神经肌肉本体感觉促进技术对脑梗死偏瘫患者影响观察  

Effect of neuromuscular proprioceptive promoting technique on patients with cerebral infarction and hemiplegia

作　　者：谷利洋 宗丽萍 郑闪闪 尚景丹 Gu Li-yang;Zong Li-ping;Zheng Shan-shan;Shang Jing-dan(Department of Rehabilitation and Physiotherapy,The 989th Hospital of PLA Joint Logistic Support Force,Pingdingshan 3843140,Henan,China)

机构地区：[1]中国人民解放军联勤保障部队第九八九医院康复理疗科,河南平顶山3843140

出　　处：《四川生理科学杂志》2025年第4期760-762,841,共4页

摘　　要：目的:探讨神经肌肉本体感觉促进技术对脑梗死偏瘫患者的影响。方法:选取2022年1月~2024年2月期间本院收治的76例脑梗死偏瘫患者作为研究对象。以随机数字表法将患者分为对照组和观察组,每组各38例。对照组实施常规康复干预。观察组在对照组基础上采用神经肌肉本体感觉促进技术干预。分析对比两组的康复效果、肌力恢复情况,肢体功能[Fugl-Meyer系统运动功能量表(Fugl-Meyer assessment scale;FMA)]、平衡能力[Berg平衡量表(Berg balance scale,BBS)]以及步态数据(步长、步幅及步速)。结果:观察组的康复效果显著优于对照组(P<0.05)。干预后,两组的肌力情况均改善,且观察组干预后的肌力恢复情况显著优于对照组(P<0.05)。干预后,两组的FMA量表分值及BBS评分均显著改善,且观察干预后的FMA量表分值及BBS评分均显著优于对照组(P<0.05)。干预后,两组的步长、步幅及步速各项步态数据均比干预前显著提高,且观察组干预后的各项步态数据均显著高于对照组(P<0.05)。结论:神经肌肉本体感觉促进技术可促进脑梗死偏瘫患者康复,改善患者上肢与下肢功能、平衡能力,纠正改善患者步态。Objective:To investigate the effect of neuromuscular proprioception promoting technique on patients with cerebral infarction and hemiplegia.Methods:76 patients with cerebral infarction and hemiplegia admitted to our hospital from January 2022 to February 2024 were selected as research objects.The patients were divided into control group and observation group by random number table,with 38 cases in each group.The control group received routine rehabilitation intervention.Observation group was treated with neuromuscular proprioceptive promoting technique on the basis of control group.The rehabilitation effect,muscle strength recovery,limb function[Fugl-Meyer assessment scale;FMA),balance ability[Berg balance scale(BBS)],and gait data(stride length,stride length,and pace).Results:The rehabilitation effect of observation group was significantly better than that of control group(P<0.05).After intervention,the muscle strength of both groups was improved,and the recovery of muscle strength in the observation group was significantly better than that in the control group(P<0.05).After intervention,the FMA scale scores and BBS scores of the two groups were significantly improved,and the FMA scale scores and BBS scores after observation were significantly better than those of the control group(P<0.05).After intervention,the gait data of step length,stride length and stride speed in both groups were significantly higher than those before intervention,and the gait data of observation group were significantly higher than those of control group after intervention(P<0.05).Conclusion:Neuromuscular proprioceptive enhancement technique can promote the rehabilitation of hemiplegia patients with cerebral infarction,improve the function and balance of upper and lower limbs,and correct and improve the gait of patients.

关 键 词：脑梗死偏瘫 神经肌肉本体感觉促进技术 康复效果 肌力恢复 肢体功能 平衡能力 

分 类 号：R743.3[医药卫生—神经病学与精神病学]