摘要
目的探讨头针联合膝关节控制训练对脑卒中后偏瘫患者步行能力的影响。方法根据患者及家属意愿,将偏瘫患者60例按随机数字表法随机分为2组各30例,2组患者均给予以运动再学习技术为核心的膝关节控制训练疗法。观察组在上述治疗基础上同时给予头针治疗。治疗4周后观察2组治疗效果。结果治疗前2组患者下肢Fugl-Meyer积分、步行能力(Barthel指数积分)、ADL积分比较差异无统计学意义。治疗4周后2组患者下肢Fugl-Meyer积分、Barthel指数积分均显著改善(P均<0.01),且观察组改善情况明显优于对照组。观察组膝过伸疗效、下肢功能疗效及日常生活自理能力疗效均明显优于对照组。结论头针联合膝关节控制训练对脑卒中后偏瘫患者步行能力有促进作用。
Objective It is to explore the effect of head acupuncture combined with knee joint controlling exercise on walk- ing ability in paints with hemiplegia after cerebral stroke. Methods Sixty patients with hemiplegia after cerebral stroke were randomly divided into observation group and control group by random number method, each group had 30 cases. All the pa- tients in both groups were given knee joint controlling exercise mainly with motor relearning program. The observation group was additionally given head acupuncture on the basis of treatment above. Both groups were treated for 4 weeks, then the cura- tive effects were observed and compared. Results There was no significant difference in Fugl-Meyer scores, walking ability （Barthel index scores and ADL scores） of lower limbs before treatment between the two groups. After 4 weeks＇ treatment, Fugl-Meyer scores, Barthel index scores and ADL scores were all significantly improved in both groups（ P 〈 0.01 ） , and the improvements in observation group were better than that in control groups. The curative effects of knee hyperextension, lower limb function and activity of daily fife in observation group were better than that in control group. Conclusion Head acupunc- ture combined with knee joint controlling exercise has promoting effect on walking ability in paints with hemiplegia after cere- bral stroke.
出处
《现代中西医结合杂志》
CAS
2016年第34期3788-3791,共4页
Modern Journal of Integrated Traditional Chinese and Western Medicine
关键词
头针
膝关节控制训练
脑卒中
偏瘫
步行能力
head acupuncture
knee joint controlling exercise
cerebral stroke
hemiplegia
walking ability
