2024年1月在厦门大学附属龙岩中医院康复科接受治疗的脑卒中偏瘫患者100例,以随机数字表法将患者分为常规组和PNF组,每组50例。常规组给予常规物理疗法(PT),PNF组在常规组的基础上增加PNF训练。两组均持续治疗12周。比较两组治疗效果、下肢功能、自动态平衡功能、肌张力、日常生活能力。结果:PNF组总有效率为90.00%,显著高于常规组的74.00%(P<0.05)。治疗后,PNF组Fugl-Meyer运动功能评定量表下肢部分评分、改良Barhtel指数(MBI)评分均较常规组高,反应时间较常规组短,移动速度、端点行程均高于常规组,改良Ashworth量表(MAS)评分低于常规组(P<0.05)。结论:PNF联合常规PT应用于脑卒中偏瘫患者的效果显著,有利于患者下肢功能和自动态平衡功能恢复,提高日常生活能力。Objective:To observe the effect of proprioceptive neuromuscular facilitation(PNF)on lower limb movement and steady dynamic balance function in stroke patients with hemiplegia.Method:A total of 100 stroke patients with hemiplegia who received treatment in Department of Rehabilitation,Longyan Hospital of TCM Affiliated to Xiamen University from January 2021 to January 2024 were selected and divided into conventional group and PNF group by random number table method,with 50 cases in each group.The conventional group was given conventional physical therapy(PT),and the PNF group was given PNF training on the basis of the conventional group.Both groups were treated for 12 weeks.The therapeutic effect,lower limb function,steady dynamic balance function,muscle tone and daily living ability were compared between the two groups.Result:The total effective rate of PNF group was 90.00%,which was significantly higher than 74.00%of conventional group(P<0.05).After treatment,the lower limb scores of Fugl-Meyer assessment and modified Barhtel index(MBI)scores in PNF group were higher than those in conventional group,the reaction time was shorter than that in conventional group,the moving speed and endpoint travel were higher than those in conventional group,and the modified Ashworth scale(MAS)scores was lower than that in conventional group(P<0.05).Conclusion:PNF combined with conventional PT is effective in stroke patients with hemiplegia,which is beneficial to the recovery of lower limb function and steady dynamic balance function and the improvement of daily living ability.

关 键 词：本体感觉神经肌肉促进 物理疗法 脑卒中 偏瘫 

分 类 号：R743.3[医药卫生—神经病学与精神病学]